2028 CQI VBR Measure Scorecard ASPIRE
VBR Measurement Period (unless specified otherwise in the measure): 10/1/2026 - 9/30/2027 VBR Reimbursement Period: 03/01/2028 - 02/28/2029
Measure #	Weight	Measure Description	Points
1	20%	Measure: GLU-11 Increase percentage of adult patients with perioperative blood glucose >180 mg/dL with documentation of treatment within 90 minutes Aggregation level: Hospital
		Performance score >=75%	20
		Performance score >=70%	10
		Performance score >=65%	5
		Performance score <65%	0
2	15%	Measure: SUS-02 Increase percentage of cases where carbon dioxide equivalents (CO2 equivalents) normalized by hour for cases receiving inhalational anesthetic agents is less than CO2 equivalents of 2% sevoflurane at 2L FGF = 2.83 kg CO2/hr or the Total CO2 equivalents is less than 2.83 kg CO2 for the maintenance period of anesthesia. Aggregation level: Hospital
		Performance score >=75%	15
		Performance score >=70%	10
		Performance score >=65%	5
		Performance score <65%	0
3	15%	Measure: SUS-04 Increase 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 period of anesthesia. Aggregation level: Hospital
		Performance score >=80%	15
		Performance score >=75%	10
		Performance score >=70%	5
		Performance score <70%	0
4	15%	Measure: TEMP-03 (Outcome measure) Decrease percentage of patients requiring general or neuraxial anesthesia for whom a body temperature >=36 degrees Celsius (or 96.8 degrees Fahrenheit) was not recorded within 30 minutes before to 15 minutes after anesthesia end time. Aggregation level: Hospital
		Performance score <=4.5%	15
		Performance score <=5.5%	10
		Performance score <=6.5%	5
		Performance score >6.5%	0
5	15%	Measure: TOC-01 Increase percentage of patients with documentation of intraoperative handoff for permanent transfers of care between in-room anesthesia providers. Aggregation level: Hospital
		Performance score >=85%	15
		Performance score >=80%	5
		Performance score <80%	0
6	20%	ASPIRE Tobacco Cessation Measure (SMOK-02) Aggregation level: Hospital For adult patients requiring anesthesia and identify as current smokers within 30 days prior to Anesthesia Start through Anesthesia End, have documentation of tobacco/nicotine cessation intervention within 30 days before surgery through Anesthesia End, including advising patients to quit, providing counseling on cessation, and/or referral/resources for cessation provided by the anesthesiology clinical care team at a rate of >=90% of current smokers. ***referral alone does not qualify as an intervention***
		>= 90% of current smokers received qualifying tobacco/nicotine cessation intervention	20
		>=85% and <90% of current smokers received qualifying tobacco/nicotine cessation intervention	10
		>=80% and <85% of current smokers received qualifying tobacco/nicotine cessation intervention	5
		<80% of current smokers received qualifying tobacco/nicotine cessation intervention	0
		Total Points Possible	100
Measure, Points and VBR Percentage Eligibility Criteria
		VBR Eligibility Scale for CQIs offering up to 107% (must include tobacco cessation measure)	Points Threshold
		Points Threshold to Meet 102% VBR eligibility	>= 40-51
		Points Threshold to Meet 103% VBR eligibility	>= 52-63
		Points Threshold to Meet 104% VBR Eligibility	>= 64-75
		Points Threshold to Meet 105% VBR eligibility	>= 76-87
		Points Threshold to Meet 107% VBR eligibility	>= 88-100