Agenda
● 2023 QI Snapshot
● Review 2023 themes shared at
last year's Retreat
● 2024 plans
2023 QI+ Update
2023 QI Footprint
25 States, 2 Countries
QI Dashboards: 58 sites
Monthly Feedback: 52 sites
MOCA Part IV
Themes from last year’s MPOG Retreat
Application Enhancements:QI Reporting Tool, Measure Spec Browser, DataDirect
MOCA : Include CRNAs, CAAs
Precision Feedback Trial
Initiatives: Sustainability, renew focus on Risk Adjustment, Geriatric care
Measures: Continue Measure Reviews & Revisions.New measures based on feedback
and proposals from the Quality Committee and Subcommittee
Research: Research on QI!
Application Enhancements: QI Dashboard, Measure Spec App,
DataDirect
● Updated version of Data Direct including
adding QI measures as filters and outputs
● Updated version of Measure Specification App
● Added ability for sites to self select measures in
their provider feedback emails
● QI Dashboard: Bug fixes / QOL improvements
released over last few months
● Hoping to speed up release of new QI
Dashboard features
MOCA: Include CRNAs, CAAs
● Limited interest from practicing
CRNAs, CAAs due to different
standards for MOCA Part IV and
current low cost options
● Instead we focused on several
usability improvements in our
MOCA app
Precision Feedback Study
● Aim 1: Preference Survey: ~1k
providers responded
● Aim 2: Precision Service
application built by Department
of Learning Health Sciences team
Initiatives: Sustainability, renew focus on Risk Adjustment,
Geriatric care
● Sustainability Toolkit released this summer
● BRAI N 0 1 – variation in midazolam
administration in elderly patients -
informational measure in development
● Risk adjusted AKI on QI Dashboard –
delayed, hoping to release in Q4
Measures: Continue Measure Reviews & Revisions
NEW
● BP 06, PAIN 03, GLU 09, GLU 10, GLU 11, GLU 12,
SUS 03, SUS 07
● FLUID 02 Peds, SUS 06 Peds
● GLU 06 Cards, GLU 07 Cards, GLU 08 Cards,
TEMP 07 Cards
● GA 03 OB
REVISED
● AKI 01, GLU 03, PAIN 01 Peds, PAIN 02, PONV
03, PONV 05, SMOK 01, SMOK 02, SUS 02, TEMP
01, TEMP 02
Measure Reviewers – Thank you!
Mike Burns
University of Michigan
OME
Alvin Stewart
University of Arkansas
TOC 03
Vikas O’Reilly Shah
University of Washington
TEMP 04 Peds
Patrick Henson
Vanderbilt University
GLU 01, 03, 05
Tim Harwood
Wake Forest University
GLU 02, 04
Monica Servin
University of Michigan
ABX 01 OB
Brandon Togioka
OHSU
ABX 01 OB
Karen Domino
University of Washington
MED 01
Marc Pimental
Brigham and Women’s
BP 02
Subcommittees Chairs – Thank You!
Monica Servin
University of Michigan
Obstetric Anesthesia
Vikas O’Reilly Shah
University of Washington
Pediatric Anesthesia
Brad Taicher
Duke University
Pediatric Anesthesia
Allison Janda
University of Michigan
Cardiac Anesthesia
Research on QI
Book Chapter: Quality
Improvement through the
lens of the Multicenter
Perioperative Outcomes
Group.
PCRC 193 (OB
Anesthesia Best Practices,
9/11/2023)
PCRC 180 (Association
of guideline prophylaxis
with PONV, 8/14/2023)
2024 Plans
● Precision Feedback Trial – Pilot this fall,
Trial late spring 2024
● Retire Measures!!!
● Continue progress with QI Dashboard
● Registry integration for QI
● Support Education (GME + CME) as a
new focus for MPOG
Precision Feedback Trial
Measure Lifecycle
building
retiring
● Reduce dashboard clutter
● Example: retiring initial glucose measures, and MED 01
● Retiring PUL 02 once Dashboard updates are in place to enhance PUL 01
● Will keep codeof retired measures
QI Reporting Tool
more filters
better
visualizations
Please note: mockups
Registry Integration for QI
● Start with Michigan
Surgical Quality
Collaborative
● Leverage QI
Reporting Tool
● Learn and expand
Please note: mockups
MPOG as a platform for education
● More this afternoon!
● Can MPOG’s culture,
infrastructure, applications
be used for enable
education initiatives?
research
quality
education
Thank you! Next: Lunch