ACQR Breakout Session
April 5, 2019
Agenda
• Introductions/Announcements
• Avoiding Respiratory Complications Toolkit: Updates
• MPOG Application Suite – April Upgrades
– Case Validation Question Changes
– Data Diagnostics
– Case Viewer
• MQUARK
10 Audits per month required
Linkage required
Results Tab
Updated MQUARK User Guide available
• Q&A
Introductions
Announcements
• CONGRATULATIONS and THANK YOU to the following sites for a successful Import Manager
Conversion:
Trinity Beaumont
St. Joseph Mercy Ann Arbor/Livingston/Chelsea Royal Oak/Troy
St. Joe Oakland Dearborn/Taylor
Mercy Livonia Farmington Hills
Mercy Muskegon Grosse Pointe
Trenton/Wayne
• We are excited to announce our newest ACQR! Oryanna Diem will be joining us at the end of
April, serving in a combination role as the Michigan Medicine ACQR and MPOG QI Coordinator!
• 3
rd
Annual ACQR Retreat will be held on Friday, September 20
th
!
• Measure Case Report Tool will now allow you to load cases dating back to Jan 1, 2015 data!
Avoided Respiratory Toolkit Updates!
• New literature since release of ARC Toolkit in 2017
• Neuromuscular Blockade Considerations
• New focus and introduction to ASPIRE Measures (NMB 01/02, PUL 01/02/03),
including links to Measure specs for reference
• PEEP – Optimal amount is undefined (we know non-zero is better than too high)
• Reduce modified driving pressures (PIP-PEEP ≤ 16 cmH₂O)
• Revert to 5 feet when assigning Tidal Volume for all patients under 5 feet
Tidal Volume for Ideal Body Weight Tool
*Revert to 5 feet when
assigning Tidal Volume for all
patients < 5 feet tall.
Rationale: Ideal Body Weight
calculator loses validity at < 5
feet.
MPOG Application Suite – April Upgrades
• Case Validation
• Data Diagnostics
• Transfer Application
• Import Manager Assistant: V2 released
Case Validation Question Changes
• Reordered the sections as follows:
– Pt Information (No time restriction)
– Preop (meds and ASA) (No time restriction)
– NEW: Ht/Wt (Before Anes Start through Anes End + 12 hours)
– Case Information (No time restriction)
– Notes (No time restriction)
– Physiologic (Anes Start-Pt Out of Room)
– Meds (Anes Start-Pt Out of Room)
– Fluids (No time restriction)
– Staff (No time restriction)
• Added start and end times within the header banner
• Modified fluid question to be: ‘Was xxxx (fluid type: 0.9NS) initiated at ‘time’?
• Room type questions now refer to room tags in Location Mapping
Data Diagnostics
• Added included concepts below the graph
• Added new Troponin concepts (3392, 3396, 3397, 5011) to Troponin diagnostic
• Added new physiologic warming concept (3122) to Warming Method diagnostic
• Modified priority/threshold for a few diagnostics: not significant changes
• Import Manager only: Corrected bug that would not allow data diagnostics to export if
attestation already completed
• Import Manager only: Room Type diagnostic now refers to room tags in Location
Mapping (Room Type Mapping no longer exists)
Transfer to MPOG Central
• Now provides feedback on the date range of cases included in the upload in addition to
case count.
MQUARK Updates
• Procedure Type now required for form
submission
• Handoff Start added to link page making it
easier to match case with audit
• Cases now group by month rather than audit
date
• Back button fixed on link page
MQUARK – Requirements
• 10 Audits per site per month
• Must be entered into MQUARK by the 3
rd
Wednesday of the following month.
• Audits must be linked by the 4
th
Wednesday of the following month.
MQUARK – Linking to MPOG Case ID
MQUARK – Troubleshooting Linking
• If there are no cases to link or you are not seeing the correct case check:
– Have I uploaded this month of data?
– Is the correct gender, age and procedure date entered in the audit?
• If you accidentally link the wrong case, simply click “link” on the correct case and
MQUARK will update.
MQUARK – Results Tab
MQUARK Results
MQUARK User Guide
MQUARK - General Feedback Session
Questions/Feedback?
