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Slide 2: ASPIRE Collaborative Meeting
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Slide 7: Upcoming Events
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Slide 10: Automated Data Pilot Update
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Slide 12: A tale of working with hospital IT….
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Slide 15: Pay-for-Performance (P4P) Scorecard 2027
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Slide 20: 2028 Value Based Reimbursement Measurement Period 10/1/26 – 9/30/2027
Slide 21: VBR Program Updates
Slide 23: Unsure about Provider Eligibility?
Slide 24: New Scoring Methodology for 2028 VBR
Slide 25: New Measures
Slide 26: MPOG Plan to Obtaining Outcome Data Douglas Colquhoun, MD University of Michigan
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Slide 41: Perioperative Sepsis: Prevention, Identification, Treatment Hallie Prescott, MD University of Michigan
Slide 42: Perioperative Sepsis: Identification and Treatment
Slide 43: Disclosures
Slide 44: Outline
Slide 45: What is sepsis?
Slide 46: How I teach sepsis
Slide 47: Current operational definitions
Slide 48: Current operational definitions
Slide 49: Outline
Slide 50: Sepsis is common and deadly
Slide 51: Hospital-onset sepsis is particularly deadly
Slide 52: Outline
Slide 53: Always be on the lookout for sepsis
Slide 54: Always be on the lookout for sepsis
Slide 55: Asking daily: is my patient progressing as expected?
Slide 56: Is the patient progressing as expected?
Slide 57: Is the patient progressing as expected?
Slide 58: Lots of novel diagnostics aids are hitting the market
Slide 59: How I approach sepsis diagnosis in my practice
Slide 60: Outline
Slide 61: 2026 SSC Recs on antibiotic timing, same as 2021
Slide 62: Rationale for stratified timing recommendation
Slide 63: Urgency of treatment differs by illness severity
Slide 64: In practice: I stratify urgency by hypotension
Slide 65: Antibiotic selection should be tailored to patient
Slide 66: Avoid unnecessary coverage where feasible
Slide 67: Real-world experiment: pip-tazo drug shortage
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Slide 69: 5% abs. mortality reduction with Cefepime over Pip/Tazo
Slide 70: Finding is supported by preclinical and translational data
Slide 71: 2026 SSC Guidelines emphasize stewardship
Slide 72: In sum, antimicrobial therapy should be
Slide 73: Outline
Slide 74: Fluid resuscitation guidelines
Slide 75: Initial pragmatic fluid bolus
Slide 76: Transition to personalized resuscitation approach
Slide 77: Why dynamic assessment? 1- predicts response to fluid
Slide 78: Why dynamic assessment? 2- improves outcomes
Slide 79: FRESH Trial
Slide 80: FRESH trial protocol
Slide 81: FRESH trial outcomes
Slide 82: What we see happening in clinical practice…
Slide 83: ≥30 ml/kg resuscitation lower mortality in HMS
Slide 84: Top-performing hospitals are pragmatic and proactive
Slide 85: In conclusion
Slide 86: Closing quote
Slide 87: Questions
Slide 88: Target populations in JNO study
Slide 89: Is NICOM reliable in my patient?
Slide 90: QI Story: SUS-08 Aaron Wood, MD Corewell East Farmington Hills
Slide 91: Farmington Hills QI: SUS 08
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Slide 94: SUS-08
Slide 95: Our Strategy for Adoption
Slide 96: Adoption Strategy
Slide 97: Adoption Strategy
Slide 98: Adoption Strategy
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Slide 100: Break 10:35 - 10:50
Slide 101: The Role of the Anesthesia Provider in Perioperative SSI Dustin Long, MD University of Washington
Slide 102: QI Story: GLU-11 Michael McCaughan, MD UM Health Sparrow
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Slide 114: MPOG Web Application Updates
Slide 115: Provider Contacts tool New Education view
Slide 116: Education View
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Slide 118: Mpog data library
Slide 119: Current state of MPOG web application browsers
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Slide 132: 2025 Consensus Guidelines
Slide 133: Propofol Infusion Definition
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Slide 135: Glycemic Management Measures Across MPOG
Slide 136: Proposal – Discuss with glycemic management workgroup and then QC
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Slide 139: GLU-17 : Hyperglycemia Treatment, Ambulatory
Slide 140: Next Steps
Slide 141: Practice Variation for Hip and Knee Replacements Across ASPIRE – A Regional Anesthesia Update MPOG Coordinating Center
Slide 142: Recap
Slide 143: Data included in analysis
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Slide 163: 2026 Performance Review Nirav Shah, MD University of Michigan
Slide 164: Data we plan to discuss and review today
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Slide 166: GLU-11 : Hyperglycemia Treatment, Periop
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Slide 170: SMOK-01 : Smoking Tobacco Status Documentation
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Slide 173: SMOK-02 : Smoking Tobacco Cessation Intervention
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Slide 177: TEMP-03: Perioperative Hypothermia
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Slide 181: SUS-02: Global Warming Footprint, Maintenance
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Slide 191: Wrap Up Nirav Shah, MD University of Michigan
Slide 192: Post Meeting Information on our website
Slide 193: Thank You!
