MPOG Cardiac Subcommittee Update
Allison Janda, MD
Clinical Lecturer, Department of Anesthesiology
Michigan Medicine
Our Cardiac Anesthesia QI Subcommittee
• MPOG Team
– Nirav Shah, MD – Director, Quality Improvement
– Michael Mathis, MD – Associate Director, Research
– Kate Buehler, MSN – Clinical Program Manager
– Allison Janda, MD – Lead, Cardiac Anesthesia Subcommittee
• Cardiac Anesthesiology Representatives joining us from around the US!
Our Subcommittee Members – Thank You!
Dr. Danny Muelshlegel
Dr. Doug Shook
Dr. Dirk Varelmann
Dr. Cam Clark
Dr. Ying Low
Dr. TJ KrallDr. Valerie Sera
Dr. Clark Fisher
Dr. Robert Schonberger
Dr. Josh Billings
Dr. Miklos Kertai
Dr. Yunwei Chen
Dr. Andrea Reidy
Dr. Brent Luria
Dr. Peter Neuburger
Dr. Srdjan Jelacic
Dr. Amanda Rhee
Dr. Ashan Grewal
Dr. Jake
Abernathy
Dr. Michael Grant
Dr. Eric Davies
Dr. Jay Guruswamy
Dr. Gaurav Katta
Dr. Brandi Bottiger
Dr. Nazish Hashmi
Dr. Eric JohnBull
Dr. Negmeldeed
Mamoun
Dr. Mihai Podgoreanu
Dr. Eleanor Vega
Dr. Josh DouinDr. Govind Rangrass
Dr. Anna Dubovoy
Dr. Ian Gannon
Dr. Allison Janda
Dr. Michael Mathis
What we’ve done…
• First meeting was held on July 20, 2020
• Discussed first potential measures for development
– Glucose management
– Post-bypass hypothermia avoidance
• Plan to incorporate evidence-based guidelines in measures to ensure consistency
and improve potential applications for QI and research purposes
MPOG Cardiac Research in Progress
• Proposals accepted:
– PCRC-10 Effect of Preoperative Antihypertensive Therapy on Intraoperative Systolic Blood Pressure
Variability in Cardiac Surgery: Multicenter Perioperative Outcome Group (U of Tennessee)
– PCRC-14 Perioperative Outcomes of Patients with Cardiac Implantable Electronic Devices (OHSU)
– PCRC-79 Novel Assessments of Technical and Non-Technical Cardiac Surgery Quality (University of
Michigan and Brigham and Women’s Hospital)
– PCRC-93 Investigating the relationship between team familiarity and clinical outcomes in the
context of cardiothoracic surgery (Brigham and Women’s Hospital)
– PCRC-96 Multicenter Review of Practice Patterns Regarding Benzodiazepine Use in Cardiac Surgery
(University of Michigan)
– PCRC-106 Patient-, Provider-, and Institution-level Variation in Inotrope Use for Cardiac Surgery: A
Multicenter Observational Analysis (University of Michigan)
– PCRC-107 The association between hyperoxia during cardiac surgery and postoperative pulmonary
compilations (PPCs) in the Multicenter Perioperative Outcomes Group (University of Colorado)
Goals
• Build 1 cardiac-specific measure in 2020
– Glucose management
– Post-bypass hypothermia avoidance
• Build 2-3 cardiac-specific measures in 2021
– Antibiotic timing
– Hypotension avoidance
– AKI avoidance
• Collaborate with the SCA and guideline committees to create consistent, evidence-
based measures
• Pursue STS-merged outcome reports 🡪 requires institutions to integrate with STS
Interested in joining the Cardiac Anesthesia Subcommittee?
• Next meeting: October 9, 2020
• If you would like to join, please email Allison Janda at:
– ajanda@med.umich.edu
MPOG Pediatric Subcommittee Update
Bishr Haydar, MD
Associate Professor, Department of Anesthesiology
Michigan Medicine
MPOG Quality Team - Pediatrics
Pediatric Subcommittee reconvened December 2019 after a 2 year hiatus led by...
• Bishr Haydar, MD - Michigan Medicine
• Vikas O’Reilly-Shah, MD - Seattle Children’s
• Brad Taicher, MD - Duke Children’s
• Nirav Shah, MD – MPOG Director of Quality
• Meridith Bailey, MSN – Program Lead, MPOG Pediatrics
• Kate Buehler, MS,RN,CPPS– Clinical Program Manager
Participants have joined us from around the US and Netherlands!
Our Subcommittee Members - Thank you!!
Bishr Haydar, MD
Lisa Vitale, MD
Lori Reigger, MD
Shobha Malviya, MD
Brad Taicher,
MD
Vikas O’Reilly-Shah, MD
Amber Franz, MD
Joseph Cravero, MD
Morgan Brown, MD
Bob Brustowicz, MD
Steve Zgleszewski, MD
Lucy Everett, MD
Jina Sinskey, MD
Claudia Benkwitz, MD
Louis Tollinche, MD
Jeana Havidich, MD
Olga Eydlin, MD
Liem Pham, MD
Priti Dalal, MD
Shannon Grap, MD
Uma Parekh, MD
Jonathan Halem, MD
Jim Fehr, MD
RJ Ramamurthi, MD
James Xie, MD
Julianne Mendoza, MD
Christy Crockett, MD
Carrie Menser, MD
Phillip Yun, MD
Anshuman Sharma, MD
Charles Schrock, MD
Dan Roke, MD
Cheryl Gooden, MD
Alina Bodas, MD
Jacques Scharoun, MD
Anastasia Grivoyannis,
MD
Hamid Vahabzadeh-Monshie, MD
Ronak Patel, MD
Anna Clebone, MD
What we’ve accomplished...
Measure Build
Status
Pediatric Temperature Management (TEMP
-04)
Complete!
OME Pediatric Cohort #1
- Tonsillectomy/Adenoidectomy
Complete!
OME Pediatric Cohort #2
- Spine
Complete!
Non
-Opioid Adjunct (PAIN-01)
December 2020
MPOG Pediatric Publications
MPOG Pediatric Research in Progress...
In Submission to Journal of Pediatrics
• Anesthesia practice for pyloromyotomy: A retrospective analysis of care patterns from a national cohort (Yale)
Pediatric Proposals Accepted
• An Assessment of Risk Factors for Hypoxemia in Young Children Undergoing One Lung Ventilation (Wake Forest)
• The effect of induction time on intraoperative hypoxemia for pediatric patients undergoing anesthesia: a retrospective
cohort analysis (Massachusetts General Hospital)
• Prevalence and trends of high body mass index in a multi-institution pediatric surgical population: A Report From the
Multicenter Perioperative Outcomes Group (MPOG) (Yale)
Pediatric Proposals Submitted
• Racial differences in induction times in pediatric anesthesia practice: A retrospective cohort study from the Multicenter
Perioperative Outcomes Group Research Consortium (Massachusetts General Hospital)
• Risk Factors for Persistent Severe Intraoperative Hypoxemia Among Pediatric Patients undergoing Non-cardiac Surgery
(Washington University - St. Louis Children’s)
• Associations between the COVID pandemic and adherence to ASPIRE Quality Measures - Pediatric (Michigan Medicine)
• External validation of a Perioperative Risk Score to Predict Mortality after Pediatric Surgery (Weill-Cornell)
• Practice Patterns for Albumin Use in Pediatric Liver Transplantation (University of California San Francisco)
2021 Goals
1.Pediatric Measure Build
– Intraoperative Hypotension (informational)
– Postoperative Respiratory Complications
1.Collaborate with the SPA Quality & Safety Committee to gain expert consensus on
pediatric revisions needed for existing MPOG measures.
1.Pursue opportunities with NSQIP-Peds or Wake Up Safe 🡪 Data integration
Interested in Joining the Pediatric Subcommittee?
• Next meeting: October 6, 2020
– 2-3pm EST via Zoom
• Participants from outside of MPOG are
welcome to join!
• Contact Meridith Bailey if interested:
meridith@med.umich.edu
MPOG Obstetric Subcommittee Update
Rachel Kacmar, MD
University of Colorado
Our Obstetric Anesthesia QI Subcommittee
• MPOG Team
– Nirav Shah, MD – MPOG Director of Quality
– Michael Mathis, MD – MPOG Director of Research
– Brooke Szymanski-Bogart, MSN, RN – QI Coordinator
• Obstetric Anesthesiology Representatives joining us from
around the US!
Thank you to our subcommittee members!
Sharon Abramovitz, MD
Wandana Joshi, MD
Ashraf Habib, MD
Marie-Louise Meng, MD
Eric Davies, MD
Ami Attali, MD
Joshua Younger, MD
Ghislaine Echevarria, MD
Brandon Togioka, MD
Angel Martino-Horrall, MD
Traci Coffman, MD
David Swastek, MD
Jenifer Henderson, MD
Ronald George, MD
Stephanie Lim, MD
Rachel Kacmar, MD
Tom Klumpner, MD
Joanna Kountanis, MD
Carlo Pancaro, MD
Dan Biggs, MD
Carlos Delgado Upegui, MD
Mohamed Tiouririne, MD
Arvind Palanisamy, MD
What we’ve done…
• First meeting was held on in September 2017 and reconvened in December 2019
– Met in March and July 2020
– Next meeting: October 2020
• Modified existing ASPIRE measures to either exclude obstetric patients or
modified inclusion criteria (OB hemorrhage protocol considerations for TRAN 02)
• Call for Measures survey in 2020 to identify focus areas
• Released first OB-specific measure in July 2020: ABX 01 (OB) Antibiotic timing for
cesarean delivery
• Currently building BP 04 (OB): Prolonged hypotension for cesarean delivery
Goals
• Build 2-3 obstetric-specific measures in 2021
• Collaborate with the SOAP and guideline committees to create measures that are as
consistent and evidence-based as possible
Interested in joining the Obstetric Anesthesia Subcommittee?
• Next meeting: October 20, 2020
• If you would like to join, please email Rachel Kacmar: Rachel.Kacmar@cuanschutz.edu
or the MPOG Coordinating Center support@mpog.zendesk.com
