Welcome
Welcome to the first edition of the MPOG/ASPIRE Newsletter. We are planning on sending this out a few times per year to keep you updated on all your great accomplishments and items in progress. In addition, we will include important announcements and dates to mark on calendars. We would love to hear what you think, and what additional information would be helpful to incorporate in future editions.
Please contact Tory Lacca for any questions or suggestions.
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ASPIRE March 18, Quarterly Meeting Overview
The ASPIRE Quarterly meeting was recently held in Lansing, Michigan at Lansing Community College. We had a successful turnout with over sixty clinical providers in attendance.
Dr. Paul Hilliard from the University of Michigan presented on the opioid epidemic and the significant challenges anesthesiologists encounter when managing acute pain in patients with opioid tolerance. Patients with chronic pain who present typically have at least one opioid listed as a home medication. Preoperative high-dose opioid use can increase complications during the perioperative period. Patients should therefore be assessed preoperatively to decrease or eliminate opioid use before surgery.
Dr. Michael O'Connor of the University of Chicago presented "TransfusionTriggers." He discussed how guidelines establishing lower transfusion triggers were established during the AIDS epidemic but continued after support from blood banks/regulatory bodies as supply vs. demand continued. Currently the literature does not specifically identify transfusion triggers for all patient populations. Leukocyte reduced blood is recommended if a transfusion is required.
All meeting notes, presentations and audio recordings of the meeting are available under the ASPIRE Meeting Archives tab on our website.
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Technical
All sites are being upgraded the week of April 18, 2016. The application upgrade will be pushed out to all sites on April 20, 2016. Some applications may not work for sites in between their site specific database upgrade and the application upgrade.
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New Active Sites
MPOG/ASPIRE welcomes the following new sites:
- Beaumont Health System - Dearborn, Michigan
- Beaumont Health System - Royal Oak, Michigan
- Beaumont Health System - Taylor, Michigan
- Beaumont Health System - Troy, Michigan
- Mercy Health System - Muskegon, Michigan
- St. Joseph Mercy - Ann Arbor, Michigan
- St. Joseph Mercy - Chelsea, Michigan
- St. Joseph Mercy - Livingston, Michigan
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QCDR
We are pleased to announce ASPIRE has been re-approved as a 2016 QCDR by the Centers for Medicare and Medicaid Services (CMS).
Additionally, ASPIRE has successfully submitted 2015 data for the following sites:
- St. Joseph Mercy Health System Ann Arbor and Livingston CRNAs
- Oregon Health and Sciences University
- University of Tennessee
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ASPIRE Measures
The following measures are currently being finalized and will be available through the Galileo portal soon:
- TEMP 01: Active warming for all patients at risk of intraoperative hypothermia.
- TEMP 02: Core temperature measurement for all general anesthetics.
- Renal 01: Outcomes measure for incidence of AKI
For all ASPIRE measures, please see our website.
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Anesthesiology Clinical Quality Reviewer (ACQR)
ASPIRE would like to welcome the newest ACQRs:
- Pamela Tyler, RN - Beaumont Farmington Hills
- Denise Coons, RN - Bronson Battle Creek/Kalamazoo
- Jen Carlington, RN - St. Mary Mercy Livonia
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Research
Manuscript under revision at Anesthesiology
- PCRC005: Dr. Aziz - Oregon
- PCRC018: Dr. de Graaf - Utrect (Netherlands)
Manuscripts ready for submission
- PCRC002: Dr. Berman - Columbia
Manuscript being drafted
- PCRC0013: Dr. Linton - Michigan
- PCRC0021: Dr. Blank - Virginia
- PCRC0022: Dr. Fung - Vermont
- PCRC0028: Dr. Lee - Michigan
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