Quality - Our Measures

ASPIRE has developed 20 measures spanning several anesthesia care domains.  These measures are available on your ASPIRE dashboard as well as the provider feedback emails.  Measure specifications as well as one page descriptions are listed below.

Measure Description One Pager
Providers
Documents
Specification
Technical
Documents
AKI 01: Acute Kidney Injury Percentage of cases that the baseline creatinine increased more than 1.5 times within 7 days post-op or the baseline creatinine increased by greater than or equal to 0.3 mg/dL within 48 hours post-op. AKI 01 One Pager AKI 01 Specification
BP 01: Low MAP Prevention <55 Percentage of unique case-staff instances that sustained intraoperative hypotension (<55) was avoided. BP 01 One Pager BP 01 Specification
BP 02: Avoiding Monitoring Gaps Percentage of unique case-staff instances that avoid long gaps (>10 minutes) in blood pressure management. BP 02 One Pager BP 02 Specification
BP 03: Low Map Prevention <65 Percentage of unique case-staff instances that sustained intraoperative hypotension (<65) was avoided. BP 03 One Pager BP 03 Specification
CARD 01: Avoiding MI- Troponin I <1.00 Percentage of cases without elevated Troponin I levels (>1.00) postoperatively. Retired: 06/2018 Retired: 06/2018
CARD 02: Avoiding MI- Troponin I <0.6 Percentage of cases with elevated Troponin I levels (>0.6) postoperatively. CARD 02 One Pager CARD 02 Specification
CARD 03: MI in High Cardiac Risk Patients- Troponin I <0.6 Percentage of cases with elevated Troponin I levels (>0.6) postoperatively in high cardiac risk patients CARD 03 One Pager CARD 03 Specification
FLUID -01-C: Minimizing Colloid Use- Cardiac Colloid use limited in cardiac cases with no indication FLUID 01-C One Pager FLUID 01-C Specification
FLUID 01-NC: Minimizing Colloid Use- Non-Cardiac Colloid use limited in non-cardiac cases with no indication FLUID 01-NC One Pager FLUID 01-NC Specification
GLU 01: High Glucose Treated Percentage of cases with perioperative glucose > 200 (between 2 hours prior to anesthesia start and anesthesia end) administration of an insulin bolus or infusion or glucose test recheck GLU 01 One Pager GLU 01 Specification
GLU 02: Low Glucose Treated Percentage of cases with glucose < 60 (between 2 hours prior to anesthesia start and anesthesia end) with a glucose recheck or administration of dextrose containing solution (between anesthesia start and 2 hours after anesthesia end) GLU 02 One Pager GLU 02 Specification
MED 01: Avoiding Medication Overdose Percentage of cases with opioids or benzodiazepines administered that required the use of naloxone or flumazenil MED 01 One Pager MED 01 Specification
NMB 01: Train of Four Taken Percentage of cases receiving a non-depolarizing neuromuscular blocker that have a TOF monitor documented NMB 01 One Pager NMB 01 Specification
NMB 02: Reversal Administered Percentage of cases receiving a non-depolarizing neuromuscular blockade medication with administration of neostigmine if time from last non- depolarizer administration to extubation is < 4 hours NMB 02 One Pager NMB 02 Specification
PONV 01: Post Operative Nausea and Vomiting Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively or intraoperatively. PONV 01 One Pager PONV 01 Specification
PONV 02: Post Operative Nausea and Vomiting- Pediatrics Percentage of patients, aged 3-17 years, who undergo a procedure in which an inhalational anesthetic is used for maintenance AND who have two or more risk factors for post-operative vomiting (POV), who receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively or intraoperatively. PONV 02 One Pager PONV 02 Specification
PONV 03: Post Operative Nausea and Vomiting- Outcomes Percentage of patients, regardless of age, who undergo a procedure and have a documented nausea/emesis occurrence postoperatively or receive a rescue antiemetic during the immediate postoperative period. PONV 03 One Pager PONV 03 Specification
PUL 01: Low Tidal Volume- Less than 10 ml/kg Percentage of cases with median tidal volumes less than 10 ml/kg PUL 01 One Pager PUL 01 Specification
PUL 02: Low Tidal Volume- Less than or equal to 8 ml/kg Percentage of patients with median tidal volumes less than or equal to 8 ml/kg PUL 02 One Pager PUL 02 Specification
PUL 03:  PEEP Utilization Percentage of cases in which Positive End Expiratory Pressure (PEEP) is used for patients undergoing mechanical ventilation during anesthesia. PUL 03 One Pager PUL 03 Specification
SUS 01: Fresh Gas Flow< 3L/min Percentage of cases with mean fresh gas flow equal to, or less than 3L/min, during administration of halogenated hydrocarbons and/or nitrous oxide. SUS 01 One Pager SUS 01 Specification
TEMP 01: Active Warming Percentage of cases with increased risk of hypothermia that active warming was administered by the anesthesia provider TEMP 01 One Pager TEMP 01 Specification
TEMP 02: Core Temperature Measurement Percentage of cases with increased risk of hypothermia that the anesthesia provider documented a core or near-core temperature TEMP 02 One Pager TEMP 02 Specification
TEMP 03: Perioperative Temperature Management Percentage of patients, regardless of age, who undergo surgical or therapeutic procedures under general or neuraxial anesthesia of 60 minutes duration or longer for whom at least one body temperature greater than or equal to 36 degrees Celsius (or 96.8 degrees Fahrenheit) was recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time TEMP 03 One Pager TEMP 03 Specification
TOC 01: Intraoperative Transfer of Care Percentage of patients who undergo a procedure under anesthesia in which a permanent intraoperative anesthesia staff change occurred, who have a documented use of a checklist or protocol for the transfer of care from the responsible anesthesia practitioner to the next responsible anesthesia practitioner TOC 01 One Pager TOC 01 Specification
TOC 02: Post-Anesthetic Transfer of Care Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized TOC 02 One Pager TOC 02 Specification
TOC 03: Post-Anesthetic Transfer of Care Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to an ICU in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized TOC 03 One Pager TOC 03 Specification
TRAN 01: Transfusion Management Vigilance Percentage of cases with a blood transfusion that have a hemoglobin or hematocrit value documented prior to transfusion. TRAN 01 One Pager TRAN 01 Specification
TRAN 02: Post Transfusion Monitoring Percentage of cases with a post transfusion hemoglobin or hematocrit value less than 10/30. TRAN 02 One Pager TRAN 02 Specification
OPIOID: Opioid Equivalency Intraoperative Opioid Equivalency: Informational Measure Only One Pager: NA OPIOID Specification

Measures Under Development:

  • GLU 03: Preop Glucose Checked on High Risk Cases
  • PUL 04: Respiratory Complications in PACU