AQI's National Anesthesia Clinical Outcomes Registry (NACOR)

Send me information on participating in the AQI's NACOR Registry

Please fill out the form below. All fields are required.

Your Name:
Your Email:
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Name of group or practice:
City:
State:	--- AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
Number of Physician Anesthesiologists:
Number of Care Team Members:
Number of Independent CRNAs:
Who is your billing vendor?
Which NACOR Reporting Tier are you interisted in?	NACOR Quality Concierge® Reduced provider burden (NACOR Quality Concierge) MIPS Reporting (NACOR Quality Reporting) Quality Improvement with National Benchmarks (NACOR Benchmarking) Quality Improvement - Local Level Only (NACOR Basic)
How do you currently collect your quality metrics?	EHR: Epic Quality Capture Application EHR: Cerner Paper EHR: Other Combination
Do you need assistance with data capture and aggregation?	Yes No