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QUALITY AND AQI


There are risks and costs to a program of action. But they are far less than the long-range risks and costs of comfortable inaction.

-- John F Kennedy


The goal of quality management (QM) is to improve efficiency and outcomes. An entire industry has arisen devoted to making this simple concept complex, and many anesthesiologists are therefore frustrated by QM requirements. The purpose of this page is to provide very basic instructions for creating an anesthesiology QM program. The program will help your group directly, and will enable you to meet Joint Commission and other regulatory requirements for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE), and ABA requirements for Maintenance of Certification in Anesthesiology (MOCA).

Measuring indicators will enable you to engage in the quality cycle, which is simple and intuitive:

  • Measure what you do
  • Make improvements
  • Measure again

Quality in your Practice Video

The following video is presented by Dr. Curry of Spectrum Medical Group. This the best description we have found of how to make good, ethical, profitable use of QM data in an anesthesia practice.
For full disclosure - The video describes the use of a commercial product.




What to Measure

Quality Management in Your Practice
Basic instructions for creating an anesthesiology quality management program.

Quality Management in Your Practice: A Nuts & Bolts Primer

AQI Quality is...

Anesthesia Quality Indicators Capture Sheet (perioperative)
This template is intended to assist with the capture of perioperative events. Please update to suit your local conditions.

Anesthesia Quality Indicators - Definitions
This spreadsheet defines the indicators on the template. Definitions can be changed to reflect local conditions.

Patient Satisfaction Capture Sheet (post-recovery)

This template is intended to help practices assess patient satisfaction (after they leave recovery). Please update to suit your local conditions.

ASA's Committee on Performance and Outcomes Measurement (CPOM) Perioperative Events
This document forms the basis for the quality capture indicators recommended by ASA CPOM.


Other Quality Management Resources

Quality Management and Departmental Administrative (QMDA) Toolkit (ASA login required)

Toolkit includes information on the following topics:

• 2010 Manual for Anesthesia Department Organization and Management (MADOM)
• Anesthesia Consultation Program
• ASA Standards, Guidelines and Statements
• Sample Policy and Procedure Statements
• Joint Commission
• Joint Commission FAQs
• Further Reading on SEA 32 and Unintended Awareness During Anesthesia
• Educational Materials for Non-Anesthesiologists
• Quality Management Software System

2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Reporting of Individual Measures

Implementing Anesthesia Quality Innovations

Managing Quality in an Anesthesia Department

Can anesthesia information management systems improve quality in the surgical suite?

To Err is Human: Building a Safer Health System

Google Scholar Search: "Anesthesia Quality"

Quality Improvement Using Automated Data Sources: The Anesthesia Quality Institute


Sub-Speciality Specific Anesthesia Quality Registries

The SAMBA Clinical Outcomes Registry is a web-based database designed to assist ambulatory anesthiologists track their own outcomes, compare with national benchmarks, and meet regulatory requirements.