National Anesthesia Clinical
Outcomes Registry (NACOR)

The Anesthesia Quality Institute (AQI) is home to the National Anesthesia Clinical Outcomes Registry (NACOR), a data warehouse designated as a Qualified Registry (QR) and a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare & Medicaid Services (CMS). With millions of cases, AQI NACOR'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:

  • 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

NACOR Quality Concierge

The anesthesia marketplace is competitive and complex, and greater demands are being placed on providers to prove quality care. Quality Concierge helps anesthesia groups report and track quality data while setting up an infrastructure that supports the demands of MIPS, Alternative Payment Models or Accountable Care Organizations.

Key benefits:

  • Know how your practice is performing across the entire perioperative continuum through real-time provider and administrative dashboards
  • Seamlessly report data in a single keystroke from within an EHR or on a mobile device

Demonstrate value for:

  • RFP response, stipend and contract negotiations
  • Setting internal goals
  • Improving clinical processes
  • Reporting quality to private insurers
  • National benchmarking
  • Merger and acquisition activity

NACOR Quality Reporting

For 2019, NACOR will support the Quality and Improvement Activities Components of MIPS. For the Quality Component, NACOR offers two quality reporting options:

  • Group Practice Reporting CMS evaluates the quality data at the Tax Identification Number level. All eligible clinicians' data are aggregated and summarized prior to evaluation by CMS.
  • Individual CMS evaluates the quality data at the National Provider Identification (NPI) level. Each EC's data are aggregated individually prior to evaluation by CMS.

NACOR Quality offers two quality reporting mechanisms:

  • Qualified Clinical Data Registry (QCDR) Includes 16 non-MIPS and 32 MIPS measures
  • Qualified Registry (QR) Includes only 32 MIPS measures

Practices must identify at least six measures with one outcome measure and submit data for at least 60 percent of eligible cases regardless of payer (Medicare and non-Medicare).

NACOR Benchmarking

NACOR Benchmarking is ideal for national benchmarks and quality improvement initiatives.

The registry provides:

  • All features of NACOR Basic, plus national performance indicators
  • Custom continuous performance monitors
  • Ability to measure performance beyond local facility
  • Performance gap analysis and patient outlier identification
  • National comparative analytic reports
  • Peer-to-peer benchmarks

NACOR Basic

NACOR Basic allows practices to report billing and administrative data, comorbidities and outcomes for benchmarking for all anesthesia providers in all practice settings. NACOR Basic does not include quality reporting.

The registry provides:

  • Custom continuous performance monitors
  • Performance gap analysis and patient outlier identification
  • Improvement interventions, including patient care management tools, targeted education and links to information technology vendors

Additional NACOR Reporting Information and Resources