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 20
5 / 6 Meetings 10
4 or Less 0
Attend ASPIRE Quality Committee e-meetings: ASPIRE Quality
Champion or ACQR attendance across six meetings.
5 - 6 / 6 Meetings 10
4 Meetings 5
3 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 with >90%
of all high priority and required diagnostics marked as 'Data
Accurately Represented.'
11 / 12 Months 20
10 / 12 Months 15
9 / 12 Months 10
9 Months or Less 0
ASPIRE Quality Champion and ACQR monthly meetings
12 / 12 Months 10
11 / 12 Months 5
10 / 12 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 Meetings 0
ACQR Attend the Fall ACQR Retreat.
Yes 10
No 0
5 10%
6 10%
2026 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 8
Measurement Period: 10/01/2025 - 09/30/2026
2 10%
4 10%
20%
1 20%
3
ASPIRE 2026 P4P Cohort 8
Page 1
Measure # Weight Measure Description Points
2026 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 8
Measurement Period: 10/01/2025 - 09/30/2026
Neuromuscular Blockage (NMB 01) Increase percentage of cases with
a documented Train of Four (TOF) after last dose of non-depolarizing
neuromuscular blocker (Cumulative score October 1, 2025 -
September 30, 2026)
Performance is >= 90%
10
Performance is < 90%
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) 10
Performance is >= 80% for process or <=10% for outcome, or shows
>= 10% improvement (absolute) 5
Performance is < 80% for process or >10% for outcome 0
8 10%
7 10%
ASPIRE 2026 P4P Cohort 8
Page 2
ASPIRE 2026 P4P Cohort 8
Page 3
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2026 Performance Index Scorecard Measure Explanation: Cohort 8
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.’
ASPIRE Quality Champion and ACQR
monthly meetings
ASPIRE Quality Champion and ACQR need to meet monthly to discuss
the data and plans for quality improvement. A log of the meeting must
be submitted to the ASPIRE Coordinating Center each month. Logs are
located on the MPOG website in the P4P sub tab of the Michigan
hospitals tab of the quality section.
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 8
Page 4
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2026 Performance Index Scorecard Measure Explanation: Cohort 8
Measurement Period: 10/01/2025 - 09/30/2026
Additional narrative describing the measure
ACQR must attend the fall ACQR Retreat to be held on Friday,
September 11, 2026.
Percentage of cases with a
documented Train of Four (TOF) after
last dose of non-depolarizing
neuromuscular blocker (Cumulative
score October 1, 2025 - September 30,
Sites will be awarded points for compliance with the neuromuscular
blockade monitoring measure NMB 01 (cumulative score October 1,
2025 through September 30, 2026).
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 the 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. Absolute
percentage point improvement will be evaluated to allocate points.
See P4P Scorecard for point distribution