ACTION Registry™ACTION Registry™

American College of Cardiology FoundationAmerican College of Cardiology FoundationWashington, DCWashington, DC

Duke Clinical Research InstituteDuke Clinical Research InstituteDurham, NCDurham, NC

ObjectivesObjectives• Provide an overview of the NCDR™ and the ACTION Provide an overview of the NCDR™ and the ACTION

Registry™Registry™• Learn how to become a participantLearn how to become a participant• Review data inclusion criteria and patient Review data inclusion criteria and patient

identificationidentification• Review the Data Collection Form (DCF) and Review the Data Collection Form (DCF) and

Electronic Data Capture (EDC)Electronic Data Capture (EDC)• Describe Quarterly Outcome Reports Describe Quarterly Outcome Reports • Summarize ACTION Registry™ participant resourcesSummarize ACTION Registry™ participant resources

ACTION Registry™ACTION Registry™

Overview of the NationalOverview of the NationalCardiovascular Data RegistryCardiovascular Data Registry

(NCDR™)(NCDR™)

NCDR™ mission is:NCDR™ mission is:

To be the leading provider of To be the leading provider of services to improve the quality of services to improve the quality of cardiovascular care through the cardiovascular care through the collection, analysis, and reporting collection, analysis, and reporting of data and providing educational of data and providing educational and research activities. and research activities.

NCDR™: OverviewNCDR™: Overview• Leader in Cardiovascular Health OutcomesLeader in Cardiovascular Health Outcomes• 1010thth year in operation year in operation• Four Registries: CathPCI, ICD, CARE, Four Registries: CathPCI, ICD, CARE,

ACTIONACTION• ICD Registry is the largest cardiovascular ICD Registry is the largest cardiovascular

registry in the world led by a specialty registry in the world led by a specialty organization (1400+ enrolled)organization (1400+ enrolled)

• 89 abstracts and manuscripts to date89 abstracts and manuscripts to date• Forging partnerships with specialty societiesForging partnerships with specialty societies

– HRS, SCAI, SIR, AANHRS, SCAI, SIR, AAN

NCDR™: Overview NCDR™: Overview (cont’d)(cont’d)

• P4P - Government, Insurers, Regulators and P4P - Government, Insurers, Regulators and Healthcare Providers are relying on the NCDR Healthcare Providers are relying on the NCDR for quality datafor quality data– Meet Pay for Performance Quality Meet Pay for Performance Quality

RequirementsRequirements– CMS - Coverage with Evidence CMS - Coverage with Evidence

DevelopmentDevelopment– Meet State/Regulatory RequirementsMeet State/Regulatory Requirements– Quality ImprovementQuality Improvement– New age of “Prove It”New age of “Prove It”

ACTION Registry™ACTION Registry™

Program OverviewProgram Overview

ACTION Registry™ACTION Registry™

AAcute cute CCoronary oronary TTreatment and reatment and IIntervention ntervention OOutcomes utcomes NNetworketwork

Registry PurposeRegistry Purpose

• Create a national surveillance system for ACS Create a national surveillance system for ACS (STEMI/NSTEMI) (STEMI/NSTEMI)

• Facilitate efforts to improve the quality and Facilitate efforts to improve the quality and safety of ACS caresafety of ACS care

• Optimize the outcomes and management of Optimize the outcomes and management of ACS patients ACS patients – Translate evidence-based guidelines into Translate evidence-based guidelines into

clinical practiceclinical practice– Investigate quality improvement methodsInvestigate quality improvement methods

Registry ObjectivesRegistry Objectives

• Monitor the characteristics, treatments, and Monitor the characteristics, treatments, and outcomes of patients hospitalized with Acute outcomes of patients hospitalized with Acute Coronary Syndromes (STEMI/NSTEMI)Coronary Syndromes (STEMI/NSTEMI)

• Improve adherence to the ACC/AHA STEMI and Improve adherence to the ACC/AHA STEMI and NSTEMI guidelines recommendationsNSTEMI guidelines recommendations

• Explore the association between evidence-based Explore the association between evidence-based acute treatment strategies and risk-adjusted clinical acute treatment strategies and risk-adjusted clinical outcomesoutcomes

Registry Objectives Registry Objectives (cont’d)(cont’d)

• Assess utilization of diagnostic imaging and Assess utilization of diagnostic imaging and laboratory tests and invasive procedures, and track laboratory tests and invasive procedures, and track hospital/coronary care unit length of stay datahospital/coronary care unit length of stay data

• Assess utilization of evidence-based discharge Assess utilization of evidence-based discharge medications and risk factor modification interventionsmedications and risk factor modification interventions

• Assess trends in medication dosing patterns and Assess trends in medication dosing patterns and improve drug safety through targeted quality improve drug safety through targeted quality feedback related to medication overdosingfeedback related to medication overdosing

Registry ObjectivesRegistry Objectives (cont’d) (cont’d)

• Identify barriers to implementing guidelines Identify barriers to implementing guidelines recommendations for patients with ACS and develop recommendations for patients with ACS and develop effective strategies to overcome these barrierseffective strategies to overcome these barriers

• Provide a valuable resource for research designed to Provide a valuable resource for research designed to improve the treatment and outcomes for patients with improve the treatment and outcomes for patients with ACSACS

• Facilitate data collection for use in JCAHO core Facilitate data collection for use in JCAHO core measures reporting requirements and for other measures reporting requirements and for other performance measuresperformance measures

Hospital signs a Hospital signs a participation agreementparticipation agreement

1. 2. Select aSelect aCertifiedCertifiedSoftwareSoftware

Vendor or useVendor or useEDCEDC

3. SubmitSubmitdatadata

quarterlyquarterly4. ReceiveReceive

quarterly quarterly benchmarkbenchmark

reportsreports

ACTION REGISTRY™ Program WorksACTION REGISTRY™ Program Works

Collect Data

ACTION Registry™ACTION Registry™

Enrollment ProcessEnrollment Process

Enrollment ProcessEnrollment Process

Step 1: Download the NCDR-ACTION Registry™ enrollment packet

www.accncdr.owww.accncdr.orgrgACTION Registry™…….How to Join

– Enrollment Packet includes:Enrollment Packet includes:• Enrollment Letter, Enrollment Letter, • Master Agreement, Master Agreement, • ACTION Registry™ Specific Addendum, and ACTION Registry™ Specific Addendum, and • Participant Contact Information SheetParticipant Contact Information Sheet

…Then Submit These Documents

If as of today your are participating in these Registries …

NCDR Participant

Master Agreement

ACTION RegistryStandard

Addendum

ACTION RegistryCRUSADE Addendum

Participant Contact

Information Form

NCDR™ X X

NCDR™ and NRMI X X

NCDR™ and CRUSADE

X X

NCDR™ and NRMI and CRUSADE

X X

NRMI Only X X X

CRUSADE Only X X X

New Enrollees X X X

Enrollment ProcessEnrollment Process

Step 2: Complete your enrollment packet and submit the materials to the NCDR™

• Allow 10 to 14 business days for delivery of your enrollment materials.

** Please note there is no charge for enrollment in ** Please note there is no charge for enrollment in the ACTION Registry™. **the ACTION Registry™. **

Enrollment ProcessEnrollment Process

    Step 3: Receive welcome kit Complete online tool tutorial

Questions???? Contact NCDR™ Email: ncdr@acc.org

Please include your full name, institution name, address, phone number and fax number

IRB ConsiderationsIRB Considerations

• Discuss with your IRB whether review is Discuss with your IRB whether review is requiredrequired– If deemed QI initiative – exempt from reviewIf deemed QI initiative – exempt from review– If deemed observational research – eligible If deemed observational research – eligible

for expedited review, with waiver of consent for expedited review, with waiver of consent and authorizationand authorization

• HIPAA compliance addressed via HIPAA HIPAA compliance addressed via HIPAA appendix of site agreementappendix of site agreement

ACTION Registry™ACTION Registry™

Inclusion CriteriaInclusion Criteria

Inclusion CriteriaInclusion Criteria

• Ischemic symptoms lasting Ischemic symptoms lasting 10 minutes at 10 minutes at rest within 24 hours prior to arrivalrest within 24 hours prior to arrival

• Presentation for Presentation for initialinitial ischemic event (i.e. ischemic event (i.e. not new onset after admission)not new onset after admission)

• If incoming transfer – arrival at ACTION If incoming transfer – arrival at ACTION hospital within 24 hours of initial hospital within 24 hours of initial presentation to first facilitypresentation to first facility

And…And…

Inclusion Criteria Inclusion Criteria (cont’d)(cont’d)

• STEMI:STEMI:– Sustained ST-segment elevation Sustained ST-segment elevation 1 mm 1 mm

in two or more contiguous leadsin two or more contiguous leads– New left bundle branch block (LBBB)New left bundle branch block (LBBB)

• NSTEMINSTEMI– Positive cardiac markers in the absence Positive cardiac markers in the absence

of the above ECG changesof the above ECG changes– May exhibit other ECG changes, but not May exhibit other ECG changes, but not

required for enrollmentrequired for enrollment

Patient Identification StrategiesPatient Identification StrategiesRetrospective vs. ProspectiveRetrospective vs. Prospective

• Retrospective – after patient dischargeRetrospective – after patient discharge• Prospective – during hospitalizationProspective – during hospitalization• Some methods work with either approach (e.g. Some methods work with either approach (e.g.

cardiac marker review)cardiac marker review)• Some methods more effective with one approach Some methods more effective with one approach

than with another (e.g. ICD-9 codes)than with another (e.g. ICD-9 codes)

Patient Identification StrategiesPatient Identification StrategiesICD-9 Codes and Patient BillingICD-9 Codes and Patient Billing

• Typically retrospective; typically primary dxTypically retrospective; typically primary dx• Review admission/discharge diagnosis ICD-9 Review admission/discharge diagnosis ICD-9

codescodesAcute MI Acute MI (specified site)(specified site) 410.0 - 410.6410.0 - 410.6NSTE MI NSTE MI (subendocardial infarction)(subendocardial infarction) 410.7410.7Other STEMI Other STEMI (non-specified site)(non-specified site) 410.8 410.8 Other MI Other MI (non-specified site)(non-specified site) 410.9410.9

• Review Patient Billing for CCU, ICU, telemetry Review Patient Billing for CCU, ICU, telemetry unit, cardiac floor, and laboratory chargesunit, cardiac floor, and laboratory charges

• Points to considerPoints to consider– Most common and thorough screening methodMost common and thorough screening method– Involves only MR or billing departmentInvolves only MR or billing department– May be done any timeMay be done any time– May be lag time between patient discharge May be lag time between patient discharge

and availability of chart or billing dataand availability of chart or billing data

Patient Identification StrategiesPatient Identification StrategiesICD-9 Codes andICD-9 Codes and Patient BillingPatient Billing (cont’d)(cont’d)

Patient Identification StrategiesPatient Identification StrategiesA Note about Using Codes/BillingA Note about Using Codes/Billing

• ICD-9 and billing codes are a means by which to ICD-9 and billing codes are a means by which to generate a list of generate a list of potentially eligiblepotentially eligible patients patients

• Relevant coding is not enough to indicate eligibility Relevant coding is not enough to indicate eligibility – must review chart to verify presence of inclusion – must review chart to verify presence of inclusion criteriacriteria

Patient Identification StrategiesPatient Identification StrategiesLab ResultsLab Results

• Retrospective or prospectiveRetrospective or prospective• Screen for patients with elevated cardiac Screen for patients with elevated cardiac

marker levels (i.e. CK-MB or Troponin)marker levels (i.e. CK-MB or Troponin)• Points to considerPoints to consider

– Identifies patients with tests specific to Identifies patients with tests specific to suspected ACSsuspected ACS

– Patients with ACS may not undergo early Patients with ACS may not undergo early cardiac syndrome testingcardiac syndrome testing

Patient Identification StrategiesPatient Identification StrategiesCollaboration within Your HospitalCollaboration within Your Hospital

• Typically prospectiveTypically prospective• Review daily ED, chest pain unit, CCU, Review daily ED, chest pain unit, CCU,

telemetry floor admission logstelemetry floor admission logs– Chest pain, MI, r/o MIChest pain, MI, r/o MI– Elevated cardiac markers, dynamic ECG Elevated cardiac markers, dynamic ECG

changeschanges– Rapid, bedside troponin assays in the EDRapid, bedside troponin assays in the ED– Manual triggers for unit nursing staffManual triggers for unit nursing staff

• Review daily cath lab schedule for urgent/ emergent Review daily cath lab schedule for urgent/ emergent cathscaths

• Work with clinical trials coordinators screening a similar Work with clinical trials coordinators screening a similar patient populationpatient population– Procedures/medications dictated by clinical trial will Procedures/medications dictated by clinical trial will

not adversely affect adherence scoresnot adversely affect adherence scores– Patients excluded from clinical trials due to co Patients excluded from clinical trials due to co

morbidities, etc. likely still eligible for ACTIONmorbidities, etc. likely still eligible for ACTION

Patient Identification StrategiesPatient Identification StrategiesCollaboration within Your HospitalCollaboration within Your Hospital (cont’d)(cont’d)

• Points to considerPoints to consider– Narrows number of charts to pull vs. Narrows number of charts to pull vs.

retrospective review of codes/billingretrospective review of codes/billing– Logs readily availableLogs readily available– Admission diagnosis may not be accurateAdmission diagnosis may not be accurate– Would need to ensure that all possible Would need to ensure that all possible

patient entry points are screenedpatient entry points are screened

Patient Identification StrategiesPatient Identification StrategiesCollaboration within Your HospitalCollaboration within Your Hospital (cont’d)(cont’d)

ACTION Registry™ACTION Registry™

Data Collection Form (DCF) andData Collection Form (DCF) andElectronic Data Capture (EDC)Electronic Data Capture (EDC)

Data Capture MethodsData Capture Methods• Currently v1.0 – Web-based data entry via DCRI Registry Currently v1.0 – Web-based data entry via DCRI Registry

SystemSystem– No charge for ACTION participantsNo charge for ACTION participants– Save records as complete by appropriate data deadline to Save records as complete by appropriate data deadline to

submit for quarterly harvestsubmit for quarterly harvest• v2.0 – Anticipated release early 2008 (vendors will be v2.0 – Anticipated release early 2008 (vendors will be

engaged in the process accordingly)engaged in the process accordingly)• Sites will be able to choose desired data capture method as Sites will be able to choose desired data capture method as

options become availableoptions become available

Web-based Data CollectionWeb-based Data Collection

• Site responsible for assigning patient numbers, Site responsible for assigning patient numbers, entering own data via Internetentering own data via Internet

• Data collected include:Data collected include:– Patient risk factors/presenting symptomsPatient risk factors/presenting symptoms– Use of medications, invasive proceduresUse of medications, invasive procedures– In-hospital clinical outcomes In-hospital clinical outcomes

• Built-in queries fire during data entry and upon Built-in queries fire during data entry and upon submission of complete recordsubmission of complete record

Patient TrackingPatient Tracking• KEEP A PATIENT LOGKEEP A PATIENT LOG

– Medical record numberMedical record number– Arrival dateArrival date– ACTION patient ID (unique, 4 digits)ACTION patient ID (unique, 4 digits)

• System will not allow duplicate IDsSystem will not allow duplicate IDs

• Separate admissions for same patient may be Separate admissions for same patient may be submitted using different patient IDs – each submitted using different patient IDs – each admission must qualify independentlyadmission must qualify independently

• Patient ID should NOT be associated with patient Patient ID should NOT be associated with patient identifiers (e.g. MR #, DOB, SSN)identifiers (e.g. MR #, DOB, SSN)

Medications Medications First 24 Hours of CareFirst 24 Hours of Care

• First 24 hours of care is cumulative (i.e. First 24 hours of care is cumulative (i.e. transferring hospital, EMS, physician’s office, transferring hospital, EMS, physician’s office, participating hospital)participating hospital)

• 24-hour clock starts at beginning of 24-hour clock starts at beginning of firstfirst encounter encounter• Document all meds given, regardless of patient Document all meds given, regardless of patient

locationlocation• Meds taken at home and not repeated until the Meds taken at home and not repeated until the

following day – check “Yes” for following day – check “Yes” for bothboth Home Meds Home Meds and Meds in First 24 Hours of Treatmentand Meds in First 24 Hours of Treatment

• Transfers out, deathsTransfers out, deaths– Discharge meds and rec’s may be left blankDischarge meds and rec’s may be left blank– Excluded programmatically – should Excluded programmatically – should notnot be be

recorded as contraindicationsrecorded as contraindications• Patients signing out AMAPatients signing out AMA

– Allowed d/c teaching and/or accepted rx’s – Allowed d/c teaching and/or accepted rx’s – document as usual in DCFdocument as usual in DCF

– Refused or was unavailable for d/c teaching and Refused or was unavailable for d/c teaching and rx’s – document as contraindicationrx’s – document as contraindication

MedicationsMedicationsDischarge vs. Transfer/Death/AMADischarge vs. Transfer/Death/AMA

• A patient not “needing” a medication or secondary A patient not “needing” a medication or secondary prevention measure is not a contraindicationprevention measure is not a contraindication

• Record contraindications as documented in the Record contraindications as documented in the medical recordmedical record

• DCRI programming will determine whether or not DCRI programming will determine whether or not the patient is in the recommended population the patient is in the recommended population

e.g. Smoking counseling in a non-smoker is deemed e.g. Smoking counseling in a non-smoker is deemed “not applicable” by programming“not applicable” by programming

MedicationsMedicationsContraindication vs. Recommended Contraindication vs. Recommended PopulationPopulation

• Patients given one class of med likely will not be Patients given one class of med likely will not be given a similar class alsogiven a similar class also-- ACE inhibitor vs. ARB -- Statin vs.-- ACE inhibitor vs. ARB -- Statin vs. non-statinnon-statin

• DCRI programming gives credit in adherence DCRI programming gives credit in adherence scoring for use of scoring for use of eithereither class of medication class of medication– Documentation of ACEI or ARB fulfills the quality Documentation of ACEI or ARB fulfills the quality

indicator for “ACEI/ARB”indicator for “ACEI/ARB”– Documentation of statin or non-statin fulfills the Documentation of statin or non-statin fulfills the

quality indicator for “lipid-lowering agent”quality indicator for “lipid-lowering agent”

MedicationsMedications“Interchangeable” Meds“Interchangeable” Meds

Optional DCF FieldsOptional DCF Fields

• Appear at the end of the online DCFAppear at the end of the online DCF• Site may use fields any way they chooseSite may use fields any way they choose• Recommend using simplified code list to track Recommend using simplified code list to track

data of interest to minimize variance between data of interest to minimize variance between recordsrecords

• DCRI does not know how site uses these DCRI does not know how site uses these fields, will not review fields unless site requests fields, will not review fields unless site requests assistanceassistance

ACTION Registry™ACTION Registry™

Data Quality ReportsData Quality Reports

Data Quality ReportsData Quality Reports

• Data Quality Report (DQR) posted at regular Data Quality Report (DQR) posted at regular intervals in Reports section of data entry websiteintervals in Reports section of data entry website

• Designed to highlight patterns in data collection Designed to highlight patterns in data collection that may or may not be of concernthat may or may not be of concern

• Site has option of correcting data using itemized Site has option of correcting data using itemized list of potential errorslist of potential errors

• Corrections made prior to quarterly harvest Corrections made prior to quarterly harvest improve data reliability for analysis, and are improve data reliability for analysis, and are reflected on subsequent data quality reportsreflected on subsequent data quality reports

Data Submission TimelinesData Submission Timelines• Harvest timing – records saved as complete Harvest timing – records saved as complete

within one month after the end of the quarterwithin one month after the end of the quarter• Corrections based on DQR made prior to Corrections based on DQR made prior to

harvest are incorporated into outcomes reportsharvest are incorporated into outcomes reports

Saved As Saved As QuarterQuarter Discharge DatesDischarge Dates Complete By Complete By Q1Q1 January, February, March January, February, March April 30 April 30thth

Q2Q2 April, May, June April, May, June July 31 July 31stst

Q3Q3 July, August, September July, August, September October 31 October 31stst

Q4Q4 October, November, December January 31 October, November, December January 31stst

ACTION Registry™ACTION Registry™

Outcome ReportsOutcome Reports

Quarterly Outcome ReportsQuarterly Outcome ReportsData Reporting to SitesData Reporting to Sites

• Quarterly Outcome Reports to sites regarding Quarterly Outcome Reports to sites regarding adherence to ACC/AHA Guidelinesadherence to ACC/AHA Guidelines– Focused on the ACC/AHA Guidelines treatment Focused on the ACC/AHA Guidelines treatment

& management recommendations& management recommendations– Site confidentiality maintained – data supplied Site confidentiality maintained – data supplied

back to sites in a blinded fashion back to sites in a blinded fashion – Provides sites with benchmark performance Provides sites with benchmark performance

datadata

Quarterly Outcome ReportsQuarterly Outcome ReportsGenerationGeneration

• Data harvested on quarterly basis according to Data harvested on quarterly basis according to data submission scheduledata submission schedule

• Analysis performed at DCRIAnalysis performed at DCRI• Paper and electronic copies producedPaper and electronic copies produced• Electronic copies sent to ACCF for posting on Electronic copies sent to ACCF for posting on

NCDR participant website (password-protected)NCDR participant website (password-protected)

Quarterly Outcome ReportsQuarterly Outcome ReportsContentsContents

• Dashboard: Summary of aggregate (average) Dashboard: Summary of aggregate (average) adherence scores over previous 12 monthsadherence scores over previous 12 months

• Trend graphs: Summary of adherence scores Trend graphs: Summary of adherence scores over previous 12 months, plotted quarterlyover previous 12 months, plotted quarterly

• Descriptive tables: All data collected on DCFDescriptive tables: All data collected on DCF• Subgroup tables: Medication quality indicators Subgroup tables: Medication quality indicators

over previous 12 months, by subgroupover previous 12 months, by subgroup

Quarterly Outcome ReportsQuarterly Outcome ReportsDashboard/Executive SummaryDashboard/Executive Summary

Quarterly Outcome ReportsQuarterly Outcome ReportsTrend GraphsTrend Graphs

Quarterly Outcome ReportsQuarterly Outcome ReportsDescriptive TablesDescriptive Tables

Quarterly Outcome ReportsQuarterly Outcome ReportsSubgroup TablesSubgroup Tables

ACTION Registry™ACTION Registry™

D-2-B AllianceD-2-B Alliance

D-2-B: An Alliance for QualityD-2-B: An Alliance for Quality

American College of Cardiology (ACC)American College of Cardiology (ACC)

American Heart Association (AHA) American Heart Association (AHA)

National Heart Lung and Blood Institute (NHLBI)National Heart Lung and Blood Institute (NHLBI)

D-2-B: An Alliance for QualityD-2-B: An Alliance for QualityGoal – Hospitals treating STEMI patients with Goal – Hospitals treating STEMI patients with

emergency PCI should reliably achieve a door-to-emergency PCI should reliably achieve a door-to-balloon time of 90 minutes or lessballoon time of 90 minutes or less

• Guidelines Applied in Practice (GAP) programGuidelines Applied in Practice (GAP) program

– Provides hospitals with six key evidence-based Provides hospitals with six key evidence-based strategies and supporting tools needed to begin strategies and supporting tools needed to begin reducing their door-to-balloon times. reducing their door-to-balloon times.

– Focuses on reducing the door-to-balloon times Focuses on reducing the door-to-balloon times in U.S. hospitals performing primary PCI. in U.S. hospitals performing primary PCI. 

D-2-B: An Alliance for QualityD-2-B: An Alliance for Quality• Improve on CMS/JCAHO core measure results. Improve on CMS/JCAHO core measure results. • Learn from and share with the D2B community of Learn from and share with the D2B community of

hospitalshospitals• Continuing Education Credits Continuing Education Credits

– ABIM Credit - 20 Maintenance of Certification (MOC-4) ABIM Credit - 20 Maintenance of Certification (MOC-4) points points

– CME Credit - 20 Category 1 CME credits CME Credit - 20 Category 1 CME credits – CE Credit – submitted requestCE Credit – submitted request

• Strategic Partners Focus on D2BStrategic Partners Focus on D2B• Publicity for your hospital and D2B team Publicity for your hospital and D2B team • No cost to hospitals No cost to hospitals • It’s the right thing to do for the STEMI patients! It’s the right thing to do for the STEMI patients!

D-2-B: An Alliance for QualityD-2-B: An Alliance for Quality

• Internal reporting D-2-BInternal reporting D-2-B– Can use ACTION RegistryCan use ACTION Registry™ or ™ or CathPCI CathPCI

RegistryRegistry™™– IHI D-2-B web base tool available IHI D-2-B web base tool available

• More information or to join:More information or to join:– Email Email d2bstaff@acc.orgd2bstaff@acc.org – Join at www.d2b.acc.orgJoin at www.d2b.acc.org

ACTION Registry™ACTION Registry™

Program ResourcesProgram Resources

Resources and ReferencesResources and ReferencesHelp Desk: NCDRHelp Desk: NCDR™™ team – first-line triage for site team – first-line triage for site

questionsquestions– Basic project questions resolved by NCDR™ Basic project questions resolved by NCDR™

“help desk”“help desk”– Contract questions referred to ACC legal teamContract questions referred to ACC legal team– Clinical, data questions, IT questions referred Clinical, data questions, IT questions referred

to DCRI teamto DCRI teamMonthly CallsMonthly Calls

• Orientation Calls and Site CallsOrientation Calls and Site Calls

Resources and References Resources and References (cont’d)(cont’d)

• Website:Website: www.accncdr.org/WebNCDR/Action/www.accncdr.org/WebNCDR/Action/– Public PagePublic Page– Private page – Login AccessPrivate page – Login Access

• Resource DocumentsResource Documents• FAQsFAQs

– Online “HELP” Online “HELP”

• Conferences and WorkshopsConferences and Workshops– Annual ConferenceAnnual Conference

• Orientation Mini Course - May 7, 2007 Orientation Mini Course - May 7, 2007 • Full Meeting - May 8 – 9, 2007 Full Meeting - May 8 – 9, 2007

– Fall Workshop: tbdFall Workshop: tbd

Resources and References Resources and References (cont’d)(cont’d)

Helpful Reference MaterialsHelpful Reference Materials Welcome KitWelcome Kit Program summary and/or overviewProgram summary and/or overview DCF and instructionsDCF and instructions EDC training manualEDC training manual FAQsFAQs Sample quarterly reportSample quarterly report

Contact Us!Contact Us!Any Questions?Any Questions?

Call 800-257-4737Call 800-257-4737

oror

Email us atEmail us atncdr@acc.orgncdr@acc.org