2013 AANS Annual Report - page 23

he AANS is dedicated to advancing the specialty of neurological surgery in order to promote the highest
quality of patient care. In support of this mission, the AANS, in cooperation with other neurological
societies including the Congress of Neurological Surgeons (CNS), Society of Neurological Surgeons (SNS)
and the American Board of Neurological Surgery (ABNS), created the NeuroPoint Alliance (NPA) in 2008. NPA is
a not-for-profit 501(c)(6) corporation dedicated to the coordination of a variety of national projects involving the
acquisition, analysis and reporting of clinical data from neurosurgical practice, using online technologies.
NPA is designed to meet the quality care and research needs of a broad range of health-
care stakeholders, including individual practitioners, practice groups, national professional
organizations, health-care plans and the biomedical industry. Studies can include randomized
trials, registries, post-marketing surveillance of new devices and opinion research. The
include outcomes research; universal data reporting requirements for maintenance
of certification (MOC), maintenance of licensure (MOL) and the physician quality reporting system
(PQRS); and local and national quality-improvement efforts.
NPA, teaming with Outcome/Quintiles, serves as the data collection agency for the ABNS candidate
case logs and Maintenance of Certification (MOC) part 4 key case reporting requirements. NPA
continues working with the ABNS regarding refinements to its existing MOC program. “We expect
services NPA provides for the ABNS will increase in the future as the MOC part
4 process evolves toward an outcomes registry-based process,” said NPA President Ro
Harbaugh, MD, FAANS. “Other opportunities in regard to data collection, storage and feedback for
the Society of Neurological Surgeons Portal project are also being considered.”
The NPA’s most significant initiative in fiscal year 2013 was the National Neurosurgery Quality and Outcomes
Database (N
QOD), a prospective clinical registry designed to address the need for high-quality patient outcomes
data related to care of patients with neurosurgical disorders. The N
QOD tracks, analyzes and reports on the
quality of surgical care for the most common neurosurgical procedures. NPA works with the Vanderbilt Institute
for Medicine and Public Health (VIMPH) to manage the collection and analysis of N
QOD data. In 2013, VIMPH
began providing preliminary benchmarks and risk-adjusted variables in N
QOD reports to participating centers.
“The N
QOD Lumbar Spine Module is now the largest national spine
registry yet created.… [The] N
QOD…will greatly enhance the safety and
value of spine care by allowing us to more objectively identify the patients
most likely to benefit from specific procedures, and determine the relative
effectiveness of a variety of interventions for specific disease states.”
— Anthony L. Asher, MD, FAANS
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