Measure
#
Weight Measure Description Points
Collaborative Meeting Participation: ASPIRE Quality Champion and
Anesthesiology Clinical Quality Reviewer (ACQR) combined attendance at
collaborative meetings. Three total meetings with six opportunities for
attendance.
6 / 6 Meetings 20
5 / 6 Meetings 10
4 or Less Meetings 0
ASPIRE Champion or ACQR attend Monthly ASPIRE Quality Committee e-
Meetings
5 - 6 / 6 Meetings 10
4 / 6 Meetings 5
3 or Less Meetings 0
Timeliness of Regulatory/Legal documentation: Business Associate
Agreement (BAA), Data Use Agreement (DUA), Multicenter Perioperative
Outcomes Group (MPOG) Bylaws & IRB
Submitted by April 1, 2025 10
Submitted by May 1, 2025 5
Submitted after May 1, 2025 0
Hiring an ACQR
ACQR Start Date on or before January 31, 2025 10
ACQR Start Date on or before April 1, 2025 5
ACQR Start Date on or after April 2, 2025 0
Timeliness of data submission (with Case by Case Validation and Data
Diagnostic Attestations Completed)
Submitted by September 1, 2025 20
Submitted by December 1, 2025 10
Submitted after December 1, 2025 0
Performance Metric: Accuracy of data of "High" and "Required" priority
data diagnostics marked as "Data Accurately Represented" in Data
Diagnostics Tool
≥ 90% diagnostics marked as "Data Accurately Represented" 20
≥ 75 - 90% marked as "Data Accurately Represented" 10
< 75% marked as "Data Accurately Represented" 0
Timeliness of Responses to Coordinating Center Inquiry Requests
Within 2 business days 10
Within 5 business days 5
Greater than 5 business days 0
710%
1
20%
3
2025 Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohort 8 (2025 Start)
Measurement Period: 01/01/2025 - 12/31/2025
2
10%
5
6
10%
10%
20%
20%
4
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2025 Performance Index Scorecard
Measure Explanation: Cohort 8 (2025 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 2025.
There are three total meetings with six opportunities for attendance:
1. MSQC / ASPIRE Meeting: Friday, April 11, 2025
2. ASPIRE Collaborative Meeting: Friday, July 18, 2025
3. MPOG Retreat: Friday, October 10, 2025
Measure #2: There will be six Quality Committee e-meetings in 2025. One representative (ASPIRE Quality Champion
or ACQR) must attend the following 2025 meetings:
1. Monday, January 27, 2025
2. Monday, February 24, 2025
3. Monday, May 19, 2025
4. Monday, July 28, 2025
5. Monday, September 22, 2025
6. Monday, November 24, 2025
Measure #3: All the following regulatory/legal documentation must be finalized by April 1, 2025:
1. Business Associate Agreement (BAA)
2. Data Use Agreement (DUA)
3. IRB
4. MPOG Bylaws
Measure #4: Must hire Anesthesiology Clinical Quality Reviewer (ACQR) by January 31, 2025. The success of
the program is greater when the ACQR is hired early in the process.
Measure #5: The minimum data requirements must be uploaded into the Multicenter Perioperative Outcomes
Group (MPOG) central repository by September 1, 2025. MPOG minimum data requirements can be found on
the MPOG website.
Measure #6: Data must be of high quality before the September 1, 2025 upload. The ASPIRE team will assist in
determining if data is approved for upload to MPOG.
Measure #7: Timeliness of responses to the coordinating center requests. The ASPIRE team will evaluate
response rates.
