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• Info@neuropoint.org• (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