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62

MAJOR INITIATIVES AND

ALLIANCES

REBRANDING: N

2

QOD BECOMES THE QUALITY OUTCOMES DATABASE

Five years ago, in an effort to meet the growing need for tools to measure and

promote quality care, NPA collaborated with several national stakeholders to create

an unprecedented program: the National Neurosurgery Quality and Outcomes Database

(N

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QOD). In 2016, N

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QOD expanded beyond the boundaries of its name. Now known as the

multi-specialty QOD-Lumbar Spine (including Deformity), QOD-Cervical Spine and QOD-

Neurovascular registries, any actively participating surgeon, practice group or hospital

system in the U.S. can contribute to and access aggregate quality and outcomes data

through a centralized, nationally-coordinated quality program.

Launched in February 2012, the QOD-

Lumbar Spine Registry had over 80

contracted centers with more than

25,000 patients enrolled in 69 sites at

the end of fiscal year 2016. The QOD-

Cervical Spine Registry launched in

March 2013 and at the end of June 2016

had 53 active centers with nearly 9,500

patients enrolled. In December 2014,

the QOD expanded its spine registry

to accommodate the inclusion of mild

to moderate lumbar spinal deformity

cases. The QOD is the largest U.S. multi-

institutional spine registry and provides its participating physicians with access to the

information necessary to make the best data-driven decisions.

The NPA chose Vanderbilt University Medical Center (VUMC), one of the nation’s leading

centers in health services research and medical informatics, to provide data coordination,

analysis and reporting services for the QOD registries. Given the complexities of spine

procedures, QOD has created an extraordinary measurement system to track patient

data. Spine surgery had never before been broadly characterized in a comprehensive,

prospective national database. NPA has strong analytic support from VUMC to manage

QOD data and translate that learning into real outcome changes for patients.

“It was very insightful for the NPA to drop ‘Neurosurgery’

from the title and call the registry QOD going forward

and to open up the registry to other specialties like pain

management to help them assess their quality. It was

also helpful that certain exclusion criteria were relaxed

which will allow our site and others to enroll more of our

patients in the registry,” said Stacey Snodgrass, clinical

manager at the University of Oklahoma Health Sciences

Center, Department of Neurology & Neurosurgery.