MPOG Cardiac Anesthesia Subcommittee Updates
MPOG Retreat, San Diego, CA
October 16, 2026
Allison Janda, MD
Assistant Professor, University of Michigan
Thank you to our Subcommittee Members!
• ASPIRE Quality Team
– Allison Janda, MD – MPOG Cardiac Anesthesia Committee Chair
– Ashan Grewal, MD – MPOG Cardiac Anesthesia Committee Vice Chair
– Megan Charette, MPH, MBA, RN – QI Specialist
• Cardiac Anesthesiology, Perfusionists, and Quality Representatives joining
us from across MPOG
Existing Cardiac-Specific Phenotypes
New Phenotypes
• GLU-14-C - Successful Treatment of Hyperglycemia, Open Cardiac
– Percentage of adult patients (≥18 years) undergoing open cardiac surgery under
general anesthesia (duration ≥120 minutes) whose last intraoperative blood glucose
before anesthesia end is ≤180 mg/dL (10.0 mmol/L)
• TRAN-05-C - Coagulation Monitoring, Open Cardiac
– Percentage of adult patients undergoing open cardiac surgery who received a
transfusion and had coagulation testing performed (a TEG, ROTEM, platelet count,
PT/INR, PTT, or Fibrinogen) with administration of fresh frozen plasma, platelets,
cryoprecipitate, factor concentrates, or fibrinogen concentrates
Reviewed Measures
• GLU-06-C (hyperglycemia avoidance) - Thank you, Dr. Josh Billings!
– Measure Description:
– Percentage of adult patients undergoing an open cardiac procedure for whom any
intraoperative blood glucose value did not exceed 180 mg/dL.
– Result of Review:
– Modify the measure language to identify the repeat glucose as a confirmatory recheck.
• GLU-07-C (hypoglycemia avoidance) - Thank you, Dr. Rob Schonberger!
– Measure Description:
– Percentage of adult patients, undergoing open cardiac surgery with any intraoperative blood
glucose value < 70 mg/dL.
– Result of Review:
– Modify the measure language to identify the repeat glucose as a confirmatory recheck.
– Add the 2025 American Diabetes Association standard of care reference to the rationale
section.
Reviewed Measures
• GLU-08-C (hyperglycemia treatment) – Thank you, Dr. Josh Billings!
– Measure Description:
– Percentage of adult patients undergoing open cardiac surgical procedures for whom any
blood glucose measure >/=180mg/dL was either treated with insulin or rechecked and found
to be <180mg/dL within 30 minutes.
– Result of Review:
– Modify the measure language to identify the repeat glucose as a confirmatory recheck.
– Corrected language in the attribution section.
Future Work
• Reviewing ABX-02-C, ABX-03-C, ABX-04-C, and ABX-05-C in March of 2027
– Thank you in advance, Dr. Amit Bardia! Still looking for another volunteer!
• Neuromuscular Blockade (NMB) Reversal
– Plan to adapt NMB-02 for cardiac patients as current exclusions (e.g., patients not
extubated in the OR) omit most cardiac cases
– The proposal includes incorporating cardiac patients—particularly fast-track
populations—into the measure
• Continuing to refine the cardiac procedure type phenotype
• Collaborate with other multidisciplinary groups
Cardiac Anesthesia Subcommittee Membership
• Open to all anesthesiologists or those interested in improving cardiothoracic
measures
– Do not have to practice at an active MPOG institution
• Proposed 2027 Meeting Schedule
– March 2027
– July 2027
– November 2027
• Please reach out to either add yourself or your colleague
