Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE)

2026 Performance Index Scorecard Measure Explanation: Cohort 9

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

ASPIRE 2026 P4P Cohort 8

Measure number and description

Additional narrative describing the measure

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 2026-27. 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

Attend ASPIRE Quality Committee e-

meetings: ASPIRE Quality Champion or

ACQR attendance across six meetings.

There will be six Quality Committee e-meetings in 2026-27. One

representative (ASPIRE Quality Champion or ACQR) must attend

the following 2026-27 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

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.’

ASPIRE Quality Champion and ACQR

monthly meetings

ASPIRE Quality Champion and ACQR need to meet monthly to

discuss the data and plans for quality improvement. A log of the

meeting must be submitted to the ASPIRE Coordinating Center

each month. Logs are located on the MPOG website in the P4P

sub tab of the Michigan hospitals tab of the quality section.

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)

2026 Performance Index Scorecard Measure Explanation: Cohort 9

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

ASPIRE 2026 P4P Cohort 8

Measure number and description

Additional narrative describing the measure

NMB 01: Percentage of cases with a

documented Train of Four (TOF)

after last dose of non-depolarizing

neuromuscular blocker

Sites will be awarded points for compliance with neuromuscular

blockade monitoring measure NMB-01 (cumulative average score

October 1, 2026 through September 30, 2027).

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).