ACQR Breakout Session
March 27, 2020
Agenda
• Introductions/Announcements
• Dashboard 2.0 Overview
• MPOG Application Suite – April Upgrades
– Case Validation Question Changes
– Data Diagnostics
– IM Assistant
– Case Viewer 2.0
• New Measures: GLU 03/04
• Q&A
Introductions
Welcome to our newest ACQRs!
• Colleen Drolett MSN, BSN, RN - Henry Ford Allegiance Hospital
• Jessica Wren BSN, RN - Henry Ford Macomb Hospital and
Henry Ford Wyandotte Hospital
• Kathy Hall RN, BS - Borgess Health System
• Kristyn Lewandowski BSN, RN - Beaumont Royal Oak
Announcements
• COVID-19: P4P Scorecard Implications
– Everyone gets credit for the March 27th meeting
– No need to do a post-collaborative on-site meeting as there are no updates to
share and we should not be encouraging meetings at this time
– Please continue to do QI as soon as the pandemic calms down
– Let us know if you have been re-assigned and are unable to keep up with ACQR
responsibilities (validations/uploads)
• Upgrade schedules may be impacted – will do a ‘rolling’ release for sites unable to
upgrade next week
• Are you interested in being published as an MPOG collaborator in a journal
publication?
ACQRs as MPOG Collaborators
Byline authorship (NOT collaborators):
Collaborators would be listed in the Acknowledgments section:
Interested in being a Collaborator?
• Would receive a survey for each publication that your site participated in through the MPOG
research process: ‘Do you want to be an MPOG Collaborator this this publication?’
– Would be able to view the manuscript before agreeing to collaborator status
– Click ‘Yes, I want to be a collaborator and provide your credentials.’ or ‘No, not interested.’
• If you agree to be a collaborator on a manuscript, author will list your name, credentials, and
site in the Acknowledgments section of the publication.
• Please contact Kate (kjbucrek@med.umich.edu) if you’re interested in being a collaborator!
Dashboard 2.0: Main Page
Dashboard 2.0: Dashboard Views
Dashboard 2.0: Provider vs. Institution Dashboard Filters
Dashboard 2.0: Time filters
Dashboard 2.0: Age Filters
MPOG App Suite – April Upgrades
• Case Validation
• Data Diagnostics
• IM Assistant
• Case Viewer 2.0
Case Validation Question Changes
• Sections were reordered by topic to assist case reviewers:
– Case Information
– Times
– Staff
– Physiologic
– Medications
– Labs
Case Validation Changes
• Removed Questions
– Preop (Home) medications
– General Anesthesia
• New neuraxial/regional question
• Postoperative Recovery Question fixed!
– If postop recovery location concepts were NOT documented, case validation will ask: 'Was the patient
transferred somewhere other than the recovery room?'
– Postop Recovery Concepts considered:
– 50011 (recovery room out)
– 50067 (phase I out)
– 50069 (phase II out)
Case Validation Changes
• Postop physiologic
– Specifies source (invasive vs. non-invasive) for postop physiologic blood pressure question
• Intraop Infusions
– More specific wording for intraop fluid question- Were the following infusions started during this time period
(Anesthesia Start to Patient out of room)
Data Diagnostics
• Added free text search filter
• Updated aesthetic - vertical
guide allows for easier data
point selection.
• “Diagnostic Executed On”
now includes time.
• Various bug fixes
Import Manager Assistant
• AIMS System Filter
• Sorting by Module
• Green/Gray boxes
Case Viewer Changes
• Now only one Case Viewer option
• “Find a Case” renamed to “Case Search”
– Note: Click this tab to return to case search list
Case Viewer Changes
• New: Age Filter
Case Viewer Changes
• Notes section now automatically opens on the right when opening a case
• Date of Death now appears in header (if known)
• New arrow collapses blue pane if needed
Case Viewer Changes
• New: Copy buttons for MPOG Case ID and MRN
• New: Reference line on graph
– Choosing “Show Reference Line” adds an adjustable horizontal line across the grid
– This can be adjusted by clicking moving up or down
Case Viewer Changes
• When “Sections” (PONV, GLU, etc) are turned on, those sections will remain open when
scrolling through a case list imported via the case list import on the first tab
Case Viewer Changes
• Presets updated to include Preop and PACU
Case Viewer Changes
• Blue “linked” text now in the “Mapped As” column
• Data in this view can also now be sorted by clicking on the column header
• Columns have been reordered and improvements made to spacing
Values
sorted in
order
Case Viewer Changes
• When applicable, the note entered time is
available at the bottom of the yellow pane to
compare differences between Observed Time
and Entered Time
• Observed Time- The time the event/note
happened
• Entered Time- The time the user entered in
the information into the EHR
Case Viewer Changes
• Bolded “parent” notes have associated “child” detail notes. Clicking on a bolded note will
give the additional details as well
Case Viewer Changes
• Holding down ‘Shift’
and selecting multiple
headers will open
those headers
together in the notes
pane
Case Viewer Changes
• Data can be copied out of the yellow pane and pasted into Excel for purposes of chart review
• Highlight desired rows
• Use Ctrl + C to copy
• Use Ctrl + V to paste in Excel
Case Viewer Changes – Record Search
• New ability to multi-select for shopping cart and search by MPOG Case ID
• Search for multiple terms/variables at the same time using the ‘|’ symbol between variables
– Hint: | is found on the same key as \, use ‘Shift’ to type |
• Ex: 50002 | 50003 | Propofol | lactated ringers
– This will pull in everything mapped to those two concept IDs and everything including the words ‘propofol’
and ‘lactated ringers’
Case Viewer Changes – Record Search
• Ctrl + Click or Shift + Click allows for multi-select and the ability to add more than one
row of information into the “Shopping Cart”
Case Viewer Changes – Record Search
• Users can copy and paste select information from the “Shopping Cart” into an Excel
file if needed
• Select the desired rows and use Ctrl + C to copy information
• In an Excel spreadsheet, Paste the information
Case Viewer Changes
• Ability to hide deleted data in preferences
tab on bottom left
• Values marked as “Artifact” are not shown
when the option to not show Deleted data
is selected
Glucose 03 and 04
• GLU 03 – Perioperative hyperglycemia treated or re-checked
– Builds upon GLU 01 and expands timeframe out to preop through PACU
– No provider attribution
• GLU 04- Perioperative hypoglycemia treated or re-checked
– Builds upon GLU 02 and expands timeframe out to preop through PACU
• Import Manager sites have GLU 03/04 active on the dashboard starting when preop/PACU
medication data was first submitted to MPOG
– Criteria for participation in measure: >50% of cases have preop/PACU meds
• GLU 01 and 02 remain active on dashboard
GLU 03 and 04
Start Time
1. 50012 AACD Patient Available Date/Time (Preop Start), if not available then
2. The earliest of these times (if documented before 50002 AACD Anesthesia Start Date/Time):
1. The last charted ‘50304 Compliance - Patient identified using ID Band’ before Anesthesia Start
2. First sign-in time for 6008 Staff Level - Preop Nurse
3. 50301 Compliance - Preinduction verification to confirm patient, procedure, site, and equipment
4. 50443 Monitoring Automated physiologic data capture start
5. The last charted 50016 AACD Patient in Facility Date/Time if within 2 hours before 50002 AACD Anesthesia Start Date/Time
3. 2 hours before 50002 AACD Anesthesia Start Date/Time
End Time
1. 50011 AACD Recovery Room Out Date/Time, if not available then
2. 50069 Phase II Recovery Room Out Date/ Time, if not available then
3. 50110 PACU Care Complete, if not available then
4. 50211 Ready for Discharge from PACU, if not available then
5. 50009 AACD Anesthesia End Date/Time
