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Mohamad Bydon, MD

Recently appointed vice director for the NPA’s Quality

Outcomes Database (QOD), Mohamad Bydon, MD, works with

senior leadership to provide clinical oversight for the Quality

Outcomes Database (QOD) registry in the areas of data

management, integration, analysis, reporting and quality

control. In this role and working with QOD’s Practice Based

Learning Network, he has developed education materials

for the registry and facilitated training seminars for QOD

registry centers.

Dr. Bydon was also instrumental in the refinement of QOD Spine Registry data

collection processes, providing essential input on the areas of inclusion/exclusion

criteria, the auditing plan and other quality control areas and contributed to the

development of the first neurosurgery-specific spine measures for the Centers for

Medicaid & Medicare’s Physician Quality Reporting System (PQRS) and development of

the NPA’s QOD Qualified Clinical Data Registry (QCDR) in 2015 and continuing in 2016.

When asked why he has become so involved with the NPA’s initiatives, he said

“Although well-intentioned, the regulatory burden is posing challenges for many

physicians who enjoy taking care of patients and want patient care to be their primary

focal point. Physicians have historically, and for good reason, directed their time and

attention to treating patients and have left the external variables to others. Today, with

increasingly limited resources for health care and with unfunded regulatory mandates,

there are expectations that physicians engage health care policy decision makers. The

surgical specialties in particular have been tasked with providing outcomes data that

demonstrate the value of their particular interventions.

“The triangle of health care rests on cost, quality and access. You can maximize two

of these three; but it is nearly impossible to maximize all three. As cost containment

efforts come into play, either quality will decrease or access will become more limited.

Regulators are asking for high quality at low cost with full access. One example of

the imbalance is the cardiac surgery in New York where outcome data penalized

those doing the most complex cases to a point where it became difficult for high-risk

patients to get heart surgery. These are the unintended consequences of regulations

that do not include physician input.”