The ACC’s PINNACLE Registry is cardiology’s largest outpatient quality improvement registry. Over the last several years it has grown to include 4.16 million patients with 17.3 million patient encounters across 170 practices, providing unparalleled insights on real-world management of coronary artery disease, hypertension, heart failure and atrial fibrillation.CardioSurve - December 2014

To sustain the PINNACLE Registry’s rapid growth, the College regularly gathers feedback and is looking closely at ways that PINNACLE can offer value to both current and future users. The majority of PINNACLE participants are very satisfied with the registry, particularly as it relates to participation in federal incentive programs, such as the Physician Quality Reporting System (PQRS). Nearly eight out of nine participants are very/extremely satisfied with the program, an increase of 26 percentage points since 2012, and almost all (90%) are very/extremely likely to recommend participation in the PINNACLE Registry. CardioSurve - December 2014

When it comes to specific PINNACLE Registry benefits, more than two out of five users (42%) noted the submission of their data for federal incentive programs as the top registry benefit, followed by national benchmark reports and quarterly performance reports. Almost half of practices (46%) are using PINNACLE Registry Performance Reports to inform quality improvement activities. Another PINNACLE feature vital to user satisfaction is the improved ease of data collection. Currently, practices spend on average just slightly more than one hour per week (i.e., 1.1 hours per week) working on the PINNACLE Registry, a figure which has shown dramatic improvement over the past four years. CardioSurve - December 2014

The survey findings also indicate clear opportunities for the College to share the benefits of the PINNACLE Registry with new participants, particularly those with electronic health record (EHR) systems and those seeking ways to participate in programs like PQRS or to meet the EHR Incentive Program Stage 2 option for reporting to a specialized registry. Participation in these programs help practices avoid penalties and earn incentives from the Centers for Medicare and Medicaid Services. Even participants that do not use PINNACLE as their PQRS submission method – about half do not – may find value in the performance rates and benchmarks that PINNACLE reports provide regularly.

Many participants also expressed interest in the PINNACLE Registry Research Alliance,which can help to identify patients for participation in clinical trials or can identify new investigator sites for trials. Users also show support for the new Diabetes Collaborative Registry, which will be a seamless interface with the current PINNACLE Registry system and allow for much-needed data collection across the spectrum of diabetes and cardiometabolic disease management.

The PINNACLE Registry offers many opportunities for practices and providers to be on the front lines of care transformation at the national, state, local and individual office levels. PINNACLE participation allows practices to track progress over time and identify opportunities for improvement in key clinical areas like blood pressure management and stroke prevention. 

Over the past two years, the number of providers and practices participating in PINNACLE has increased rapidly. Key components of this growth have been understanding the needs of registry users and providing them with the tools and resources necessary to enhance the performance of their practices which ultimately leads to better patient care.

Learn more about the PINNACLE Registry at