Clinical Quality Outcomes

As the largest medically-directed provider of anesthesia services in North Central Wisconsin, Central Wisconsin Anesthesiology, S.C. plays a leadership role in documenting clinical outcomes. As a member of the Anesthesia Quality Institute (AQI) of the American Society of Anesthesiologists (ASA), we submit our clinical outcomes data to the National Anesthesia Clinical Outcomes Registry (NACOR) of the AQI. This ensures that we maintain the highest standards in the practice of anesthesiology.

We track and record reliable, evidence-based and measurable quality indicators, and use that information to improve clinical outcomes and patient satisfaction. The data also encourages continuous improvement at CWA by comparing our quality metrics against national benchmarks and other anesthesia practices of similar scope and size.

We currently collect and report on the following patient clinical outcomes data:

CMS (MIPS) Measures

  • #44 – Coronary Artery Bypass Graft (CABG):  Preoperative Beta-Blocker in Patients with Isolated CABG Surgery
  • #76 – Prevention of Central Venous Catheter (CVC)-Related Bloodstream Infections
  • #128 – Body Mass Index (BMI) Screening and Follow-up Plan
  • #130 – Documentation of Current Medications in the Medical Record
  • #154 – Falls: Risk Assessment
  • #155 – Falls: Plan of Care
  • #404 – Anesthesiology Smoking Abstinence
  • #424 – Perioperative Temperature Management
  • #430 – Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy
  • #463 – Prevention of POV-combination therapy (Pediatrics)
  • #477 – Multimodal Pain Management (previously AQI59)

AQI (Non-MIPS) Measures

  • AQI18 – Coronary Artery Bypass Graft (CABG): Prolonged Intubation-Inverse Measure
  • AQI48 – Patient-Reported Experience with Anesthesia
  • AQI56 – Use of Neuraxial Techniques and/or Peripheral Nerve Blocks for Total Knee Arthroplasty (TKA)
  • AQI57 – Safe Opioid Prescribing Practices
  • AQI62 – Obstructive Sleep Apnea: Patient Education
  • AQI65 – Avoidance of Cerebral Hyperthermia for Procedures Involving Cardiopulmonary Bypass
  • AQI67 – Consultation for Frail Patients
  • AQI68 – Obstructive Sleep Apnea: Mitigation Strategies
  • AQI69 – Intraoperative Antibiotic Redosing
  • AQI70 – Prevention of Arterial Line Related Bloodstream Infections
  • AQI71 – Ambulatory Glucose Management
  • AQI72 – Perioperative Anemia Management
  • EPREOP31* – Intraoperative Hypotension among Non-Emergent Noncardiac Surgical Cases
  • Quantum31 – Central Line Ultrasound Guidance

* Requires EMR Integration