(1) Member of PO for 1-year
(2) At least 2 year of data in ASPIRE
7) PONV Request changes to threshold from 5% to 10% on next dashboard
a) Modify the threshold to 10% to balance more closely with national rates / good rates
b) Plan is to make change, if anyone has any feedback or thoughts, send to Coordinating Center
8) GLU 03/04/05
a) Feedback from sites to add measure to Provider feedback e-mails. In order to add we need
provider attributions.
i) Follow GLU 01/02: Providers in the room at the time of the high/low glucose are responsible
ii) Discussion:
(1) Dr. Berris: That is probably okay, but could you attribute the PACU one to the provider
who signed the PACU note. Notes rea not often signed within six hours
(a) We will have to look into this and if we get this information.
(2) Jon Kaper: Support proposal
(3) Jerri Heiter: Good idea, these are newer measures to get familiar with specs &
performance
(4) Patricia Mack: Good idea
(5) John LaGorio: Support proposal
(6) Tim Harwood: Generic ordering? Who are the providers ordering?
(a) We do not always get this information and not possible to use
9) Subcommittee Updates
a) Cardiac: Next meeting will be in May/June depending on schedules
i) Cardiac Anesthesia Type Phenotype is being revised to add more granularity
(1) Measure underdevelopment: Post-bypass hypothermia avoidance
(a) Threshold: ≥ 35.5 C
(b) Timing: Last non-artifact temperature measure prior to anesthesia end, prioritizing
core temperature measurements
(c) Exclusions: EP, cath lab, and transcatheter procedures (focus on open cardiac cases)
(d) Attribution: Any provider signed in for ≥40 minutes from bypass end until
anesthesia end. If bypass was not used, the window would be expanded to any
provider signed in for ≥40 minutes for the entire case
(2) Measures to be addressed: hyperthermia avoidance and glucose management
(3) If you are interested in participating with the Cardiac Subcommittee, contact Dr. Allison
Janda at ajanda@med.umich.edu
b) Obstetrics: Next meeting is May 5, 2021
i) Recap of February 2021 meeting, see MPOG website for notes
(1) Obstetric anesthesia type phenotype: to be used in all measures for including /excluding
labor epidural or cesarean delivery
(2) Two new measures: Available on dashboard
(a) BP 04-OB
(b) GA 01-OB
(c) BP 04-OB: % of cases with systolic blood pressure <90mmHg for less than or equal
to 5-minutes during the time of placement to delivery, see slides for spec