MPOG Quality Improvement

MPOG QI (also known as the Anesthesiology Performance Improvement and Reporting Exchange [ASPIRE]) aims to improve the care of patients undergoing anesthesia by reducing unexplained variation in practice. Participating sites work together to build quality improvement measures, review best practices, and exchange ideas for improving patient outcomes.  


We include all cases requiring anesthetic care; no sampling. All data is reviewed and cleaned, and a limited dataset (no PHI, except date-of-service) is uploaded to the MPOG registry.

Data Granularity

Includes physiologic, ventilator, medication, preoperative, and postoperative data; from 4 hours before Anesthesia Start to 6 hours after Anesthesia End.


The MPOG Quality Committee is comprised of anesthesia providers and quality experts from around the world to develop metrics and design initiatives to improve the way anesthesia care is delivered.

Integrated Surgical Registries

MPOG supports the integration of data from both national and local surgical data registries, such as: STS, NSQIP, and Michigan based Collaborative Quality Initiatives (CQIs).

Academic & Community Hospitals

Our members range from large academic centers to small community hospitals. This diversity in practice creates a rich learning environment.


MPOG has developed institutional and provider feedback applications and tools that enable participants to analyze performance and implement QI programs.

Our Tools

QI Reporting Tool

Provider Feedback E-mail


Learn More

(Click on the links below)

Michigan Hospitals

ASPIRE is funded in part by Blue Cross Blue Shield Michigan (BCBSM) as part of their Collaborative Quality Initiative (CQI) program.

Quality Committee

The Quality Committee is comprised of providers and QI experts from across the US and Europe. This group meets both electronically and in-person at collaborative meetings.

Our Measures

MPOG QI has built more than 30 measures to track both processes and outcomes associated with procedures requiring anesthesia.

Quality Resources

Created to assist sites in navigating the MPOG QI process: Basecamp, Maintenance Schedule, Training Manuals, MQUARK


The Coordinating Center periodically releases QI toolkits to assist sites with their quality improvement efforts. To dates, we've released the following toolkits: Acute Respiratory Complications, Perioperative Transfusion Stewardship, SSI and AKI.


We offer MOCA 2.0® Part 4 credits for eligible providers from MPOG participating institutions who receive monthly provider e-mails.

MPOG Tools

Use MPOG software to analyze performance and implement QI programs.

For any inquiries please email