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42

2015 ANNUAL REPORT

The N

2

QOD spine registry was rounded out in December

2014 with the addition of the N

2

QOD Deformity

Module. The N

2

QOD Deformity Module was developed

jointly with the AANS/CNS Joint Section on Disorders

of the Spine and Peripheral Nerves and the Scoliosis

Research Society. It is currently offered as an extension to

the N

2

QOD Lumbar Module and is focused on non-

complex deformity cases. In 2015, the N

2

QOD Deformity

module will be further expanded, serving as a standalone,

comprehensive module that will include radiographic

imaging. By June 30, 2015, there were 14 centers

participating in the Deformity Module.

Also in December 2014, the NPA introduced its first

subspecialty module outside of spine, the N

2

QOD

Cerebrovascular (CV) Module. The CV Registry,

developed with the AANS/CNS Cerebrovascular Section,

was launched first to existing registry centers and then

opened to new centers in January 2015. The registry

collects data on treatment for aneurysm, arteriovenous

malformation, carotid stenosis, intra-arterial thrombolysis

or mechanical thrombectomy and intraparenchymal

hemorrhage. At the end of fiscal year 2015, there were

six centers participating in the CV module.

As the N

2

QOD registries grow, NPA continues to focus on

ways to optimize data collection through data automation

and data integration with the electronic medical record

(EMR). Pilot projects that began in 2014 moved into

phase 2 testing in 2015, investigating automated data

entry from the EMR and methods for longitudinal data

collection, including patient portals.

Currently in development is a Brain Tumor Module for

N

2

QOD. Recognizing that not all practices have the

resources to participate in extensive longitudinal registries,

NPA continues to work on developing a module to

provide basic safety and quality data to the individual

neurosurgeon, while also satisfying public reporting

requirements, including MOC and PQRS.