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 10
5 / 6 Meetings 5
4 or Less 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
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 with >90% of
all high priority and required 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 10
2 Meeting 5
1 or less Meetings 0
Global Warming Footprint (SUS 02):
Increase perc
entage of cases
where carbon dioxide equivalents (CO2 eq) normalized by hour for
cases receiving halogenated agents and/or nitrous oxide is less than
CO2 eq of 2% sevoflurane at 2L FGF = 2.83 kg CO2/hr or the Total CO2
eq is less than 2.83 kg CO2 for the maintenance period of anesthesia.
(Cumulative score October 1, 2025 through September 30, 2026)
Performance is >= 65%, Absolute performance improves by >= 20
percentage points or, if performance >= 40% and relative performance
increases by >= 50%
25
Performance is >= 60%, Absolute performance improves by >= 15
percentage points or, if performance >= 40% and relative performance
increases by >= 40%
15
Performance is >= 55%, absolute performance improves by >= 10
percentage points or, if performance >= 40% and relative performance
increases by >= 30%
10
Performance is < 55%, absolute performance improves by < 10
percentage points or, if performance >= 40% and relative performance
increases by < 30%
0
5%
1 10%
3
4 10%
5 25%
2026 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 1 - 7
Measurement Period: 10/01/2025 - 09/30/2026
2 5%
ASPIRE 2026 P4P Cohort 1 - 7
Page 1
Measure #
Weight
Measure Description
Points
2026 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 1 - 7
Measurement Period: 10/01/2025 - 09/30/2026
Perioperative Hypothermia (TEMP 03): Reduce percentage of cases
requiring general or neuraxial anesthesia for whom a body
temperature >= 36 degrees Celsius (or 96.8 degrees Fahrenheit) was not
recorded within 30 minutes before to 15 minutes after anesthesia end time.
(Cumulative score October 1, 2025 through September 30, 2026)
Performance is <= 4.5%, Absolute performance improves by >= 4
percentage points or, if relative performance improves by >= 30% 20
Performance is <=5.5%, Absolute performance improves by >= 3
percentage points or, if relative performance improves by >= 20% 10
Performance is <= 7%, Absolute performance improves by >= 2
percentage points or, if relative performance improves by >= 10% 5
Performance is > 7%, Absolute performance improves by < 2 percentage
points or, if relative performance improves by < 10% 0
Site Directed Measure: Site chooses a measure they are performing
below threshold for a process measure or above threshold for an
outcome measure to improve for the year.
(Cumulative score October 1, 2025 through September 30, 2026)
Performance is >= 90% for process or <=5% for outcome, or shows >=
15% improvement (absolute) 25
Performance is >= 85% for process or <=10% for outcome, or shows >=
10% improvement (absolute) 15
Performance is >= 80% for process or <= 20% for outcome, or shows >=
5% improvement (absolute) 10
Performance is < 80% for process or > 20% for outcome, or shows < 5%
improvement (absolute) 0
7 25%
6 20%
ASPIRE 2026 P4P Cohort 1 - 7
Page 2
ASPIRE 2026 P4P Cohort 1 – 7
Page 3
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2026 Performance Index Scorecard Measure Explanation: Cohort 1 - 7
Measurement Period: 10/01/2025 - 09/30/2026
Measure number and description
Additional narrative describing the measure
Collaborative Meeting Participation:
ASPIRE Quality Champion and
Anesthesiology Clinical Quality
Reviewer (ACQR) combined
attendance at meetings. Three total
meetings with six opportunities for
attendance.
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
2025-26. There are three total meetings with six
opportunities for attendance:
1. MPOG (Multicenter Perioperative Outcomes
Group) Retreat: Friday, October 10, 2025
2. MSQC (Michigan Surgical Quality Collaborative) /
ASPIRE Meeting: Friday, March 13, 2026
3. ASPIRE Collaborative Meeting: Friday, July 17, 2026
Attend ASPIRE Quality Committee e-
meetings: ASPIRE Quality Champion
or ACQR attendance across six
meetings.
There will be six Quality Committee e-meetings in 2025-
26. One representative (ASPIRE Quality Champion or
ACQR) must attend the following 2025-26 meetings:
1. Monday, November 24, 2025
2. Monday, January 26, 2026
3. Monday, February 23, 2026
4. Monday, May 18, 2026
5. Monday, July 27, 2026
6. Monday, September 28, 2026
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 with >90%
of all high priority and required
diagnostics marked as 'Data
Accurately Represented.'
Maintenance Schedule located on MPOG website in the
resources tab of the quality section. Data must be of high
quality upon submission, >90% of all ‘High Priority’ and
‘Required’ diagnostics marked as ‘Data Accurately
Represented.’
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.
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.
ASPIRE 2026 P4P Cohort 1 – 7
Page 4
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2026 Performance Index Scorecard Measure Explanation: Cohort 1 - 7
Measurement Period: 10/01/2025 - 09/30/2026
Measure number and description
Additional narrative describing the measure
Global Warming Footprint (SUS 02):
Percentage of cases where carbon
dioxide equivalents (CO2 eq)
normalized by hour for cases
receiving halogenated agents and/or
nitrous oxide is less than CO2 eq of
2% sevoflurane at 2L FGF = 2.83 kg
CO2/hr or the Total CO2 eq is less
than 2.83 kg CO2 for the
maintenance period of anesthesia.
(Cumulative score October 1, 2025
through September 30, 2026)
Sites will be awarded points for compliance with the
sustainability measure SUS 02 (cumulative score October
1, 2025 through September 30, 2026). If the performance
threshold is not met, Coordinating Center will assess 12-
month average score for October 1, 2025 – September
30, 2026 and compare to 12-month average score for
October 1, 2024 – September 30, 2025. Coordinating
Center will assign points based on either absolute
percentage point improvement or relative performance
improvement, prioritizing the method that results in the
highest number of points to be awarded.
Perioperative Hypothermia (TEMP
03): Percentage of cases requiring
general or neuraxial anesthesia for
whom a body temperature ≥ 36
degrees Celsius (or 96.8 degrees
Fahrenheit) was not recorded within
30 minutes before to 15 minutes
after anesthesia end time.
(Cumulative score October 1, 2025
through September 30, 2026)
Sites will be awarded points for compliance with the
temperature measure TEMP 03 (cumulative score
October 1, 2025 through September 30, 2026). If the
performance threshold is not met, Coordinating Center
will assess 12-month average score for October 1, 2025 –
September 30, 2026 and compare to 12-month average
score for October 1, 2024 – September 30, 2025.
Coordinating Center will assign points based on either
absolute percentage point improvement or relative
performance improvement, prioritizing the method that
results in the highest number of points to be awarded.
will be evaluated to allocate points.
Site Directed Measure: Site chooses
a measure they are performing
below threshold for a process
measure or above threshold for an
outcome measure to improve for
the year. (Cumulative score October
1, 2025 through September 30,
2026)
Sites will choose a measure where performance is above
the ASPIRE threshold for inverse (outcome) measures (5
or 10%) or a process measure with performance less than
threshold (90%) that needs improvement. Sites must
submit their current measure score (August 1, 2024
through July 31, 2025) to the Coordinating Center by
Friday, September 12, 2025, for review and approval.
Measure selection form is located on the MPOG website
in the P4P sub tab of the Michigan hospitals tab of the
quality section. If the performance threshold is not met,
Coordinating Center will assess 12-month average score
for October 1, 2025 – September 30, 2026 and compare
to 12-month average score for October 1, 2024 –
September 30, 2025. Only absolute percentage point
improvement will be evaluated to allocate points.