National Anesthesia Clinical
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 20 million cases and growing, AQI's clinical data provides an evidence-based rational that informs treatment choices and helps control treatment costs.
NACOR is intended for all anesthesia providers caring for patients. 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, resources and other evidence based interventions
Registry and peer-to-peer benchmarks
Participants have unlimited access to NACOR to identify opportunities to improve anesthesia clinical care. Reports allow participants to immediately 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.
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 patient outliers in the future.
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 only anesthesia QCDR
NACOR is approved by CMS as a Qualified Clinical Data Registry (QCDR). A QCDR is a registry comprised of PQRS and/or non PQRS-approved measures which qualifies as a CMS-approved reporting tool for PQRS. Previously, physician anesthesiologists were limited to reporting three measures to PQRS. NACOR has more than a dozen additional anesthesia-related measures--helping eligible professionals (EPs) satisfactorily report on outcomes that matter to them and their patients, and more easily meet PQRS requirements.
QCDR reporting services are included in ASA membership, and all EPs may participate through ASA membership. Non-member physicians and non-physicians must pay additional fees. All eligible professionals using QCDR reporting services must be a member of NACOR.
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 records (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 Roes
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