2014 AANS Annual Report - page 35

2014
ANNUAL REPORT
35
The N
2
QOD Lumbar Spine Registry is now into its third year. The Lumbar Spine Module was launched on
February 22, 2012, in three academic sites. By fiscal-year end, N
2
QOD had more than 11,000 patients
enrolled in the Spine registry, and by July, had more than one million independent variables collected
across 40 participating sites. At the end of fiscal year 2014, there were 50 contracted sites. NPA obtained
determination from the U.S. Department of Health and Human Services’ (HHS) Office for Human Research
Protections (OHRP) that N
2
QOD program activities do not constitute as human subject research and
therefore informed consent is not necessary, at least by OHRP guidance. To date, 53 institutions have
completed all phases of IRB and internal quality review. Of these, only one center has a requirement for
written consent, while all other N
2
QOD sites are participating with waiver of written informed consent for
obtaining patient-reported outcomes.
The N
2
QOD Lumbar Module presented one-year predictive data on April 9, 2014, at the AANS Annual
Scientific Meeting in San Francisco. The presentation, titled, “National Neurosurgery Quality and Outcomes
Database (N
2
QOD): Interim Results and Predictors of Persistent 12 month Disability Following Lumbar
Surgery,” is available on the
.
With the rapid growth of the N
2
QOD spine registry, NPA began to focus on ways to optimize data collection
through data automation and data integration with the electronic medical record (EMR). N
2
QOD’s data
integration initiative was highlighted in the
. N
2
QOD was also
featured in
, and in
.
The N
2
QOD Cerebrovascular (CV) Module began its pilot phase in February 2014 within two centers. The
pilot will expand to three additional centers in July 2014, and it is expected the CV Module will be available
for all sites by end of summer 2014. The N
2
QOD Spinal Deformity Module was developed with the Scoliosis
Research Society (SRS) in May 2014 and is undergoing review by the N
2
QOD Scientific Committee. It is
anticipated that the Spinal Deformity Module will be available in early Fall 2014. A Brain Tumor module is
in development intended for piloting by fall of 2015. The highly anticipated Essentials Module will provide
basic safety and quality data to the individual neurosurgeon, while also satisfying reporting requirements
including Maintenance of Certification (MOC) and Physician Quality Reporting System (PQRS). The
Essentials Module is a high priority for 2015.
In May 2014, the N
2
QOD became an approved Centers for Medicare and Medicaid Services (CMS) 2014
Physician Quality Reporting System (PQRS) registry vendor, marking NPA’s second year as a PQRS
registry vendor. The N
2
QOD reports quality data to CMS on behalf of participating physicians through the
Perioperative Care Measures Group.
A notable project in opinion research was conducted by the NeuroPoint Alliance in 2013. The NeuroPoint
Alliance was approached by Oslo University Hospital in Norway with a request for an expert committee
to evaluate its use of a procedure, Intracranial Pressure (ICP) amplitude. The NPA convened a panel
that included experts in cerebrovascular surgery, neuro-critical care and neuro-engineering. The panel
conducted a review of 12 journal articles on the use of monitoring ICP wave in specific neurosurgical
patients, and provided an evaluation in a final manuscript to Oslo University in May 2014.
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