ASPIRE Quality Committee
Meeting
October 26, 2020
Agenda
• Announcements and Updates
• MPOG Retreat Recap
• AKI Measure Review and Vote
Meeting Minutes
August 2020
Roll Call – via webex or
contact us
Con
Upcoming Events
Friday, April 23, 2021, MSQC / ASPIRE Collaborative Meeting
Friday, July 16, 2021, ASPIRE Collaborative Meeting
Friday, October 8, 2021, MPOG / ASPIRE Retreat
Quality Committee Meetings
Monday, January 25, 2021
Monday, March 22, 2021
Monday, May 24, 2021
Monday, July 26, 2021
Monday, September 27, 2021
Monday, November 22, 2021
MPOG Annual Retreat
October 2
nd
2020
Dr. Michelle Schreiber - Informing us that MIPS is not going away
Dr. Nathalia Jimenez - Educating us on how DEI can influence perioperative
outcomes
Best of MPOG - Dr. Sharon Reale, Dr. Tim Dubovoy, Dr. Orestes
Mavrothalassitis
Subcommittee Leads - Dr. Allison Janda, Dr. Rachel Kacmar, Dr Bishr Haydar
Breakout sessions - MPOG Coordinating Center team
GLU 05, 06
Hyperglycemia treatment
and appropriate Preop
glucose check
SUS 02
GWF inhalational agents
PUL 04
Respiratory bundle
Peds + OB + Cardiac subcommittee recommended measures
More informational/best practice measures (ASPIRE 2.0)
Registry Outcomes on QI Reporting (MSQC, NSQIP, STS, etc)
MPOG QI Stories/Measure Review at Quality Committee Meetings
2021 Plans
2021 Development Plans
• Emails 2.0
• Incremental updates to DataDirect
and QI Reporting
• App suite: Location Mapping
overhaul
• MQUARK: generalize clinical trial
software
• Infrastructure: more computed
phenotypes
MPOG REGISTRY
Goal: Apps that work together better
Dashboard 2.0
Updated Filters
Specialty
Dashboards
One click
navigation
Improved
visualizations
Measure labels
QI Reporting
Subspecialty dashboards
Updated
Benchmarking
Intra-institutional
comparison
Provider dashboards
MOCA + Site Selected + Specialty
New Dashboard Feedback
General thoughts - frank feedback
appreciated!
Run time/performance
Ease of navigation
Too cluttered?
Not enough information displayed?
Next Steps
Individual dashboards rollout
Special Measures (OME, SSI)
Bug fixes and usability enhancements
https://mpog.org/moca
Subcommittee
Updates
Obstetric Subcommittee
• Addition of informational row for severe pre-eclampsia in reports for AKI 01
• Measures in development:
• BP 04- Hypotension during Cesarean Deliveries
• Flag cases with SBP <90 for >5 minutes between placement of spinal and delivery
• GA 01- General Anesthesia for Cesarean Deliveries
• Continued development of “Obstetric Anesthesia Type” phenotype
• Will replace current methods of excluding labor epidural or cesarean delivery cases in
most measures
• 2021 Meetings
• February 3rd, 1pm EST
• May 5th, 1pm EST
• August 4th, 1pm EST
• November 3rd, 1pm EST
Pediatric Anesthesia
Subcommittee
Pediatric Subcommittee Update
October 2019 October 2020
Pediatric Cases in MPOG Central Database 1,430,738 1,647,619
Pediatric Specific Quality Measures 1 4
NSQIP-peds Data Integration 0 sites 2 sites
Subcommittee Members 32 64
2020 Measures Complete
• TEMP-04, OME-Tonsil, OME-Spine
Measure in Progress
• PAIN-01 (Multimodal analgesia including regional blocks)
Cardiac Anesthesia
Subcommittee
Cardiac Subcommittee Update
Cardiac Subcommittee Update
● Great subcommittee meeting on October 9th
● Goals: develop cardiac-specific measures consistent with subspecialty
guidelines and consensus statements
● First cardiac-specific measure to develop: temperature management
○ Post-bypass hypothermia avoidance
○ On bypass hyperthermia avoidance
● To join, contact Allison Janda (ajanda@med.umich.edu)
Measure Review
Process
Background
• MPOG QI measures need to be reviewed to stay current and relevant
• Should reflect latest evidence and consensus of the MPOG Quality
Committee
• All MPOG measures should be reviewed every three years
• Coordinating Center will request/assign MPOG Quality Champions and other
MPOG members to sign up for measure review
• Reviewers will make one of the following recommendations (with
supporting information)
• Continue measure as is
• Modify measure
• Retire measure
AKI 01
Initial Roll out 2016
Last Review: 2016 (however updates made along the way)
AKI 01 - Take it away Mike Mathis!
AKI Vote (via Webex Polling)
One vote per institution
1. Continue AKI 01 as is
2. Retire AKI 01
3. Modify AKI 01
Next Up
Pul 01 and Pul 02 (Protective Tidal Volume)
Dr. Avery Tung (University of Chicago), Dr. Douglas Colquhoun
(University of Michigan), Dr. Wes Templeton (Wake Forest University)
Temp 03 (Perioperative Normothermia)
Dr. Simon Tom (NYU), Dr Vikas O’Reilly Shah (University of
Washington)
Thank you
