Measure Feedback
Leif Saager, MD, MMM, FACHE, FCCM
Department of Anesthesiology
University of Michigan
Current ASPIRE Measures
• AKI 01: Acute Kidney Injury
• BP 01: Low MAP Prevention
• BP 02: Avoiding Monitoring Gaps
• CARD 01: Avoiding MI- Troponin I <1.00
• CARD 02: Avoiding MI- Troponin I <0.6
• FLUID -01-C: Minimizing Colloid Use- Cardiac
• FLUID 01-NC: Minimizing Colloid Use- Non-Cardiac
• GLU 01: High Glucose Treated
• GLU 02: Low Glucose Treated
• MED 01: Avoiding Medication Overdose
• NMB 01: Train of Four Taken
• NMB 02: Reversal Administered
• PONV 01: Post Operative Nausea and Vomiting
• PONV 02: Post Operative Nausea and Vomiting- Pediatrics
• PUL 01: Low Tidal Volume- Less than 10 ml/kg
• PUL 02: Low Tidal Volume- Less than or equal to 8 ml/kg
• TEMP 01: Active Warming
• TEMP 02: Core Temperature Measurement
• TEMP 03 (MIPS 424): Perioperative Temperature
Management
• TOC 02 (MIPS 426): Post-Anesthetic Transfer of Care
• TOC 03 (MIPS 427): Post-Anesthetic Transfer of Care
• TRAN 01: Transfusion Management Vigilance
• TRAN 02: Post Transfusion Monitoring
Upcoming ASPIRE Measures
• CARD 03: Percentage of patients with high risk comorbidities
with severely elevated postoperative troponin levels
(Troponin I > 0.6)
• CARD 04 (MIPS 44): Percentage of isolated Coronary Artery
Bypass Graft (CABG) surgeries for patients aged 18 years and
older who received a beta-blocker within 24 hours prior to
surgical incision
• MED 02: Intraoperative Opioid Administration
• TOC 01: Percentage of intraoperative anesthesia staff changes
where a formal transfer of care protocol or checklist which
includes key transfer of care elements was utilized
• PONV 03: Incidence of PONV in PACU
• PUL 03: Informational measure analyzing PEEP usage in
patients undergoing mechanical ventilation during anesthesia
Future ASPIRE Measures ???
• Number of Handover per case
• Benzodiazepines in age > 70 years
• Combined Metrics (Tidal volume plus PEEP)
• First Round on Time
• Turnover time
• Cost per case variation
• ???
www.mpog.org
Thank You !
“If not us, who? If not now, when?”
John F. Kennedy
