Data Points: ACC Chapters Championing Registry Use
NCDR | ACC’s Chapters are taking an active role in the promotion of tracking quality through wider adoption of NCDR’s hospital and outpatient registries.
In Puerto Rico, the ACC Chapter is leading efforts to engage physician champions, nurses and administrators from several hospitals in understanding the value and benefits associated with registry use. In February, NCDR staff and member leaders provided a one-day educational symposium focused on how to get started, keys to success and how to make registry use sustainable. Looking ahead, the Chapter is planning to develop a support system based on a coalition of hospitals committed to developing and sustaining NCDR registry use.
Back in the lower-48, the Virginia Chapter has been invited by the Virginia Cardiac Services Quality Initiative to partner on changing its focus from measuring surgical outcomes to measuring overall quality. As part of this effort, the Chapter will merge CathPCI Registry data with data from The Society of Thoracic Surgeons – a move that can provide glimpses of patient care beyond the inpatient stay.
Adoption of the ACC’s outpatient PINNACLE Registry is also on the rise across the U.S. as more and more practices learn about the benefits in both tracking quality of care and meeting Physician Quality Reporting System (PQRS) requirements. For 2014, the PINNACLE Registry reported on data for 1,810 providers across 121 practice groups – potentially yielding up to a 0.5 percent incentive on 2014 claims and protection from an automatic -2.0 percent adjustment on 2016 claims. Submission also meets requirements for value-based payment modifier reporting, protecting against a further automatic -2.0 percent penalty.
Outside of PQRS reporting, states are also using the PINNACLE Registry for quality improvement. For example, the Mississippi Department of Health has entered into an agreement with NCDR to act as a third party to monitor the state’s ST segment elevation myocardial infarction network hospitals and confidentially promote quality within each institution while otherwise keeping data blinded to competing institutions.
Famed author and management consultant H. James Harrington, PhD, said: “Measurement is the first step that leads to control and eventually to improvement. If you can’t measure something, you can’t understand it. If you can’t understand it, you can’t control it. If you can’t control it, you can’t improve it.” With health care increasingly moving toward a system focused on quality, outcomes and cost-effectiveness, ACC Chapters are, and will continue to play, a leading role in helping hospitals and practices take this first step toward measurement and control. The end goal: a health care environment that is safer, more effective and patient-centered.
For additional NCDR research, visit ACC.org/RegistryNews.
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