The Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE) is a quality improvement initiative based at the University of Michigan partially funded by Blue Cross Blue Shield of Michigan (BCBSM) and based upon the data infrastructure of the Multicenter Perioperative Outcomes Group (MPOG, www.mpogresearch.org).  ASPIRE uses EHR and administrative data to analyze the interplay between patient comorbidities, surgical procedure, intraoperative anesthesiology technique, interventions, and postoperative outcomes.  By combining this data with a culture of collaboration, ASPIRE creates an environment of performance improvement using priorities and measures driven by its members.  With more than 7 million anesthetic cases integrated across 40 hospitals, ASPIRE represents one of the most detailed and comprehensive international anesthesiology datasets.  

The program enables motivated physicians and hospitals to assess variation in practice, identify local / regional best practices, and measure process adherence and patient outcomes.  We aim to integrate surgeon and anesthesiologist perspectives to improve patient care using data as the foundation for collaboration.The ultimate goal of ASPIRE is to improve the quality of anesthesiology care in the state of Michigan and around the world.  We will use real-world data and the collective experience of its members to transform care. 

ASPIRE takes a data-driven, collaborative approach to transform perioperative care to:

  1. Measure variation in intraoperative ventilation, fluid therapy, and neuromuscular blockade practice
  2. Reduce unnecessary intraoperative administration of blood products and colloid fluids
  3. Measure variation in primary anesthesia technique, hemodynamic management, and patient monitoring to identify optimal and cost-effective patterns of care
  4. Build collaborative relationships across surgeons and anesthesiologists across hospitals