Sites outside Michigan

Institutions that participate in MPOG should allocate resources for joining and ongoing involvement. These include clinical and technical resources needed to support participation, first‑year implementation expenses to set up MPOG at your institution, and annual fees that help offset administrative and operational costs. 

Implementation Resources

During the implementation or onboarding phase, participating sites should plan to allocate clinical, IT, and project management support. These resources are essential whether your institution intends to engage in MPOG’s research or quality improvement missions. 

Most sites find that dedicating a clinical resource at approximately 0.4 FTE during implementation and 0.2 FTE once live provides the support needed for data validation and upload. Clinical resources may include a clinical research coordinator, quality improvement nurse, CRNA, or anesthesiologist. Please note that there can be significant variability in implementation timelines based on your a) electronic health record, b) regulatory, technical and clinical resource experience and availability, and c) contending priorities and projects within your department and institution.

Electronic Health Record Considerations

Your electronic health record (EHR) influences the level of technical effort required.

  • Epic: A pre‑configured extract based on MPOG specifications is available for Epic sites and can be installed with support from your Epic Technical Services representative.

  • Cerner and other EHR vendors: MPOG has experience supporting Cerner and other systems, but there is no standard extract (like there is for Epic). The technical component of these implementations takes longer (~2 – 3x Epic-based implementation).

Internal Resource Estimates

Estimated FTE Requirements for MPOG Implementation: 

Clinical Team
Technical Team
Project Management
Implementation of Data Extract (12 – 18 months)
20-40%
30-75%
5%
Maintenance
10-20%
5%
0%

Estimated Hardware and Software Costs (see Server Requirements Document):

Computer Equipment and SoftwareEstimated Cost
SQL Server 2022 R2 or newer (physical or virtual)$10,000
SQL Server 2022 R2 or newer site license $5,000
Estimated total first year costs$15,000

MPOG Fees

To sustain the personnel, infrastructure, and data services required for high‑quality data management and member support, the MPOG Executive Board has approved the following fee structure for 2026.

Fee Overview

MPOG BaseMPOG Plus
What Is IncludedParticipation in the MPOG collaborative with access to quality measure performance and benchmarking dashboards, query tools, and multicenter research projects (PCRC)Everything in MPOG Base plus individual provider feedback and dashboards, ability to participate in MPOG clinical trials, and access to MOCA IV program in partnership with ABA
Start-Up Fee$25,000 for the primary site + $2,500 per additional site

One time fee per onboarding

$40,000 for the primary site + $4,000 per additional site
Annual Fee$25,000/year for the primary site + $2,500/year per secondary hospital $40,000/year for the primary site + $4,000/year per secondary hospital
Potential Adjustments
InflationUp to 5% annually, pending Executive Board approval
High-VolumePrimary sites: +$2,500 per 20,000 cases above 100,000 annually

Secondary sites: +$2,500 per 20,000 cases above 50,000 annually

Site Definitions

Primary Site

The main hospital within a health system that serves as the designated lead site for MPOG participation. The primary site operates on the same electronic health record (EHR) instance as its associated secondary sites and is recognized as the central point of coordination for data extraction, governance, and administrative oversight. 

Secondary Site

A secondary site is defined as a hospital that operates under the same electronic health record (EHR) extract as its associated primary site. For sites within the United States, we typically define “hospitals” according to the American Hospital Association (AHA) criteria, ensuring consistency with nationally recognized standards.  

For any inquiries please email

mpog-admin@med.umich.edu