ASPIRE will expand the existing mature Michigan Surgical Quality Collaborative (MSQC) and Multicenter Perioperative Outcomes Group (MPOG) processes and relationships to improve anesthesia processes of care by collecting, analyzing, and reporting on anesthesiology process of care and outcome data. Rather than building a de novo CQI collaborative exclusive to the anesthesiologist, we will expand the existing mature MSQC infrastructure in order to maintain the teamwork and data integration necessary for meaningful quality improvement work in the operating room.
Using the existing data collection and analytic infrastructure (MPOG), ASPIRE will collect anesthesia provider, process of care, and outcome data using cost-effective automated electronic health record interfaces. Through MSQC and MPOG, this existing infrastructure is already in place at more than 60 hospitals across Michigan and the US. Hospital and anesthesiology provider specific feedback will be used to decrease variation in care in processes known to impact postoperative complications. By measuring, reporting, and decreasing variation in six specific anesthesia practices (anesthesia technique, hemodynamic management, intraoperative ventilation, neuromuscular blockade, fluid balance, and depth of anesthesia), we will decrease the incidence of postoperative complications and costs.