Technical

Sites with an Electronic Health Record (EHR) System

All institutions that participate in ASPIRE must be a member of MPOG.  The technical process for becoming an ASPIRE member is the same as MPOG and can often be initiated in parallel to the regulatory process.  The amount of technical effort required to transform your local data into the MPOG data structures can vary widely depending upon which electronic health record (EHR) or Anesthesia Information Management System (AIMS) you use.

There are two major types of contribution levels, ranging from the departmental-focused to the enterprise comprehensive

Standard

  • Mini preop (ASA status, preop medications, height weight)
  • Intraoperative anesthesia record
  • Intraoperative point of care laboratory values
  • Basic demographics (age, gender)
  • Anesthesia professional fee billing

Complete

  • Full preoperative history and physical (comorbidities, anesthesia plan)
  • Postoperative evaluation
  • Long term preoperative and postoperative hospital laboratory values
  • Surgical outcome registries (ACS-NSQIP, MSQC, etc)
  • Hospital discharge ICD codes

A dedicated server (physical or virtual) is required to host your local MPOG database and necessary applications.  More technical information is available in the technical downloads area.

Paper-Based Anesthesia Record Sites in Michigan

Some medical centers in Michigan may not have the ability adopt an EHR system, yet would like to participate in ASPIRE.  For these Michigan-based hospitals with a paper-based anesthesia record, we will expand the existing QCMetrix workstation application to include anesthesia process of care and outcome data.  This method has been successfully used by the Michigan Surgical Quality Collaborative (MSQC).  The infrastructure for this data collection is already in place at MSQC coordinating centers.  In year 2 of ASPIRE (2015-2016), we will recruit paper-based documentation sites.