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With the QOD-Spine program successfully established, the NPA expanded into other

subspecialty areas of neurosurgery with the QOD-Neurovascular Registry. The

Neurovascular Registry collects data on treatments for aneurysms, AVMs, carotid

stenosis, intra-arterial thrombolysis or mechanical thrombectomy and intraparenchymal

hemorrhage and was implemented in December 2014 following a six-month pilot phase.


NPA strives to help surgeons treat

their patients better through novel,

national data systems that incorporate

relevant measures of surgical quality.

The data are used to advance medical

evidence, which is used to promote

quality and improve real-world care.

Data collection and analysis is not only

important for surgeons to validate their

treatment outcomes for patients, peers,

publishers and payors, it is taking the

responsibility for quality assurance to

the highest level. Participating centers

are actively involved with NPA and

each other to help define and follow

good practices for data completeness

and data consistency for accurate

interpretation, reporting and

analysis consistent with high data

quality standards.

QOD was designated as an official

Centers for Medicare & Medicaid Services

(CMS) Qualified Clinical Data Registry

(QCDR) vendor for 2016, providing

an additional means through which

eligible providers could participate in

the Physician Quality Reporting System

(PQRS). There is an increasing demand

for neurosurgeons to demonstrate to

payors and the public the value of the

“The real break-through at our site in particular was when

we started receiving quarterly reports showing where

our organization stands compared to other practices.

As a data coordinator, it is easy to lose sight of why we

invest significant efforts into collecting all of this data.

Our providers became very engaged once they began to

see quality data reports resulting from our efforts and

can use the data for their own projects and publications.

As we have continued to grow through the years with

QOD, we have moved into the most exciting phase of our

collection efforts to date. With the onboarding of our own

PhD to lead our data analyzation efforts, we have begun

to produce patient-facing resources to assist patients

and providers with shared decision-making and have

discussed physician-facing report cards. We have used

our data during insurance contract negotiations and for

quality projects. We emphasize our abilities to return

patients to work quickly and safely while reducing pain

and improving quality of life. We are also using data to

build in-roads with several area hospitals to emphasize

consistency across the care dynamic. For me, as a data

coordinator, it has been challenging and exciting to have

built the foundation of these collection efforts and then

see the process come full circle to benefit the practice

and improve the patient experience. We now have tools

that help make decisions while also emphasizing the

value of surgical spine care treatment in a health care

market driven to reduce costs.” —Melissa Mehrlich, RN,

MHA, CCRP, Carolina Neurosurgery and Spine Associates,

Charlotte, N.C.