MPOG Retreat
Friday, October 8, 2021
Welcome!
We will begin shortly…
Virtual Participant Housekeeping
Two ways to ask a question:
• To speak
• Use the ‘Raise Hand’ button
• The host will call your name and you will be
enabled to speak
• If you join the webinar by phone, dial *9 to
raise your hand
• Send Question via Chat
• Click the ‘Chat’ button to open the chat panel
• Type your message in the text box and a
member of the Coordinating Center will read
your question
In-Person Participant
Housekeeping
● Please make sure you complete the
ResponsiBLUE COVID screening
○ responsiblue.umich.edu/home
● Masks must be worn at all times (unless
eating)
● If you want to ask a question, please go to
the microphones in the front of the room
● Wifi Information
○ Name: MPOG
○ Password: retreat2021
Upcoming Events
ASPIRE / MSQC Collaborative
Meeting
Friday, April 8, 2022
Schoolcraft VisTaTech Center
ASPIRE Collaborative Meeting
Friday, July 15, 2022
MSU Henry Executive Center
MPOG Retreat
Friday, October 21, 2022
New Orleans, Louisiana
MPOG 2021 Annual Retreat
Status Update
Sachin Kheterpal
October 8, 2021
Thank you
• Your continued focus on advancing perioperative patient care
• Joining us today virtually or in person
• Adhering to vaccination and masking guidelines to make things safer
• Staying engaged online when so many distractor
Thanks
• Kevin Tremper Nirav Shah Katie Buehler
• Mark Dehring Tory Lacca John Vandervest
• Genevieve Bell Chris Heiden Michelle Romanowski
• Shelley Vaughn Anik Sinha Brooke Bogart-Szymanski
• Jay Jeong Robert Coleman Jenny Mace
• Jeremy Jared Mike Burns Nick Douville
• Tomas Medina Allison Janda Meridith Bailey
• Mike Mathis Douglas Colquhoun David Clark
• Nicole Pescatore Ben Cloyd Chelsea McKinney
• George Mashour Ronnie Riggar Rachel Hurwitz
• Sandra Rozek Andrew Zittleman Tiffany Malenfant
• Manal Saad Baorong Shi Calvin Shenk
• MPOG chairs, PIs , ACQRs, quality champions, and software developers
• All the clinicians, IT staff, and administrators out there
This has been quite a year…
A difficult but productive year at MPOG coordinating center & sites
• Many personal challenges for faculty and staff over last year
• Welcome new contributing sites
– University of Wisconsin University of North Carolina
– University of Florida, Jacksonville Medical College of Wisconsin
– Metro Health, Michigan Mid Michigan Health, Michigan
– Spectrum Health, Michigan
• We finally stopped counting the number of states, health systems, publications, and quality
metrics
– > 22 states, > 50 hospitals/health systems, > 17M anesthetic records
– Major new quality metrics, > 5000 clinicians engaged monthly
• Almost all sites converted to latest MPOG integration software (“Import Manager”)
• Great success on research grants front
What did we say last year and how are we doing?
• Do more with the data we have
– Cleaning up our “phenotypes” and “collations”
– Hiding ones that aren’t ready for broad consumption
– Emphasizing ones that are ready
– Use quality metrics as exposures and outcomes
– Use DataDirect to define 90% of inclusion/exclusion criteria
– Focus on research and QI topics leveraging recent, high-quality data
• Enhance research and QI integration
– Communicate well between the two missions
– Use existing shared infrastructure
– Find more opportunities for shared work
Report card
Progress
• Research operations and redundancy
– Quality and maturity of research proposals and critique completely different in 2021
– Multiple MPOG sites leading NIH, ABA, and industry funded projects
• Quality improvement
– Measure review process ensures science affects measures
– Learning how to help each MPOG department manage overall quality mission
• Technical infrastructure
– Transition to import manager enables new generation of functionality
– New dashboards infrastructure in place, but needs further investments
• People
– We need to take care of each other
– Sometimes we need to slow down to appreciate how far we have come already
Where are we headed?
• Getting closer to the patient, daily clinical care, and society
– THRIVE trial – the best 6.5 years of our lives
– ProView for education, clinical benchmarking
– Focus on environmental impact of anesthesia; only MPOG can research and implement
• Research
– Templates and grant text for MPOG sites to build competitive proposals
– Mentored training grants, investigator-initiated R-level projects across MPOG sites
– Pragmatic clinical trial proposals led by MPOG sites
• Quality
– Geriatric patient quality measures, delirium focus
– Understanding each site’s needs beyond the data to QI implementation
• Infrastructure
– Invest more into technical infrastructure maintenance, updates, and documentation
– AI and ML built into our daily processes
Summary
• Continued growth in impact
• Success in grant funding, transforming MPOG into focus areas
– Quality improvement
– Observational research
– Prospective pragmatic clinical trials
• Some growing pains that we are focusing upon
• Maturing our measures, our feedback, and our quality efforts