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.
Quality - Our Measures
|AKI 01: Acute Kidney Injury||Percentage of cases that the baseline creatinine does not increase more than 1.5 times within 7 days post-op or the baseline creatinine level does not increase by ≥ 0.3 mg/dL within 48 hours post-op.||AKI 01 One Pager||AKI 01 Specification|
|BP 01: Low MAP Prevention||Percentage of unique case-staff instances that sustained intraoperative hypotension was avoided.||BP 01 One Pager||BP 01 Specification|
|BP 02: Avoiding Monitoring Gaps||Percentage of unique case-staff instances that avoid long gaps in blood pressure management.||BP 02 One Pager||BP 02 Specification|
|CARD 01: Avoiding MI- Troponin I <1.00||Percentage of cases without elevated Troponin I levels (>1.00) postoperatively.||CARD 01 One Pager||CARD 01 Specification|
|CARD 02: Avoiding MI- Troponin I <0.6||Percentage of cases without elevated Troponin I levels (>0.6) postoperatively.||CARD 02 One Pager||CARD 02 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 anesthesia start-2 hours 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 anesthesia start-2 hours and anesthesia end) with a glucose test recheck or administration of dextrose containing solution (between anesthesia start and anesthesia end + 2 hours)||GLU 02 One Pager||GLU 02 Specification|
|MED 01: Avoiding Medication Overdose||Percentage of cases that avoided medication overdose and use of nalaxone or flumazenil for cases that opioids or benzodiazepines were administered.||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|
|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|
|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 (MIPS 424): 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 35.5 degrees Celsius (or 95.9 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 02 (MIPS 426): 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 (MIPS 427): 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|
Measures Under Development:
- PUL 03: Informational measure analyzing PEEP usage in patients undergoing mechanical ventilation during anesthesia.
- CARD 03: Percentage of patients with high risk comorbidities with severely elevated postoperative troponin levels (Troponin I > 0.6)
- CARD 04 (MIPS 44): Percentage of isolated Coronary Artery Bypass Graft (CABG) surgeries for patients aged 18 years and older who received a beta-blocker within 24 hours prior to surgical incision.
- TOC 01: Percentage of intraoperative anesthesia staff changes where a formal transfer of care protocol or checklist which includes key transfer of care elements was utilitzed.
- PONV 03: Incidence of PONV in PACU
- MED 02: Intraoperative Opioid Administration