ASPIRE Collaborative
Meeting
July 12th 2024
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 13, 2024
Henry Center, Lansing
MPOG Annual Retreat
October 18, 2024
Philadelphia
2025 Events
MSQC/ASPIRE Collaborative Meeting
April 11, 2025
ASPIRE Collaborative Meeting
July 18, 2025
ACQR Retreat
September 12, 2025
MPOG Retreat
October 10, 2025
Recruitment
2024 - 2025
● 45 sites now across the state
● Anticipate more sites will be
added in the next year or two
● Acquisitions + new interested
sites)
QIRT Updates
Phase 1, 2, and 3: Performance Improvements
12
● Increasing amounts of data processed resulted in visualizations in the QI Reporting tool that were
loading slowly.
● We agreed to work on the Hospital and Provider Comparison Graphs first
● We completely changed the back end of how we obtain and store performance data.
● Obtaining the last 2 years of data should be very quick
7/15/2024
Improvements to PUL 01 Measure Summary Screen
○ Available with departmental
level access
○ Informational breakdown of
PEEP and Tidal Volume
○ Enabled us to retire PUL-02
○ Introduced concepts of
"MPOG tips"
and new visualization types
that we can re-use
13
7/15/2024
Updated Breakdown by location graph
14
7/15/2024
Updated Result Reasons
New filters
● Locations - based on your updates to
the location mapping
● Case attributes - added new filters
based on existing phenotypes
● Demographics - expanding use of
patient attributes. Help view
performance through disparities of care
lens
Provider Measure Summary
17
7/15/2024
• New provider performance
trend over time compared to
other like providers in their
department
• New benchmark graph
• New flagged cases widget
• New result reason
visualizations
Health system details
● View all hospitals within a health system
● Benchmarked across Michigan and nationally
Coming very soon - Site Selected Dashboard
19
7/15/2024
View measures
on emails
alongside
other measures of
interest
"Star" measures
of departmental
interest not on
emails
Provider
Feedback Study
Update
Progress to date
21
Aim 1: Systematically capture recipient requirements and preferences for
precision feedback messages
● 35 provider interviews, 3 design iterations of prototype messages
● Preference survey under completed
Aim 2: Implement and assess a demonstration precision feedback software
service
● Software development, performance testing, and integration completed
Aim 3: Assess the effects of a precision feedback service
● Pilot study completed
● Cluster-randomized trial ongoing
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
ASPIRE
Performance
Improvement
Measure Published
Measure Published
GLU-10 & GLU-11
Measures Published
GLU-03 & GLU-05
Measures Published
*Inverse Reporting (% flagged cases)
Measure Published
IM Conversion
Measure Published
*Inverse Reporting (% flagged cases)
Transfusion
Toolkit Update
Existing
Toolkits
Pay-for-
Performance
(P4P) Scorecard -
2025
Global Warming Footprint
SUS-02 Performance ≥ 55%
Update Race & Ethnicity
Variable Mapping
New data type: Sexual orientation,
sex, and gender identity data
added to extract & mapped
Site Directed Measure
Value Based
Reimbursement
(VBR)
Measures -
2026
2026 VBR Measures
Performance Period: 10/1/2024 - 9/30/2025
GLU-11 Hyperglycemia Treatment Target: ≥55%
PONV-05 PONV Prophylaxis, Adults Target: ≥60%
SUS-02 Global Warming Footprint, Maintenance Target: ≥50%
Participating specialist is eligible if they have at least 2 years of data in MPOG.
Performance calculated at hospital level – providers practicing at more than one hospital are assigned
to the hospital where they performed the most cases
Increase in fee schedule:
3% – aggregate hospital performance met for 2 / 3 measures
5% – aggregate hospital performance met for 3 / 3 measures
2026 VBR Smoking Cessation Measures
Performance Period: 10/1/2024 - 9/30/2025
SMOK-01 Smoking Tobacco Status Documentation Target: ≥80%
SMOK-02 Smoking Tobacco Cessation Intervention Target: ≥50%
Participating specialist is eligible if they have at least 2 years of data in MPOG.
Increase in fee schedule:
• Additional 2% – aggregate hospital performance met for 2 / 2 measures
Thank You!
