Measure # Weight Measure Description Points
Collaborative Meeting Participation: ASPIRE Quality Champion and
Anesthesiology Clinical Quality Reviewer (ACQR) combined attendance at
meetings. Three total meetings with six opportunities for attendance.
6 / 6 Meetings
5
5 or Less Meetings
0
Attend ASPIRE Quality Committee e-meetings: ASPIRE Quality Champion
or ACQR attendance across six meetings
5 - 6 / 6 Meetings
5
4 or less Meetings
0
ACQR/ASPIRE Quality Champion perform data validation, case validation
and submit data by the 3rd Wednesday of each month for January -
November and by the 2nd Wednesday of the month for December. Data
must be of high quality upon submission, >90% of diagnostics marked as
‘Data Accurately Represented.’
10 - 12/12 Months
5
9 or Less Months
0
Site Based Quality Meetings: Sites to hold an onsite in-person or virtual
meeting following the three ASPIRE Collaborative meetings to discuss the
data and plans for quality improvement at their site
3 Meetings 5
2 or less Meeting 0
ACQR attendance at Fall ACQR Retreat
Yes 10
No 0
Glucose (GLU 03) Percentage of cases with perioperative glucose > 200
mg/dL with administration of insulin or glucose recheck within 90 minutes
of original glucose measurement.
(cumulative score January 1, 2023 ‐ December 31, 2023)
Performance is ≥ 80% 25
Performance is ≥ 75% 15
Performance is ≥ 70% 10
Performance is < 70% 0
Sustainability (SUS 01) percentage of cases with mean fresh gas flow (FGF)
equal to, or less than 3L/min, during administration of halogenated
hydrocarbons and/or nitrous oxide
(cumulative score January 1, 2023 ‐ December 31, 2023)
Performance is ≥ 95% 20
Performance is ≥ 92.5% 15
<92.5% 0
Site Directed Measure: Sites choose a measure they are performing
above/below ASPIRE threshold or needs improvement by December 9,
2023 (cumulative score January 1, 2023 through December 31, 2023)
Performance is ≥90%; ≤10%; ≤5% or show ≥25% improvement 25
Performance is ≥85%; ≤15%; ≤10% or show ≥15% improvement 15
Performance is ≥80%; ≤20%; ≤15% or show ≥10% improvement 10
Performance is <80%; >20%; >15% or show <10% improvement 0
7
20%
8
25%
4
5%
5
10%
6
25%
3
5%
2023 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 1 - 6
Measurement Period: 01/01/2023 - 12/31/2023
1
5%
2
5%
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2023 Performance Index Scorecard
Measure Explanation: Cohorts 1 – 6 (2015 – 2021 start)
Measure #1: The ASPIRE Quality Champion (or a designated representative who must be an anesthesiologist)
and the Anesthesiology Clinical Quality Reviewer (ACQR), combined, must attend ASPIRE Collaborative meetings
in 2023. There are three total meetings with six opportunities for attendance:
1. MSQC (Michigan Surgical Quality Collaborative) / ASPIRE Meeting: Friday, April 21, 2023
2. ASPIRE Collaborative Meeting: Friday, July 14, 2023
3. MPOG (Multicenter Perioperative Outcomes Group) Retreat: Friday, October 13, 2023
Measure #2: There will be six Quality Committee e-meetings in 2023. One representative (ASPIRE Quality
Champion or ACQR) must attend the following 2023 meetings:
1. Monday, January 23, 2023
2. Monday, February 27, 2023
3. Monday, May 22, 2023
4. Monday, July 24, 2023
5. Monday, September 25, 2023
6. Monday, November 27. 2023
Measure #3: Maintenance Schedule located on MPOG website in the resources tab of the quality section. Data
must be of high quality upon submission, >90% of diagnostics marked as ‘Data Accurately Represented.’
Measure #4: The site is expected to schedule a local meeting either in-person or virtually following each ASPIRE
collaborative meeting (see Measure #1 for dates) to discuss site based and collaborative quality outcomes with
clinical providers at their site. Sites must send the coordinating center the site-based collaborative meeting
report located on the MPOG website in the P4P sub tab of the Michigan hospitals tab of the quality section.
Measure #5: ACQR must attend the Fall ACQR Retreat to be held on Friday, September 15, 2023.
Measure #6: Sites will be awarded points for compliance with the multimodal pain measure GLU 03 (cumulative
score January 1, 2023, through December 31, 2023). See P4P Scorecard for point distribution.
Measure #7: Sites will be awarded points for compliance with the sustainability measure SUS 01 (cumulative
score January 1, 2023, through December 31, 2023). See P4P Scorecard for point distribution.
Measure #8: Sites will choose a measure where performance is above/below the ASPIRE threshold or a measure that
needs improvement. Sites must submit their current measure score (November 1, 2021, through October 31, 2022) to
the Coordinating Center by Friday, December 9, 2022, for review and approval (cumulative score January 1, 2023,
through December 31, 2023). Measure selection form is located on the MPOG website in the P4P sub tab of the
Michigan hospitals tab of the quality section. See P4P Scorecard for point distribution.
How to calculate percentage increase: Subtract the original value from the new value, then divide the result by the
original value. Multiply the rest by 100, see example:
% Increase = 100 X
(Final – initial)
initial
