National Anesthesia Clinical
Outcomes Registry

The Anesthesia Quality Institute (AQI) is home to the National Anesthesia Clinical Outcomes Registry (NACOR), a data warehouse that has been designated as a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare and Medicaid Services (CMS) for Physician Quality Reporting System (PQRS) reporting. With millions of cases and growing, AQI's clinical data provides an evidence-based rationale that informs treatment choices and helps control treatment costs.

NACOR is intended for all anesthesia providers, in all practice settings. The registry provides participating providers with:

  • Custom continuous performance monitors
  • Performance gap analysis and patient outlier identification
  • Access to improvement interventions to close performance gaps including patient care management tools, targeted education, and links to anesthesia information technology vendors.
  • Peer-to-peer benchmarks

Performance

Participants have continuous online access to NACOR reports regarding their practice.  Reports allow participants to identify gaps in specific quality measures and focus efforts to close those gaps. Performance tracking reports capture trends over time and help measure improvements in quality care. NACOR also provides participants with access to national benchmarking reports.

Identify Outliers

NACOR participants can also improve care by reviewing performance results across their patient population.  This information helps to address clinical gaps in a timely manner.  Consider and choose interventions that can lead to sustainable practice improvement for your aggregate performance, which can help reduce the number of outliers in the future.

Improvement

NACOR identifies possible interventions for improvement based on clinical quality gaps found through calculating selected data. Data can be used to review performance and determine quickly the impact of an improvement intervention. Results are presented graphically to identify trends in performance.

The first anesthesia QCDR

The National Anesthesia Clinical Outcomes Registry (NACOR) was approved by the Centers for Medicare and Medicaid Services (CMS) as a Qualified Clinical Data Registry (QCDR) in 2014. NACOR was the first anesthesia registry to be approved as a QCDR. QCDR is a reporting mechanism used by eligible professionals (EP's) to submit quality measures to CMS in order to meet Physician Quality Reporting System (PQRS) requirements. The American Society of Anesthesiologists (ASA) has collaborated with the Anesthesia Quality Institute (AQI) to offer this service to anesthesia providers through NACOR.

The ASA® QCDR currently includes 36 anesthesia related measures (nine PQRS and 27 non-PQRS) for EP's to choose from, therefore making it easier to meet the PQRS requirements of reporting on nine measures covering three National Quality Strategy domains including two outcome measures.

QCDR reporting services are included in ASA membership. Non-members must pay additional fees. All EP's using QCDR reporting services must be participating in NACOR. For additional information please contact qcdr@asahq.org.

Steps for becoming a NACOR participant

NACOR participants range from pen-and-paper anesthesiology practices to the most wired academic centers. You do not need an AIMS system or electronic health record (EHR) to participate. AQI will help facilitate the contribution of desired data.

NACOR allows for close collaboration between AQI, individual providers and healthcare technology vendors. Roles are defined as follows:

AQI Key Roles

  • Define data and outcomes collected in NACOR
  • Provide unifying definitions and templates
  • Contract with individual practices and hospitals to exchange data
  • Report collected data

Individual Anesthesia Practices, Hospitals and Providers Key Roles

  • Provide data to NACOR
  • Use reports to improve patient care to meet various local, state and federal regulatory requirements

Vendors of Anesthesia Information Technology Key Roles

  • Facilitate NACOR through reporting work with individuals; vendors that provide formatted data for contribution to NACOR will be listed as AQI Preferred Vendors

View a detailed description of the desired data for NACOR

Over 26 Million
Cases in NACOR