Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)

2027 Performance Index Scorecard Measure Explanation: Cohort 1 - 8

Measurement Period: 10/01/2026 - 09/30/2027

ASPIRE 2027 P4P Cohort 1 – 8

Measure number and description

Additional narrative describing the measure

#1 Collaborative Meeting

Participation: ASPIRE Quality

Champion and Anesthesiology

Clinical Quality Reviewer (ACQR)

combined attendance at

meetings. Three total meetings

with six opportunities for

attendance.

The ASPIRE Quality Champion (or a designated representative who

must be an anesthesiologist) and the Anesthesiology Clinical

Quality Reviewer (ACQR), combined, must attend ASPIRE

Collaborative meetings in 2026-2027. There are three total

meetings with six opportunities for attendance:

1. MPOG (Multicenter Perioperative Outcomes Group)

Retreat: Friday, October 16, 2026

2. MSQC (Michigan Surgical Quality Collaborative) / ASPIRE

Meeting: Friday, March 5, 2027

3. ASPIRE Collaborative Meeting: Friday, July 16, 2027

#2 Attend ASPIRE Quality

Committee e-meetings: ASPIRE

Quality Champion or ACQR

attendance across six meetings.

There will be six Quality Committee e-meetings in 2026-2027. One

representative (ASPIRE Quality Champion or ACQR) must attend

the following meetings:

1. Monday, November 23, 2026

2. Monday, January 25, 2027

3. Monday, February 22, 2027

4. Monday, May 24, 2027

5. Monday, July 26, 2027

6. Monday, September 27, 2027

#3 ACQR/ASPIRE Quality

Champion perform data

validation, case validation and

submit data by the 3rd

Wednesday of each month for

January - November and by the

2nd Wednesday of the month for

December. Data must be of high

quality upon submission with

>90% of all high priority and

required diagnostics marked as

'Data Accurately Represented.'

Maintenance Schedule located on MPOG website in the resources

tab of the quality section. Data must be of high quality upon

submission, >90% of all ‘High Priority’ and ‘Required’ diagnostics

marked as ‘Data Accurately Represented.’

#4 Site Based Quality Meetings:

Sites to hold an onsite in-person

or virtual meeting following the

three ASPIRE Collaborative

meetings to discuss the data and

plans for quality improvement at

their site.

The site is expected to schedule a local meeting either in-person

or virtually following each ASPIRE collaborative meeting (see

Measure #1 for dates) to discuss site-based and collaborative

quality outcomes with clinical providers at their site. Sites must

send the Coordinating Center the site-based collaborative meeting

report located on the MPOG website in the P4P sub tab of the

Michigan hospitals tab of the quality section.

Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)

2027 Performance Index Scorecard Measure Explanation: Cohort 1 - 8

Measurement Period: 10/01/2026 - 09/30/2027

ASPIRE 2027 P4P Cohort 1 – 8

Measure number and description

Additional narrative describing the measure

#5 GLU-11: Percentage of adult

patients with perioperative blood

glucose >180 mg/dL with

documentation of treatment

within 90 minutes

Sites will be awarded points for compliance with the

hyperglycemia treatment measure GLU-11 (cumulative average

score October 1, 2026 through September 30, 2027). If the

performance threshold is not met, Coordinating Center will assess

12-month average score for October 1, 2026 – September 30,

2027 and compare to 12-month average score for October 1, 2025

– September 30, 2026. Coordinating Center will assign points

based on absolute percentage point improvement, prioritizing the

method that results in the highest number of points to be

awarded.

To calculate the final score for the overall scorecard, the

performance measure resulting in the lowest number of points for

the site will be excluded, and only the top three highest-

performing measures will be included in the final score.

#6 SMOK-02: Percentage of adult

patients who are documented as

current tobacco smokers and also

receive an approved smoking

cessation intervention from an

anesthesia provider

Sites will be awarded points for compliance with the tobacco

cessation measure SMOK-02 (cumulative average score October 1,

2026 through September 30, 2027). If the performance threshold

is not met, Coordinating Center will assess 12-month average

score for October 1, 2026 – September 30, 2027 and compare to

12-month average score for October 1, 2025 – September 30,

2026. Coordinating Center will assign points based on absolute

percentage point improvement, prioritizing the method that

results in the highest number of points to be awarded.

To calculate the final score for the overall scorecard, the

performance measure resulting in the lowest number of points for

the site will be excluded, and only the top three highest-

performing measures will be included in the final score.

#7 SUS-04: Percentage of cases

with mean fresh gas flow (FGF)

less than or equal to 2L/min for

the administration of inhaled

anesthetics and/or nitrous oxide

during the maintenance phase of

anesthesia

Sites will be awarded points for compliance with the sustainability

measure SUS-04 (cumulative average score October 1, 2026

through September 30, 2027).

To calculate the final score for the overall scorecard, the

performance measure resulting in the lowest number of points for

the site will be excluded, and only the top three highest-

performing measures will be included in the final score.

Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)

2027 Performance Index Scorecard Measure Explanation: Cohort 1 - 8

Measurement Period: 10/01/2026 - 09/30/2027

ASPIRE 2027 P4P Cohort 1 – 8

Measure number and description

Additional narrative describing the measure

#8 TOC-01: Percentage of patients

with documentation of

intraoperative handoff for

permanent transfers of care

between in-room anesthesia

providers

Sites will be awarded points for compliance with the

intraoperative transfer of care measure TOC-01 (cumulative

average score October 1, 2026 through September 30, 2027). If

the performance threshold is not met, Coordinating Center will

assess 12-month average score for October 1, 2026 – September

30, 2027 and compare to 12-month average score for October 1,

2025 – September 30, 2026. Coordinating Center will assign points

based on absolute percentage point improvement, prioritizing the

method that results in the highest number of points to be

awarded.

To calculate the final score for the overall scorecard, the

performance measure resulting in the lowest number of points for

the site will be excluded, and only the top three highest-

performing measures will be included in the final score.