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.
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.
In the near future, Reg-ent will require practices to have an EHR system in order to participate in Reg-ent for the MIPS reporting services. As CMS continues to add requirements to the promoting interoperability category (PI), it is ideal for practices to participate with an EHR to achieve receiving the maximum points and in turn, be awarded a positive payment adjustment.
Reg-ent’s enhanced technology platform accommodates reporting for all required MIPS categories including Quality, Promoting Interoperability (formerly known as Advancing Care Information), and Improvement Activities (IA). Learn more.
Reg-ent participants are able to view and track their scores in each reporting category within the Reg-ent MIPS dashboard.
All final payment adjustments are determined by the Centers for Medicare and Medicaid Services (CMS) and will be applied in 2021 for the 2019 reporting year.
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.
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
The practice Tax Identification Number (TIN)
Practice location address(es)
Credit card or check details
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.
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?”
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.
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.
The AAO-HNSF is working to develop more performance measures that will accurately track both the otolaryngology patient population as well as 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.
*Any reporting of your data or your measures will be under your control or with your permission*
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.
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 [email protected].
Non-physician providers do not need to become AAO-HNS members to participate in Reg-ent.
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 [email protected].
Any U.S.-based practicing Member of the AAO-HNS, regardless of practice setting, can participate in Reg-ent.
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.
Future modules beyond MIPS reporting are already in process including research, Maintenance of Certification, and device surveillance.
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