N2QOD:NationalNeurosurgeryQualityandOutcomesDatabase
TreyMcClugageM.D.ResidentPhysician,PGY‐5
UABDepartmentofNeurosurgery
Disclosures
• None
• GeneralOverviewofN2QOD• Modules• Variables• UABExperience• PracticalApplications• HowtoGetInvolved
Outline
• Nationalclinicalregistry• Createdandmaintainedbyneurosurgeons• ManagedbyNeuroPoint Alliance• Datacollection/analysisperformedatVanderbilt(RedCap)
Overview
• Purpose:• Trackqualityofcareforcommonneurosurgicalprocedures
• Provideinfrastructureforanalyzingandreportingqualityofcare
• Goals:• Risk‐adjustedbenchmarksforcostandqualityofcare• Abilitytoanalyzemorbidityandoutcomesinrealtime• Comparativeeffectivenessofneurosurgicalprocedures• Facilitatetrials,evidenced‐basedmedicine
Overview
• Participants(National):• 386surgeons• 111hospitals
• 45%:Academic• 55%:Private• 75%:Urban
• Practicesize:• 50%:3‐8members• 33%:>8members
Overview
• LumbarSpine• StartedFeb2012• >23,000patientsenrolled
• CervicalSpine• StartedMarch2013• >5000patientsenrolled
Modules
• SpinalDeformity• LaunchedDecember2014
• Vascular• LaunchedDecember2014
• Tumor• Anticipatedlaunch2016
• 30‐daysurgicalmorbidity/mortality• Adverseevents,returntosystem,returntoOR,etc.
• 3 monthand1year• Pain,disability,qualityoflife,andreturntowork• Patient‐reportedOutcomes
• ODI,EQ‐5D,VASscore,PatientSatisfactionScore
Follow‐Up
• Lumbar• >300patientsenrolled• 6surgeons• 1hospital
UABExperience
• Cervical• >100patientsenrolled• 4surgeons• 1 hospital
UABExperience
Co‐Morbidities
UABExperience
AdverseEvents
UABExperience
UtilizationandReturntoSystem
UABExperience
PatientSatisfaction
UABExperience
UABExperience
UABExperience
UABExperience
• Clinicaltrialdevelopment• Evidence‐basedmedicine• ApprovedasqualifiedclinicaldataregistryforMedicarePQRS• MethodforsatisfyingPQRSrequirements
• Reimbursement• Quality/outcomedataincreasinglytiedtoMedicarepayments
• Marketing
PracticalApplications
• ContactNeuroPoint Alliance• [email protected]• (847)378‐0549
• VisitWebsite• www.neuropoint.org
• Projects>QualityOutcomesDatabase(QOD)>I’mInterestedinParticipating
HowtoGetInvolved
• Imageslide4:www.neuropoint.org• Purpose/Goalscourtesyofhttp://www.neuropoint.org/en/NPA%20N2QOD.aspx/• Imageslide8:www.neuropoint.org/NeuroPoint Alliance• Datadervied fromRedCap/NeuroPoint AllianceQODQuarterlyReport(2/2012–
4/2014)• ThankstoDr.MelissaChambers,MeredithMiller,andKarlaWilliamsonfortheirhelp
withpreparingthispresentation
References/Acknowledgements