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Reg-ent℠ ENT Clinical Data Registry - FAQs

Reg-ent℠ ENT Clinical Data Registry - FAQs
Title: 
What is a clinical data registry?
Body: 

A clinical data registry is an organized system that collects uniform data (clinical and patient-reported) to evaluate specified outcomes for a population based on performance measures developed from Clinical Practice Guidelines.

With the increasing usage of EHRs, registries have emerged as valuable solutions for harnessing the power of information technology to capture statistically relevant, evidence-based data to aid in decisions regarding the most optimal patient care. Such registries are already being successfully used within other medical specialties and medical associations, including the American College of Cardiology and the American Academy of Ophthalmology.

Title: 
Why is the AAO-HNSF providing this resource?
Body: 

The AAO-HNSF is committed to continually improving and innovating otolaryngology-head and neck patient care. With the increasing adoption of EHRs and other advances in technology, physicians now have the ability to perform their own data analysis to inform better clinical decision-making.

Using registries in this manner is the future of medicine, as evidenced by the success of the registries developed by the American College of Cardiology and the American Academy of Ophthalmology. The timing is right for otolaryngologists to be among the early adopters in strategically deploying information technology to drive quality improvement.

Title: 
Is Reg-ent being developed as part of the Affordable Care Act or other government mandate?
Body: 

Clinical data registries precede healthcare reform by two decades. They are not a mandated part of health care reform, nor are they required to comply with any federal regulations. The overarching purpose is to translate otolaryngology-head and neck surgeons' clinical data that enables them to benchmark their practice's performance and drive improvement in patient outcomes.

Title: 
How will AAO-HNSF develop Reg-ent?
Body: 

The AAO-HNSF partnered in the development of Reg-ent with FIGmd, Inc., a company that specializes in integrating EHRs with registries. FIGmd has developed and maintained registries for over 30 specialty societies including the American College of Cardiology and has completed integration projects for more than 70 major EHRs. FIGmd is agile and is capable of working quickly with new EHR systems.

Title: 
How will Reg-ent work?
Body: 

Data relevant to the registry will be extracted automatically from the EHR and transmitted on a scheduled basis directly to Reg-ent. Participating otolaryngologist-head and neck surgeons may then access the data and run queries on their own patient population to create practice patient registries and to benchmark practice performance and uncover potential areas for quality improvement. Results can also be compared to the larger aggregated data.

Title: 
How will Reg-ent affect my practice workflow?
Body: 

There will be no change to the practice workflow. Reg-ent will be extracting data directly from the EHR.

Title: 
What will Reg-ent provide for me?
Body: 

Reg-ent will offer the following benefits in a phased approach beginning with Public Quality Reporting capabilities:

Public Quality Reporting

Reg-ent will help members complete reporting for federal and private programs. This includes reporting under the Merit-based Incentive Payment System in 2017. Through Reg-ent members will be able to report quality measures, advancing care information measures and attest improvement activites. 

Demonstration of Value and Alternative Payment Models

Reg-ent will affirm effectiveness and quality of care provided; utilize data to more effectively negotiate with payers; and prepare for participation in alternative payment models.

Quality Improvement and Clinical Effectiveness

Reg-ent will utilize longitudinal data to identify gaps in performance and gaps in care provided both at the individual practitioner and system levels.

Maintenance of Certification and Licensure

Reg-ent will coordinate with and provide data to the American Board of Otolaryngology (ABOto) and state licensing boards to satisfy MOC and MOL requirements.

Performance Measure Development

Reg-ent will allow more rapid and cost-effective development of performance emeasures to rapidly expand our portfolio through a measure authoring tool. This will allow the AAO-HNSF to author and simulate measures on registry data before launching the measures.

Product Surveillance

Reg-ent will facilitate aftermarket research to document patient outcomes.

Title: 
Is it necessary to have an EHR system to participate in Reg-ent?
Body: 

No. Reg-ent will offer MIPS Quality Performance and Improvement Activities reporting to practices that do not have EHRs.

Title: 
Can Reg-ent data be used for Reporting to CMS?
Body: 

Reg-ent has already successfully reported PQRS 2016 for Reg-ent practices and will be the MIPS reporting tool of choice for otolaryngologists. Reg-ent will accomodate all required 2017 MIPS reporting categories, including Quality Performance, Advancing Care Information (ACI), and Improvement Activities (IA). 

Title: 
How will the Reg-ent registry help my practice with the Merit-based Incentive Payment System (MIPS) 2017 reporting?
Body: 

Reg-ent's enhanced technology platform will accomodate all required 2017 MIPS reporting categories including Quality Performance, Advancing Care Information (ACI), and Improvement Activities (IA). 

Title: 
By what date must I join Reg-ent to report MIPS 2017?
Body: 

July 15th was the last day for new practices to join Reg-ent and utilize the data integration method for Quality reporting for MIPS 2017. However, Reg-ent still has another MIPS reporting option. Sign a contract by October 3rd, 2017 to use the Reg-ent web entry tool for reporting the Quality Performance category of MIPS. The web entry tool requires manual entry of your patient and practice data and Reg-ent also continues to offer reporting of the Improvement Activities and Advancing Care Information categories.

Title: 
When will Reg-ent submit data to CMS?
Body: 

Submission of data to CMS will begin upon conclusion of the 2017 performance year from January 1, 2018 through March 31, 2018.

Title: 
Will I be able to track my performance, scores, and payment adjustments?
Body: 

Yes. Reg-ent participants will be able to view and track their scores in each reporting category within the Reg-ent MIPS dashboard and utilize a payment adjustment estimator to determine potential payment adjustments. 

All final payment adjustments are determined by the Center for Medicaid and Medicare Services (CMS) and will be applied in 2019 for the 2017 reporting year.

Title: 
When will the new Reg-ent MIPS dashboard be available for Reg-ent participants?
Body: 

The new Reg-ent MIPS dashboard will be available to practices this summer. 

Title: 
I use paper charts in my practice. Will Reg-ent be able to help me report MIPS 2017?
Body: 

Yes. For practices without EHR systems, Reg-ent will make available web entry tools for reporting MIPS 2017. Please note that without an EHR you will not be able to report the ACI category which requires the use of a 2014 or 2015 certified EHR. You will be able to report the Quality and IA categories via Reg-ent. Learn more.

Title: 
Will Reg-ent work with my EHR?
Body: 

Reg-ent is able to work with a wide variety of EHRs. Please visit Reg-ent's EHR vendor resource page for a complete listing of EHR vendors currently connected to Reg-ent. 

Direct extraction of data from the practice EHR is the most seamless means by which to pass data to the Reg-ent registry. 

NOTE: If your EHR data is in the cloud, or if you practice in a health system or academic medical center, the Reg-ent registry will work with both the practice and the EHR vendor to push your practice data to the Reg-ent registry. Pushing data requires active engagement from both the practice and the EHR vendor and fees may be charged by the EHR vendor to push the data to Reg-ent. 

Title: 
What are the costs for participating in Reg-ent?
Body: 
  • Application fee $250 per provider (one-time only)
  • Subscription fee $295 per provider annually 

Please contact reg-ent@entnet.org with pricing or enrollment questions. 

Title: 
How do I get started?
Body: 

Visit the Reg-ent sign-up portal to get started now: https://regent.entnet.org/Signup/registry.aspx

Make sure you have the following information at hand: 

  • AAO-HNS member ID numbers for all otolaryngologists and allergists at your practice
  • National Provider Identifier (NPI) numbers for each provider
  • Email addresses
  • The practice Tax Identification Number (TIN)
  • Practice location address(es)
  • Credit card or check details
Title: 
What can I expect in the first 6-12 months of Reg-ent?
Body: 

The first time measures are generated in your practice dashboard, it will be typical to have poor scores on most measures. This is often due to inconsistent data capture (not captured well, systematically, or put in the right place or right way), poor attribution (not clear which patients are in who's panel), lack of data capture (how lab results are reported), or lack of patient panel management processes (no mechanism to identify patients who haven't had immunizations, lab work, or a visit within prescribed time).

This is not unusual and is the reason why multiple mapping refinement calls are conducted. The goal is to assure better data capture, patient attribution and patient management.

Title: 
How can Reg-ent inform me about my patient population?
Body: 

You'll be able to monitor patient-level quality measures, track interventions, and evaluate outcomes at a population level.

Reg-ent allows users to run queries based on the demographics of otolaryngology patient populations in Reg-ent. It can help you answer questions such as: "What proportion of my patients has had Computerized Tomography (CT) for Acute Sinusitis?" and "What proportion of my patients has Pharmacologic Therapy for Persistent Asthma?"

Title: 
How is population management via Reg-ent different than via my EHR?
Body: 

Reg-ent is focused on specific measures and patient data only for those patients meeting the registry measures criteria. Therefore, the report run time is much quicker than that of an EHR, whose reporting functions are poorly developed and often cumbersome to use.

Title: 
Who will have access to my data?
Body: 

Reg-ent collects, stores and reports data on an otolaryngologist-head and neck surgeon's behalf, taking every measure possible to safeguard it. The AAO-HNSF's technology partner, FIGmd, is compliant with all local and federal regulations governing these areas, including HIPAA provisions and the recently updated provisions as part of the American Recovery and Reinvestment Act/Health Information Technology for Economic and Clinical Health Act.

Title: 
How will the AAO-HNSF use the data in Reg-ent?
Body: 

The AAO-HNSF is working towards developing performance measures that will accurately track both the otolaryngology patient population as well to support the depth and breadth of the specialty. Data will be used to formulate and test the measures developed.

We will also be creating quality benchmarks so that you can compare your outcomes, and study whether or not quality improvement is necessary to improve quality across the specialty. We will also engage in research, identify gaps in care to fuel the development of additional measures and to support testing Clinical Practice Guidelines.

Lastly, the data in Reg-ent will be utilized to prepare for MIPS and Alternative Payment Models.

Title: 
Will data from Reg-ent be used by any health plans to evaluate members’ performance?
Body: 

No. Any reporting of your data or your measures will be under your control or with your permission.

Title: 
What are the time commitments for my office staff?
Body: 

The aim of Reg-ent is ease of use. It is designed to require minimal effort from your staff. EHR integration typically requires one to two hours per week for three to four weeks from IT staff to assist in the installation and mapping process.

Following installation, no additional work is required unless the practice's EHR software is updated or changed, which could require repeat of the installation and mapping process.

Title: 
Do you have to be an AAO-HNS Member to participate in Reg-ent?
Body: 

To participate in Reg-ent, all otolaryngologists and allergists must be current members of the AAO-HNS.  Each Reg-ent applicant will be validated for membership during the sign-on process.  If you have any questions regarding membership status, please email the AAO-HNS Membership Services department at memberservices@entnet.org.

Non-physician providers do not need to become AAO-HNS members to participate in Reg-ent.

Title: 
Is Reg-ent available to other clinicians in my practice?
Body: 

All U.S.-based practicing physicians are welcome to join Reg-ent. Physicians who are not otolaryngologist head and neck surgeons are welcome to join AAO-HNS as Associate Members. If you have any questions regarding membership status, please email the AAO-HNS Membership Services department at memberservices@entnet.org.

Title: 
Can academic medical practices participate in Reg-ent?
Body: 

Any U.S.-based practicing Member of the AAO-HNS, regardless of practice setting, can participate in Reg-ent.

Title: 
Are all AAO-HNS Members in the U.S. expected to participate?
Body: 

Participation in Reg-ent is encouraged. Participation will help improve the quality of care provided by not only their individual practices but by the profession as a whole and it will facilitate broader discussions with regulators and private payers that will help the AAO-HNSF best represent your interests.

Title: 
Do all physicians in a practice need to participate in Reg-ent?
Body: 

It is not required that all otolaryngologists participate, but participation by all otolaryngologists in the practice is strongly encouraged. Participation by all otolaryngologists in the practice will help generate data that most accurately reflects the entire practice's performance.

Please note that AAO-HNS membership is required for all otolaryngologists within a practice, whether or not they are participating in Reg-ent.

Title: 
How can Reg-ent be used for research?
Body: 

The AAO-HNSF plans to use aggregate data in the future to facilitate research by members and for the testing of adherence to Clinical Practice Guidelines.

Title: 
Will the AAO-HNSF create additional clinical data registry modules?
Body: 

Future modules beyond MIPS reporting are already in process including Maintenance of Certification Part IV and device surveillance.

Title: 
How will the focus of new registry modules be decided?
Body: 

Registry topics will be determined by the leadership of the AAO-HNSF with input from the Reg-ent Executive Committee.

Title: 
How do I submit suggestions related to the registry and recommendations for new topics?
Body: 

Send an email to reg-ent@entnet.org.

Title: 
Does Reg-ent have any relationship to continuing medical education?
Body: 

Reg-ent may be utilized in the future for MOC, MOL, and as a means to identify performance gaps to support education that improves the quality of care.