Quality Committee
Meeting
September 27, 2021
Upcoming Events
Announcements
Subcommittee Updates
Measure Updates
Measure Review
1) NMB 02 (Dr Tim Dubovoy)
2) NMB 01 (Drs. Alvin Stewart and Peter
Panagopoulos)
Agenda
Meeting Minutes
July 2021
Roll Call – via Zoom or
contact us
Announcements
Featured Member September and October 2021
Fifth Annual ACQR Retreat: Success!
• Hybrid event hosted at the
DoubleTree hotel in Ann Arbor on
September 17th
• Excellent participation with 20
ACQRs in attendance!
• Great opportunity for our Michigan
hospitals to collaborate on various
QI initiatives
• Presentation materials available on
the MPOG website
Week of October 18th
Numerous enhancements
and fixes CaseViewer,
Data Diagnostics, Case
Validation,
Release notes to be sent
out with upgrade
QI Needs Assessment Survey: Coming Soon!
• MPOG distributed a short survey last week
to MI Quality Champions and ACQRs
• We want to understand:
– QI work already being done in your
department
– How can ASPIRE help in 2022?
– Your unmet QI reporting needs
• Please let us know if you are interested in
partnering on a QI project for your site
• Submit survey by October 8th
Upcoming Events
Friday, October 8, 2021, MPOG Retreat
Monday, November 22, 2021, MPOG QC - virtual
2022 Calendar is up to date at mpog.org/calendar/
MPOG Retreat Details
Please register if you are planning on coming
Keynotes: Eric Topol, MD and Michelle Mello PhD, JD
Afternoon session: after the QI update, small group discussions on a variety of
topics. Those in person will divide up. We will have a virtual small group
session for interested as well
Roundtable discussions: as before, ad hoc discussions for those that are in
person and able to hang around. Will be having a roundtable for each
subcommittee (3 to 4 pm PST). No agenda items, just to say hello, and have
an informal discussion
Subcommittee
Updates
OB Subcommittee Updates
● August 4th meeting minutes & slides now available
● Two new OB measures have been released to the ‘All Measures’ and
‘Obstetric’ Dashboards
○ TEMP 05-OB is the percentage of patients who undergo cesarean deliveries under general or
neuraxial anesthesia for whom no body temperature was greater than or equal to 36 degrees
Celsius recorded within the 30 minutes immediately before or the 15 minutes immediately after
the case. Additional measure specification details available here.
○ GA 02-OB is the percentage of cesarean deliveries where general anesthesia was
administered after neuraxial anesthesia. Full measure specification details available here.
● Please review the OB dashboard for TEMP 05-OB and GA 02. Consider if the
results accurately reflect your practice and if the appropriate cases are being
excluded
OB Subcommittee Updates
*Bonus In-Person Meeting: Roundtable Obstetric Anesthesia Discussion at the
MPOG Retreat in San Diego October 8th
Next meeting: November 3rd 1pm EST
For any questions regarding the OB Subcommittee or feedback on the OB measures,
please contact: Brooke Szymanski-Bogart bmiszy@med.umich.edu
Cardiac Subcommittee Updates
● September 10th meeting minutes & slides now available
● New post-bypass hypothermia avoidance measure is being validated and will
be released to the ‘All Measures’ and ‘Cardiac’ Dashboards
○ TEMP 06-C is the percentage of adult patients who undergo open cardiac surgical procedures
for whom the last non-artifact body temperature prior to anesthesia end was greater than or
equal to 35.5 degrees Celsius. Additional measure specification details available here.
● A countermeasure for on-bypass hyperthermia avoidance is also being
developed and we’re requesting perfusionist input
○ Please reach out to ajanda@umich.edu if you have any perfusionists who would like to join a
subgroup to help develop this measure!
● Next meeting: December, 2021
Measure
Updates
& Feedback
PAIN 01 and 02 (use of non opioid adjuncts) Attribution
Several sites wish to include measure performance
as part of provider emails
Inaccurate to assign attribution related to a specific
time period (induction, emergence) due to variation
in administration of adjuncts
Decision: assign attribution to all providers providing
care
Will not affect sites who wish to view this measure
at an institutional level only
Measure Review - NMB 02
Dr. Tim Dubovoy
Measure Review - NMB 01
Drs. Alvin Stewart and Peter Panagopoulos
Thank You!
