2024 QI+ Update
Agenda
● 2024 QI Snapshot
● Review 2024 priorities shared at
last year's Retreat
● 2025 plans
Disclosures
● No personal financial, consulting, or contractual relationships with any vendor
● Projects sponsored by contracts / grants paid to University of Michigan
○ Blue Cross Blue Shield Michigan (BCBSM)
○ Patient Centered Outcomes Research Institute (PCORI)
○ National Institutes of Health (NIH)
2024 QI Footprint
25 States, 3 Countries
QI Dashboards: ~100
Feedback: 63 email groups
ABA MOCA Part IV
Measures
Acute Kidney Injury
Antibiotics
Blood Pressure
Brain Health
Fluids Glucose
Temperature
Mortality
Myocardial Injury
NM Monitoring
Pain
PONV
Pulmonary
Smoking
Sustainability
Transfer of Care
Transfusion
Cardiac
OB Anesthesia
Pediatrics
Measure Reviewers – Thank you!
Vikram Kumar
Mass General
CARD 03
Jacek Cywinski
Cleveland Clinic
TRAN 01
Linda Liu
UC San Francisco
TRAN 02
Christine Warrick
University of Utah
TEMP 05 OB
Roya Saffary
Stanford University
PAIN 02
Mike Mathis
University of Michigan
AKI 01
Jing Tao
MSKCC
TOC 02
Wandana Joshi
Dartmouth
TEMP 05 OB
Lisa Einhorn
Duke
PAIN 01 PED
Subcommittee Chairs and Vice Chairs – Thank You!
Morgan Brown
Boston Children’s
Pediatric
Anesthesia
Vikas O’Reilly Shah
Seattle Children's
Pediatric
Anesthesia
Brandon Togioka
OHSU
Obstetric
Anesthesia
Allison Janda
University of
Michigan
Cardiac
Anesthesia
Wandana Joshi
Dartmouth
Obstetric
Anesthesia
Research on QI
2024 Priorities we shared at last year’s MPOG Retreat
● Launch Precision Feedback Trial
● Retire Measures
● Continue progress with QI Dashboard
● Registry integration for QI
● Support Education (GME + CME) as a new focus for MPOG
Precision Feedback Study
● Aim 1: Preference Survey: ~1k
providers responded
● Aim 2: Precision Service
application built by Department
of Learning Health Sciences team
● Aim 3: RCT of 46 centers
randomized to either precision
feedback or standard feedback
Measure Lifecycle – Build, Use, Retire
● BRAIN 01
● NMB 04
● NMB 05
● ABX 02 / 03 / 04 / 05 C
● AKI 02 C
● GLU 01 / 02 / 03 / 04 / 05
● PONV 01 and 02
● MED 01
● CARD 01
● PUL 02
QI Reporting Tool
More filters
Updated
result
reasons
Provider
comparisons
Improved
performance
QI Reporting Tool
Site selected
measures
QI Reporting Tool – Health System View
Registry Integration for QI
● Taking longer than
expected ~2024 End
● Working on
automating the
ingesting of data
Please note: this is a mockup
Supporting Education Mission
● Ad hoc work to incorporate practice-based learning using MPOG QI platform
● Interest from sites to include SRNAs in feedback email
● Interest from sites to utilize MPOG MOCA platform for resident education
● Discussion at Quality Committee meeting 9/2024
2025 Plans
● Keep the lights on… new measures, measure
review, measure retirements, subcommittee
work
● Convene Ad Hoc Workgroup to understand
requirements for resident / fellow inclusion
in QI efforts
● Wrap up major development in QI
Reporting and pivot to DataDirect
● Develop visualization relevant for health
equity initiatives
● Registry integration for QI (continued!)
● Plan for PROs
● Learn about QI for Regional Anesthesia
Thank you! Next: Lunch
Picture adapted from https://sbscrusaders.com/cafeteria