Measure # Weight Scoring
Methodology 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
Timeliness of Regulatory/Legal documentation: Business Associate
Agreement (BAA), Data Use Agreement (DUA), Multicenter
Perioperative Outcomes Group (MPOG) Bylaws & IRB
Submitted by February 1, 2026 10
Submitted by March 1, 2026 5
Submitted after March 1, 2026 0
Hire an Anesthesiology Clinical Quality Reviewer (ACQR)
ACQR Start Date on or before December 1, 2025 10
ACQR Start Date on or before January 1, 2026 5
ACQR Start Date on or after January 1, 2026 0
Timeliness of data submission (with Case by Case Validation and Data
Diagnostic Attestations Completed)
Submitted by July 1, 2026 10
Submitted by September 1, 2026 5
Submitted after September 1, 2026 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 20
Within 5 business days 15
Greater than 5 business days 10
7 10% Hospital
5 20% Hospital
6 20% Hospital
2026 Anesthesiology Quality Improvement and Reporting Exchange (ASPIRE)
Collaborative Quality Initiative Performance Index Scorecard
Cohorts 9
Measurement Period: 10/01/2025 - 09/30/2026
2 10%
Hospital
Hospital
Hospital
4 10% Hospital
10%
1 20%
3
Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)
2026 Performance Index Scorecard Measure Explanation: Cohort 9
Measurement Period: 10/01/2025 - 09/30/2026
ASPIRE 2026 P4P Cohort 9
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
Timeliness of Regulatory/Legal
documentation: Business Associate
Agreement (BAA), Data Use Agreement
(DUA), Multicenter Perioperative
Outcomes Group (MPOG) Bylaws & IRB
All regulatory documents must be submitted to the
Coordinating Center by February 1, 2026.
Hire an Anesthesiology Clinical Quality
Reviewer (ACQR)
Must hire Anesthesiology Clinical Quality Reviewer
(ACQR) by December 1, 2025. The success of the
program is greater when the ACQR is hired early in the
process.
Timeliness of data submission (with
Case-by-Case Validation and Data
Diagnostic Attestations Completed)
The minimum data requirements must be uploaded into
the Multicenter Perioperative Outcomes Group (MPOG)
central repository by July 1, 2026. The MPOG minimum
data requirements can be found on the MPOG website.
Performance Metric: Accuracy of data
of "High" and "Required" priority data
diagnostics marked as "Data Accurately
Represented" in Data Diagnostics Tool
Data must be of high quality before the July 1, 2026
upload. The ASPIRE team will assist in determining if
data is approved for uploading to MPOG.
Timeliness of Responses to
Coordinating Center Inquiry Requests
Timeliness of responses to the coordinating center
requests. The ASPIRE team will evaluate response rates.
