ASPIRE

Collaborative

Meeting

July 16, 2021

Thank You!

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Post Meeting Information

• Available on our website

• Presentation slides, notes, and

recordings

• Please note, the Performance

Review session will NOT be

recorded

• CME Information

Upcoming Events

ACQR Retreat

September 17, 2021

DoubleTree Hotel, Ann Arbor

MPOG Annual Retreat

October 8, 2021

Manchester Grand Hyatt, San Diego, CA

In person + virtual

Agenda

9:00

– 9:15

MPOG Business and Updates

Nirav Shah, MD

9:15

– 10:00

Reflections and Lessons Learned on Quality Improvement

Henry Ford Allegiance, Holly Lockwood, RN, BSN, MBA

Henry Ford Wyandotte, Jimmy Boutin, MD

Henry Ford Macomb, Merajuddin Khan, MD

10:00

-10:35

Postpartum Hemorrhage: Diagnosis, Treatment and the Michigan

Approach

Tom Klumpner, MD

Michigan Medicine

10:35

-10:55

Obstetrics Panel

Angel Martino

-Horrall, MD - Northstar Anesthesia

Josh Younger, MD

- Henry Ford Detroit

Tom Klumpner, MD

- Michigan Medicine

10:55

–

11:10

Break

11:10

–

12:10

Performance Review

Nirav Shah, MD

Allison Janda, MD

Mike Mathis, MD

Douglas Colquhoun, MB ChB, MSc, MPH

Updates and

Matters

Arising

❏ HBOM

❏ Preoperative Testing Optimization

❏ QI Reporting Tool Update (if time

allows)

Please feel free to bring up any

comments / questions / feedback

Tammy Chang, M.D., M.P.H., M.S

Program Director, HBOM

What behaviors will

HBOM attempt to

incentivize?

By intervening during

teachable moments in

healthcare to support

healthy behavior

adoption among patients

through making the

healthy choice the easy

choice

How can HBOM support CQIs like ASPIRE?

Thoughts from the coordinating center...

1. Can work with HBOM to understand how anesthesiologists and CRNAs can

play a role to promote smoking cessation during our “teachable moment”

2. HBOM can act as partners, reviewing data in the MPOG registry to understand

the opportunities across the state of MI

3. Based on this knowledge and approval from MI ASPIRE Quality Champions,

we can create QI initiatives and tools to help anesthesia providers incorporate

smoking cessation efforts with their patients

Next Steps

Obtain feedback and approval to

move forward with MPOG data

analysis

Create a dataset for HBOM

colleagues to access within MPOG

firewalls

Develop a proposal for ASPIRE MI

Quality Champions to respond to

Surgery Start Date/Time

Measure

- AKI 01

MPOG Complication

- AKI

Procedure Type

Measure

- CARD 02

MPOG Complication

- Renal

Recovery

Primary Anesthesia CPT

Measure

- CARD 03

NSQIP Complications

Respiratory

Surgical CPT Code

Measure

- GA 01

NSQIP Complications:

Cardiovascular

Admission Type

Measure

- GLU 01

Obstetric Anesthesia Type

Age

Measure

- GLU 02

Preop Creatinine

AHRQ Complication

- Pulmonary -

All

Measure

- GLU 03

Preop EGFR

Anesthesia Duration

Measure

- GLU 04

Preop Glucose

Antiemetics Given

Measure

- GLU 05

Preop HgbA1c

BMI

Measure

- MORT 01

Procedure Type: Liver

Transplant

Case Duration

Measure

- OPIOID

Procedure Type: Lung

Transplant

Elixhauser Comorbidity

- Chronic

Pulmonary Disease

Measure

- PAIN 02

Procedure Type: MRI

Elixhauser Comorbidity

- Renal

Failure

Measure

- PONV 01

Procedure Type: Non

Operative

Elixhuaser Comorbidity

- Diabetes

(Complicated)

Measure

- PONV 03

ProcedureTypeCardiac

Elixhuaser Comorbidity

- Diabetes

(Uncomplicated)

Measure

- PUL 01

ProcedureTypeIVF

Elixhuaser Comorbidity

- Obesity

Measure

- PUL 02

Surgery Duration

Glucose Observations Perioperative

Measure

- PUL 03

Tobacco Smoking Classification

Institution

Mortality (In Hospital 30day)

Weekend

WHO

- BMI Classification

Preoperative Testing Optimization

The Michigan Value Collaborative

has identified preoperative testing

as an opportunity for optimization

Reached out to us to gauge interest

in partnering with them on a QI

initiative to reduce unnecessary

testing

Variability across procedures and tests

Discussion

Is this an area of interest for ASPIRE Quality Champions? Why or why not?

What is the role of anesthesia providers in determining testing at your facility?

What is the best way to work with MVC? Obtain testing metrics and benchmarking

from MVC or generate using MPOG data?

QI Reporting Tool

Have noticed slowness when

navigating through screens

Still working through issues before

adding opioid equivalency dashboards

Have not been able to officially “retire”

old dashboard

We understand this is causing some

challenges and are trying to resolve as

soon as possible

Thank You