Reg-ent℠ is an otolaryngology-specific clinical data registry that will become the foundation for quality reporting, measures development, quality improvement, clinical and product research, and support for maintenance of certification and licensure. With Reg-ent, AAO-HNSF is investing in our members' future, a future that will be increasingly focused on quality of care and patient outcomes.

The Reg-ent Registry is expected to be the MIPS tool of choice for AAO-HNSF members with EHRs. Through Reg-ent you will be able to report all required MIPS categories, including Quality Measures, Advancing Care Information Measures, and Improvement Activities. (Note: Registries that are used for MIPS reporting are recertified annually; CMS isn’t scheduled to recertify 2017 registries until April 2017.)

Sign up by July 15, 2017 to partner with Reg-ent for MIPS reporting. The sooner you sign up, the more time you will have to review your performance data, integrate your EHR system and make adjustments as needed in order to maximize your participation. View Academy resources on MIPS as well as the QPP website to learn more and sign up for Reg-ent today!



Title: 
What's Next?
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Phase I: Planning

We have closed the planning phase. We validated our approach with the Large Group Forum, private payers, and listened to their needs for data and reporting, and CMS, conducted society interviews, completed a comprehensive market analysis and business plan, a RFI process, a vendor summit, and formal RFP. FIGmd was identified, selected, and approved by the Boards in September, 2015.   

Phase II: Building

The Reg-ent pilot commenced in December 2015 and AAO-HNSF staff worked closely with FIGmd to onboard and process 21 diverse sites that represent the depth and breadth of Otolaryngology practice settings, including hospital-based practices, academic medical center practices, and private practitioners. This pilot phase was a critical step in the development of Reg-ent and will enable the AAO-HNSF to test its performance measures and ensure accuracy and reliability of extracted data.  The AAO-HNSF also received PQRS Qualified Registry and Qualified Clinical Data Registry status with CMS.       

Phase III: Implementation and Evaluation

Reg-ent launched to the full membership in July, 2016. Data will be continually evaluated, CMS reporting will commence, and a portfolio of new measures addressing all of the specialties of Otolaryngology will developed in this phase.    

Phase IV: Maintenance and Enhancement

This phase encompasses the management of the data and registry over time as well as the addition of new modules to address the emerging quality needs of our members.

Title: 
History
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• Board voted to proceed with the registry in March, 2015
• Validated the Qualified Clinical Data Registry approach with Large Group Forum, Private Payers, and CMS
• Multiple society interviews
• Formal Request for Proposal
• Vendor selection approved by the Executive Committee, August, 2015
• FIGmd confirmed by the AAO-HNSF Boards September, 2015
• Introduced and promoted at AM in Dallas September 2015
• Reg-ent Executive Committee created in January, 2016
• AAO-HNSF secured both Qualified Clinical Data Registry and PQRS Qualified Registry status from CMS for Reg-ent in April, 2016
• Governance structure operationalized and Clinical Advisory Committees completed in May, 2016
• Agreement with ABOto for MOC
• The recruitment phase of the Reg-ent pilot concluded in June, 2016
• Measures data extraction commenced in June, 2016
• Discussions with FDA
• Reg-ent opened to full membership for contracting in July, 2016
• Full launch at the AAO-HNSF Annual Meeting and OTO EXPOSM in September, 2016

Title: 
Reg-ent Executive Committee
Body: 

James C. Denneny III, MD, Chair
William R. Blythe, MD
Michael G. Glenn, MD
Lisa E. Ishii, MD, MHS
Melissa A. Pynnonen, MD
Richard M. Rosenfeld, MD
Jennifer J. Shin, MD, MS
Lauren S. Zaretsky, MD
Robert P. Miller, MD, Ex-Officio

Title: 
About FigMD
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FIGmd was chosen as our vendor after considerable investigation and consultation with multiple organizations throughout the process. Their model of registry building and implementation has been successful for a number of organizations similar to the AAO-HNS/F including the American College of Cardiology, the American Academy of Ophthalmology, the American Academy of Neurology, the American College of Emergency Physicians and the American Urologic Association. Their systems allow for direct extraction of data from the EHR. All clients of FIGmd have access to innovations and improvements made anywhere in their network. Their vision of shared technology and group participation has allowed a more rapid advancement of registries and their capabilities across a broad range of medical and surgical associations.  

FIGmd, Inc. provides clinical data registry analytics and data reporting solutions to medical practices, specialty societies, medical professional associations, hospitals, health systems and others. With minimal impact on workflow, FIGmd’s technologies, solutions and customization capabilities allow organizations to massively scale their projects in a timely and cost-effective manner. For more information on how FIGmd’s solutions can result in productive and actionable data, visit www.figmd.com

Title: 
What is a clinical data registry?
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At its core, a registry is a database. Registries can serve a number of purposes. The purpose determines the type of registry that is built, the infrastructure needed for support, and the cost of development. The purpose should align to core member needs. Registries can be built to track new treatments, monitor disease states over time, track population health and patient outcomes, track patients through the care system, and conduct research on new therapies. Some registries are used solely for aftermarket research. Others are used solely for quality improvement and quality reporting. Still others support decision-making at the point of care. The most important step in building a registry is identifying its purpose such that it aligns with member needs and expectations. Reg-ent is being built in modules over time to ultimately offer all of these services. 

A very popular form of registry has emerged with the advent of quality reporting for Medicare quality programs and that is a Qualified Clinical Data Registry, or QCDR. We will pursue QCDR designation with CMS. This designation allows for reporting to the Physician Quality Reporting System (PQRS). Over time, these registries can grow and add new functionality. Many societies have developed QCDRs jointly with their Boards as collaborators and partners so that physicians may one-stop shop for quality reporting, Maintenance of Certification Part IV, and quality improvement programs. QCDRs house performance measures used for reporting and quality improvement. Until 2018, and for a good period of time thereafter, QCDRs will have a role to play both for PQRS until it is phased out, and then with the new CMS Merit Based Incentive Program as it launches. Reg-ent will take on even more importance as it will facilitate the development of measures across the depth and breadth of Otolaryngology—all of which will be used to document the value of care our members provide both now and into the future.