Welcome!
We will begin shortly…
ASPIRE Collaborative
Meeting
July 14th 2023
THANK YOU!
Post Meeting Information on our website
• Presentation slides, notes, and recordings
• CME Information
Please note, the Performance Review
information will not be recorded
Upcoming Events
ACQR Retreat
September 15, 2023
DoubleTree Hotel, Ann Arbor
MPOG Annual Retreat
October 13, 2023
San Francisco
In person + virtual
Recruitment
2023 - 2024
Our perspective
and plan
Have had steady recruitment over
the last few years
About 35 sites now across the state
No plans for aggressive recruitment,
but open to sites where practice /
hospital / IT leaders are aligned
Anticipate a few more sites will be
added over time
Sustainability
Toolkit
Complete!
Existing
Toolkits
Overview
Recommendations
Pediatric
References
Helpful Links
Sustainability
Bundle
SUS 01 - Low FGF (3 l/min) during anesthesia maintenance
SUS 02 - Global warming footprint of inhalational agents
(maintenance)
SUS 03 - Global warming footprint of inhalational agents
(induction)
SUS 04 - Low FGF (2 l/min) during anesthesia maintenance
SUS 05 - Nitrous yes/no during induction - PEDS
SUS 06 - Low FGF (weight based) during induction - PEDS
SUS 07 - Nitrous yes/no
Measure
Selection
Preference
Measure Selection Tool Pilot
Please note that updating these
selections will update measures on
emails, provider dashboards, and site
selected dashboards.
Provider
Feedback Study
Update
A scalable service to improve healthcare quality through
precision audit and feedback
Zach Landis-Lewis, Allison Janda, Allen Flynn, Nirav Shah
NIH National Library of Medicine, Project #1R01LM013894-01
Proposal publication: https://www.researchprotocols.org/2022/5/e34990/
Dear Alex,
Your performance dropped below the goal for the
measure: TEMP-02: Thermoregulation Monitoring -
Core Temperature.
More information about the rationale for the
measure TEMP-02 and how it is calculated is
available here.
A case-by-case breakdown of your results are
available at your clinical quality dashboard.
Below is your complete MPOG quality performance
report…
100%
80%
60%
40%
20%
0%
May
‘21
Jun
‘21
Jul
‘21
Aug
‘21
Sep
‘21
Oct
‘21
Nov
‘21
Dec
‘21
Jan
‘22
Feb
‘22
Mar
‘22
Apr
‘22
80%
(24/30)
You Top Performer Benchmark
90% Goal
88%
(21/24)
86%
(26/30)
Dear Alex,
You may have an opportunity to improve your
performance on measure NMB-01: Train of Four
Taken, which measures the percentage of cases
with a documented Train of Four (TOF) after last
dose of non-depolarizing neuromuscular blocker.
More information about the rationale for the
measure and how it is calculated is available here.
Below is your complete MPOG quality performance
report…
100%
80%
60%
40%
20%
0%
89%
26/29
27/30
78%
25/32
87%
26/30
87%
27/31
96% 95% 96% 97%
Nov 2021 Dec 2021 Jan 2022 Feb 2022
You Peer Average
90% Goal
Dear Alex,
In the last month there was a myocardial infarction within 72 hours after one of your operative cases.
Case details can be accessed by logging into your clinical quality dashboard, and information about how this case was
identified is available in this measure spec on the MPOG website.
Below is your complete MPOG quality performance report…
MPOG Precision feedback R01
23
Specific aims:
1. Systematically capture recipient requirements and
preferences for precision feedback messages
2. Implement and assess a demonstration precision
feedback software service
3. Assess the effects of a precision feedback
service on care quality and engagement via a
cluster RCT
Progress to date
24
Aim 1:
● 35 provider interviews, 3 design iterations of prototype messages
● Preference survey under completed
Aim 2:
● Software development, performance testing, and integration
nearing completion
Aim 3: Assess the effects of a precision feedback service
● Preparation for pilot study in 2023, cluster-randomised trial in 2024
Subcommittee
Updates
● Next OB Subcommittee meeting is scheduled for Nov 8
th
1pm EST.
● BP-04 due to be reviewed
● The group is working on ABX-03 which will look at Azithromycin usage during
cesarean deliveries.
MTQIP Data
Integration
MTQIP Members
Ascension Borgess Hospital
Ascension Genesys Hospital
Ascension Providence Hospital Novi
Ascension Providence Hospital Southfield
Ascension St John Hospital
Ascension St Mary's Hospital
Bronson Methodist Hospital
Corewell Health Beaumont Troy Hospital
Corewell Health Butterworth Hospital
Corewell Health Dearborn Hospital
Corewell Health Farmington Hills Hospital
Corewell Health Trenton Hospital
Corewell Health William Beaumont University Hospital
Covenant HealthCare
DMC Detroit Receiving Hospital
DMC Sinai-Grace Hospital
Henry Ford Allegiance Health
Henry Ford Hospital Detroit
Henry Ford Macomb Hospital
Hurley Medical Center
McLaren Lapeer Region
McLaren Northern Michigan Hospital
McLaren Macomb
McLaren Oakland
Michigan Medicine
Munson Medical Center
MyMichigan Medical Center Midland
Sparrow Hospital
Trinity Health Ann Arbor Hospital
Trinity Health Livonia Hospital
Trinity Health Muskegon Hospital
Trinity Health Oakland Hospital
Trinity Health Saint Mary's - Grand Rapids
University of Michigan Health - West
UP Health System - Marquette
Hip Fractures
1. Determined areas of common interest (intraop processes of care + outcomes)
2. Developed a data specification across both registries
3. Matched MTQIP cases to ASPIRE cases based on based on case type (via
CPT codes), date of service, institution, age, and gender
4. Added in variables of interest across both registries and placed data in a
secure location available to both teams
5. MTQIP took lead in analyzing data
Preliminary Unadjusted Results
ASPIRE
Performance
Improvement
Measure Published
Measure Published
Measure Published
Measure Published
GLU-03 Published
GLU-01 Published
Measure Published
IM Conversion
Thank You!
