ASPIRE
Summer Meeting
July 20
th
2018
Updates
• Opioid equivalency
• Transfusion Toolkit
• Handover audits
• MOCA
• Data Integration Update
• PROSPER
Thank You
Welcome
Beaumont Hospital, Wayne
QC: Marina Dyment, MD
ACQR: Tiffany Malenfant
Beaumont Hospital, Trenton
QC: Ashvin Patel, MD
ACQR: Tiffany Malenfant
Opioid Equivalency
• National focus on opioid consumption
• Few standards on appropriate limits
• Limited information on variation of care
• Variable level of evidence for conversion factors
• We learned from Michigan-OPEN
• First step to figuring out the right # pills/ patient was to figure out the range.
• No one knew where they were
• Less is not necessarily better
Handover Audits
• Over 100 handover audits completed
• 7 sites participated
• Need to incorporate feedback into
ASPIRE Dashboard or MQUARK
• May ask all sites next year to
participate
Transfusion Toolkit
• Review of literature
• Consolidation of guidelines
• Best practices from other CQIs
• ASPIRE summary data
• ASPIRE quality measure information
mpog.org/quality/measure-toolkit/
Coming Up – Anesthesia CPT Prediction in Measures
• We’ve built a machine learning
algorithm that takes procedure
text and predicts the top 3
anesthesia CPT codes
• We are going to use this to be
less dependent (but not
replace) on the billing codes
that you send to us
Data Integration Update
• MSQC – merge complete
• MUSIC – compliance details
• MTQIP – pilot with UM data
• Master data use agreement
pending
• Next step – need your
feedback
• Then show you the data!
Surgical
CQI
MOCA®
PROSPER
A research study to understand how
surgery can affect quality of life for
patients.
The PROspective Study of Perioperative
Experience and Recovery (PROSPER)
uses data from your mobile phone
combined with surveys to help provide this
information.
PROSPER - Why do it? What have we done so far?
• Quality improvement measurement will increasingly focus on patient
reported information
• Patient “reported” information includes both active and passively
collected data
• We want to be leaders in measuring quality with patient reported data
• Rolled out at several clinics at UM
Benefits
• Receive information about patients in your institution that enroll
• Help inform anesthesia focused patient reported measures
• Can participate as a co-investigator
What is needed
• Place flyers/posters in preoperative and surgical clinics
• Discuss with or refer us to interested surgeons
Outreach
• How do we influence anesthesia
care within MI?
• Expansion? Knowledge sharing?
• Who can we partner with?
Next up, our keynote: Jim Bagian, MD, PE
• Patient Safety Leader
• Physician
• Astronaut
• Engineer
• Director of the Center for
Healthcare Engineering and
Patient Safety, University of
Michigan
• Professor, Department of
Anesthesiology and College
of Engineering
