Eligibility of Institutions that Participate with ASPIRE

The institution must use electronic health record (EHR) system

The Multicenter Perioperative Outcomes Group (MPOG), the parent organization of ASPIRE, is a comprehensive perioperative patient registry based on electronic healthcare data

Have an onsite Anesthesiologist(s) to act as the following:
  1. QI Champion: Lead QI efforts
  2. IT Champion: Lead technical implementation
  3. Principal Investigator (PI): Lead research efforts
Have, or be able to hire a nurse to act as the Anesthesiology Clinical Quality Reviewer (ACQR)

The ACQR will coordinate the data extraction and assist the QI Champion in leading QI efforts

Have an IT team at the institution that can implement the technical infrastructure to participate with MPOG

Developing the data interface requires a significant amount of IT resources.  MPOG staff will provide technical consultation but they cannot be the primary developers for IT implementation

Have, supply or be able to purchase computing equipment and components to upload data into the MPOG registry
  1. Any additional hardware required, depending on your institutional policies, outside the funding received by BCBSM
  2. Dedicated computer for Anesthesiology Clinical Quality Reviewer (ACQR)

Expectations of Institutions that Participate with ASPIRE

A institution must join MPOG and complete following membership criteria
  1. Organize institution support, identify key personnel and apply for membership
  2. Obtain a Business Associate Agreement (BAA)
    1. The BAA may already be executed through MSQC and will need to be verified
  3. Complete the Data Use Agreement (DUA)
    1. The DUA is a legal contract allowing the institution to transfer data to the University of Michigan where the MPOG registry is stored.
  4. Obtain Internal Review Board (IRB) approval for research
    1. All MPOG institutions must be part of the research mission of MPOG. As such, they must obtain an IRB to export a limited dataset (date-of-service included) to the central MPOG registry for research.
    2. Please note, if your institution does not have an onsite IRB, the University of Michigan will oversee the IRB for your institution.
  5. Review and sign the MPOG Bylaws
    1. The bylaws are the membership terms for MPOG participation and are not a legally binding contract. The Bylaws must be reviewed and signed by the Department Chair / Practice Lead, the QI Champion and the Principal Investigator.
  6. Obtain servers to house your local MPOG data
  7. Develop and configure data interface to transfer data to the MPOG registry
    1. Be able to submit the minimum data requirements
  8. Submit a limited dataset to the MPOG registry
    1. Upload a limited dataset to the MPOG registry on a monthly basis

For details see Steps to Join

Assign an onsite Quality Improvement (QI) Champion
  1. The institution or practice group must identify an anesthesiologist who will act as the QI champion at the institution
  2. The onsite QI champion must practice at the institution at least one day per week and can effectively lead QI improvements
  3. The ASPIRE QI Champion will be a member of the ASPIRE Quality Committee and participate in the ASPIRE collaborative meetings
  4. The QI Champion or his/her designee will attend MPOG / ASPIRE conferences
  5. The QI Champion, IT Champion and PI can be the same individual
Dedicate an onsite MPOG Principal Investigator (PI) at the institution
  1. The PI must be an anesthesiologist who will be the research champion for the institution.  They will represent the research efforts and serve on the research publications committee to help determine the scientific validity of proposals.
  2. The QI Champion, IT Champion and PI can be the same individual
Dedicate an onsite Information Technology (IT) Champion
  1. The IT Champion must be an anesthesiologist who will oversee the implementation of the EHR interface
  2. Assist the Anesthesiology Clinical Quality Reviewer (ACQR) with the following:
    1. Mapping and data validation
    2. Removal of protected health information from data contribution
    3. Review of data diagnostics and case-by-case validation
  3. The QI Champion, IT Champion and PI can be the same individual
Identify an individual(s) for Database Administrator (DBA) role(s) and Database Developer Role(s). These may be the same individual(s) or can be several different FTEs depending on the institution IT structure.
  1. Database Administrator(s) (DBA)
    1. Responsible for acquiring server
    2. Responsible for setting up and maintaining the local MPOG database
  2. Database Developer(s)
    1. The institution Database Developer(s) will collaborate with the coordinating center developer to write or configure extracts to MPOG specifications
    2. Verify the quality of the data with Institution QI Champion and ACQR
    3. Assure timely submissions according to MPOG specifications
Select and hire an Anesthesiology Clinical Quality Reviewer (ACQR)
  1. The ACQR(s) will be dedicated to ASPIRE and will be provided with:
    1. Office space, adequate for protecting patient health information that may be available to the ACQR;
    2. Phone, fax, copier access;
    3. Computing workstation with access to the internet
    4. Necessary access to medical records and patient information (paper or electronic) for collection of ASPIRE data elements
  2. The ACQR must be a registered nurse preferably with perioperative care background such as post anesthesia care unit (PACU) experience
  3. The ACQR(s) must successfully complete the ASPIRE training and participate in on-going training, conferences and conference calls
  4. The ACQR(s) will participate in ASPIRE training sessions, MPOG/ASPIRE collaborative meetings, and maintain regular contact (email, phone, conference calls, webinars, etc.) with the ASPIRE coordinating center
  5. Institution agrees to provide funding (travel, lodging if necessary) for the ACQR to attend ASPIRE Collaborative meetings, ACQR training sessions or ACQR Meetings
  6. ASPIRE strongly recommends identifying an ACQR back-up in the event that the ACQR cannot perform the program requirements.  Gaps in data collection will be handled according to ASPIRE policy and may affect funding support from BCBSM
  7. The ACQR must be an employee of the institution or anesthesiology practice group.  The institution may not hire an outside vendor to perform the duties of the ACQR
Collaborate with coordinating center and other participating sites
  1. The participating staff is expected to respond to coordinating center queries and requests in a timely manner
  2. The institution should actively participate in reporting progress and outcomes
  3. The institution will work closely with the coordinating center and the other sites to develop a QI Agenda for the ASPIRE program using the aggregate registry data
  4. The institution will work closely with the Coordinating Center to develop a site-specific QI Agenda using data from their facility’s data in comparison to the aggregate Michigan registry data
  5. Sharing best practices with other sites is essential to the success of the program