The Value of Reg-ent. May 23, :00 2:00 pm ET. THE GLOBAL LEADER IN OPTIMIZING QUALITY EAR, NOSE, AND THROAT PATIENT CARE
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1 The Value of Reg-ent May 23, :00 2:00 pm ET
2 Agenda and Objectives Welcome and Introductions The Value of Reg-ent What has been accomplished Where we are headed Open Q&A Conclusion
3 Presenters AAO-HNSF Reg-ent Team Cathlin Bowman Laura McQueen Taskin Monjur FIGmd Reg-ent Team Siddhi Baralay Tim Parr Lindsey Green Jayamala Dabadge
4 About Reg-ent: What & Why Empowers the specialty to determine the future of otolaryngology care. Demonstrates the value of the care you provide to your patients. Supports advocacy efforts. The AAO-HNSF's most significant quality improvement initiative to date.
5 Reg-ent History 2015 March: AAO-HNSF Board voted to proceed with registry September: FIGmd confirmed as registry technical vendor 2016 January: Reg-ent Executive Committee (REC) formed for oversight and governance April: Secured Qualified Registry & Qualified Clinical Data Registry (QCDR) status from CMS for PQRS 2016 May: Clinical Advisory Committees (CACs) created to guide and prioritize registry clinical content including quality measures July: Reg-ent opened to full membership September: Regent fully launched at the AAO-HNSF Annual Meeting
6 Reg-ent History 2017 January-March: Completed PQRS 2016 reporting for 121 clinicians May: Secured Qualified Registry & QCDR status from CMS for MIPS 2017 October: Deployment of MIPS dashboard & MIPS web entry tool December: Secured Qualified Registry & QCDR status from CMS for MIPS 2018 QCDR approval included 18 QCDR specialty measures developed by AAO-HNSF 2018 January-March: Completed MIPS 2017 reporting for over 700 clinicians
7 FIGmd & Reg-ent FIGmd is our registry technical vendor partner. FIGmd supports over 20 medical specialty society clinical data registries. FIGmd provides the technology platform, data reporting, technical support, and practice site management.
8 Reg-ent Executive Committee James C. Denneny III, MD, Chair William R. Blythe, MD Michael G. Glenn, MD Lisa E. Ishii, MD, MHS Melissa A. Pynnonen, MD Jennifer J. Shin, MD, SM Lauren S. Zaretsky, MD Richard M. Rosenfeld, MD, MPH (Ex Officio) Brian Nussenbaum, MD (Ex Officio) Cecilia Schmalbach, MD (Ex Officio)
9 Reg-ent Governance Board of Directors Executive Committee Clinical Advisory Committees Clinical Advisory Committees Facial Plastics Chair: Lisa Ishii, MD, MHS General & Sleep Chair: Lauren Zaretsky, MD Head & Neck Chair: Michael Glenn, MD Hearing & Balance Chair: James C. Denneny, III, MD Pediatrics Chair: Jennifer Shin, MD, SM Sinus & Allergy Chair: William Blythe, MD Airway, Voice & Swallowing Chair: Melissa Pynnonen, MD
10 The Power of Data = The Value of Reg-ent Over 5 million unique patients, over 12 million total patient encounters 2,500 clinicians registered, with 1,650 contributing data to date The data collected is the foundation for the many uses and purposes of Reg-ent Those defined now Those still to be identified Most importantly, this collective data empowers otolaryngologists to define quality for the specialty
11 Why Participate? Reg-ent has value for all otolaryngologisthead and neck surgeons, regardless of practice type or specialty.
12 Phase One: Quality Reporting First phase of the registry Reporting to CMS (PQRS MIPS) Essential service and value for many members Merit-based Incentive Payment System (MIPS) Reporting tool + reporting support All Performance Categories Quality, Promoting Interoperability & Improvement Activities MIPS dashboard Web entry/upload tool for those w/o EHRs
13 Reg-ent MIPS 2017 Dashboard MIPS 2018 Dashboard Coming Soon!
14 Reg-ent MIPS 2017 Quality Dashboard MIPS 2018 Quality Dashboard Coming Soon!
15 Registry Dashboard Updated Registry Dashboard Coming Soon!
16 Reg-ent Quality Measures 63 measures available for MIPS 2018 reporting 18 QCDR otolaryngology-specific measures only in Reg-ent Publicly available QPP measures Measures are the foundation of the registry s data dictionary The DD includes all the data elements collected in the registry Measures development process Data is used to develop new measures, support QI, research, advocacy efforts and more
17 Reg-ent 2018 QCDR Measures Specialty-Specific Measures Available for MIPS 2018 Reporting Otitis Media with Effusion Allergic Rhinitis Bell s Palsy AAO 8 - Otitis Media with Effusion: Antihistamines or Decongestants - Avoidance of Inappropriate Use AAO 11 - Otitis Media with Effusion: Avoidance of Topical Intranasal Corticosteroids AAO 20 - Otitis Media with Effusion: Hearing Test AAO 21 - Audiometry for Chronic Otitis Media with Effusion in Children AAO 26 - Otitis Media with Effusion: Diagnostic Evaluation - Assessment of Tympanic Membrane Mobility AAO 27 - Otitis Media with Effusion: Resolution of Otits Media with Effusion in Children AAO 28 - Otitis Media with Effusion: Resolution of Otitis Media with Effusion in Adults AAO 22 - Percentage of Patients with Allergic Rhinitis Who Do Not Receive Sinonasal Imaging for Allergic Rhinitis AAO 23 - Percentage of Patients with Allergic Rhinitis Who Are Offered Intranasal Corticosteroids or Oral Antihistamines AAO 24 - Percentage of Patients with Allergic Rhinitis Who Do Not Receive Leukotriene Inhibitors AAO 25 - Percentage of Patients with Allergic Rhinitis Who Do Not Receive IgG-based Immunoglobulin Testing AAO 13 - Inappropriate Use of Magnetic Resonance Imaging or Computed Tomography Scan for Bell's Palsy (Inverse Measure) AAO 14 - Inappropriate Use of Antiviral Monotherapy for Bell's Palsy (Inverse Measure) Cerumen Impaction Age-related Hearing Loss Tympanostomy Tubes AAO 15 - Percentage of Patients with Cerumen Impaction and a Suggestive History of Non-intact Tympanic Membrane Who Receive Just Manual Removal AAO 18 - Percentage of Visits with Patients with Hearing Aids Where Otoscopy is Routinely Performed AAO 16 - Audiometric Evaluation for Older Adults with Hearing Loss AAO 17 - Advanced Diagnostic Imaging of Bilaterial Presbycusis or Symmetric Sensorineural Hearing Loss-Avoidance of Inappropriate Use AAO 19 - Shared Decision Making for Treatment Options for Bilateral Presbycusis or Symmetric Sensorineural Hearing Loss AAO 12 - Topical Ear Drop Monotherapy for Children with Acute Tympanostomy Tube Otorrhea
18 The Future of Reg-ent
19 Phase Two and Beyond Using the Data in Reg-ent Continued development of specialty-specific measures Including Patient Reported Outcome Measures (PROMs) Research & QI Advocacy efforts New Capabilities Private payer incentive programs Medicaid reporting Maintenance of Certification FDA post-market product surveillance Technology Enhancements New dashboard platform/user interface Measures mapping Mobile apps Epic API Interoperability HUB
20 Reg-ent Provider Dashboard 2019
21 Reg-ent MIPS Provider Dashboard 2019
22 Reg-ent MIPS Submission Dashboard 2019
23 Optimization Optimizing Reg-ent value starts with investing in the registry with your participation Understand the value now and in the future for you, your practice and the specialty Join Reg-ent: invest in Reg-ent, invest in the specialty Inform and encourage others Participate and contribute data
24 Optimization Be an active and engaged participant Provide requested documentation Participate in mapping calls Learn how to use your dashboard Engage with your data Appropriate expectations Developing a registry is a process it fully develops over time Not a plug and play solution requires some effort
25 EHR Vendors and Reg-ent Reg-ent is able to work with a wide variety of EHRs, including those that are locally hosted as well as those that are cloud-hosted. Data transfer methods will be dependent on where and how the data is stored: Data hosted on your server ( data pull ): Data is pulled into Reg-ent, using a Registry Practice Connector (RPC). Ramp up time is shorter and the integration is more seamless to the participant. Data hosted in the cloud ( data push ): Data is pushed to Reg-ent. Both Reg-ent and the participant must rely on the EHR vendor. Ramp up time is longer and requires more involvement by the participant in the data transfer and review process. Fees may be charged by the EHR vendor for access.
26 Getting Started with Reg-ent Visit to learn more and sign up To sign up have the following available: Practice name and location Practice Tax Identification Number (TIN) Practice Admin contact details (name, address, phone number) Clinician names, NPIs, AAO-HNS IDs, and addresses Check or credit card details
27 In Closing Reg-ent is the future of the specialty, the foundation for endless initiatives and activities to define and inform quality otolaryngology-head and neck surgery care and improve the outcomes of patients. Reg-ent is an investment in this future. To optimize the value of Reg-ent we need members to: Participate & contribute data Be informed, engaged & patient as we grow this critical data repository
28 Q&A Session Please use the Question function via your Go To Webinar to submit your questions. Contact the AAO-HNSF Reg-ent team at:
29 Reg-ent Resources Reg-ent website Reg-ent Practice Toolkit Reg-ent 2018 Quality Measures EHR vendors and data transfer information Additional Reg-ent Resources
30 Thank You Today s slides will be shared via following the conclusion of the webinar and will be posted on Stay up-to-date with Reg-ent: OTO News Reg-ent e-newsletters AAO-HNSF Annual Meeting & OTO Experience October 7-10, Atlanta, Georgia Reg-ent Users Group Conference, Reg-ent Booth, Reg-ent Panel Presentation Contact the AAO-HNSF Reg-ent team at reg-ent@entnet.org
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