MSA Members,


An exciting quality improvement opportunity unique to Michigan has recently been introduced. This is a new component of the Michigan Surgical Quality Collaborative (MSQC, focusing specifically on anesthesia processes and outcomes. ASPIRE (Anesthesiology Performance Improvement and Reporting Exchange) is directed by MSA members, Drs. Sachin Kheterpal and Nirav Shah.  


This new program provides MSA members access to a regional anesthesia focused collaborative quality initiative (CQI). Importantly,  it offers interested MSA members opportunities to actively participate in the collaborative's proceedings, as well as the opportunity for MSA, as an organization, to partner with MSQC's ASPIRE collaborative to the mutual benefit of the CQI program, the MSA, and every MSA member.


Here is some background information on MSQC and the new anesthesia collaborative, ASPIRE, provided by Drs. Kheterpal and Shah:


For 10 years, the MSQC, a group of 66 hospitals throughout our state, has worked to improve surgical outcomes for patients undergoing general, vascular, and gynecologic surgery. Using robust risk adjusted 30 day outcomes, this group of surgeons and nurses meet quarterly to identify process improvement opportunities, implement them, and measure the results. It is clinician driven and clinical process focused. The data collection and meeting costs are funded by Blue Cross Blue Shield of Michigan (BCBSM), demonstrating a unique partnership with our primary payer. BCBSM takes a hands off approach, trusting that clinicians working hard to improve practice can do so if given the resources and trust-worthy environment. Real-world clinical practice throughout the State of Michigan has improved because of MSQC and the BCBS Value Partnerships (


Until recently, very few anesthesiologists were attending or involved in this collaborative. The MSQC leadership has wanted more anesthesiology involvement and has supported the discussion of topics germane to anesthesiology - Enhanced Recovery Programs and the use of non-opioid pain management, for example. In addition, anesthesiology specific variables were added into the MSQC data collection methodology in 2013.


Starting this year, BCBSM is funding the creation of ASPIRE (Anesthesiology Performance Improvement and Reporting Exchange), a Collaborative Quality Initiative (CQI) focused on Anesthesiology. ASPIRE will be housed at the University of Michigan (led by Drs. Sachin Kheterpal and Nirav Shah). It will integrate data and QI efforts with MSQC to take advantage of the infrastructure and build collaboration with our surgical colleagues throughout the state. Recruitment of the first hospitals to ASPIRE has begun. Hospital/provider benchmarking and feedback will be provided to anesthesiologists throughout Michigan starting next year.   


MSA members are invited to join the MSQC quarterly collaboration meetings, held at Schoolcraft College in Livonia on Fridays. This quarter's meeting will be held on Friday, September 12, 2014 and will focus on anesthesia quality measures. Please RSVP by e-mailing Tory Lacca ( if you would like to attend or if you have any questions.  


MSA's objectives of patient safety and quality anesthesia care in Michigan are enhanced by the participation of its members, and members' hospitals or practices, in CQIs like ASPIRE.



Frederick W. Campbell, M.D.

President, Michigan Society of Anesthesiologists

Office: 517-346-5088

Fax: 517-371-1170


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