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 ® , powered by Provation

The anesthesia marketplace is competitive and complex, and greater demands are being placed on providers to prove quality care. Quality Concierge makes it easy for anesthesia groups to track and report quality data, measure effectiveness of quality improvement initiatives in real-time, negotiate facility and private payor contracts, capture lost revenue and prepare for value-based payment models.

Key benefits:

  • Leading platform to avoid CMS penalties, optimize performance position, prepare for value-based payment models, and report seamlessly for MIPS
  • Integrates with major EHRs, including Cerner and Epic, to reduce physician documentation burden, increase quality of captured data, and automate quality submission
  • Robust, actionable reports and analytics leverage real-time data for hospital contracting, insurance provider negotiations, quality improvement initiatives, national benchmarking, and more
  • Backed by a dedicated Customer Success Team that helps providers and groups gauge performance and scoring prior to MIPS submission, focus on specific measures to optimize score, audit cases to ensure no documentation errors, and identify gaps in submissions

Demonstrate value for:

  • RFP response, stipend and contract negotiations
  • Reporting quality to private insurers
  • National benchmarking
  • Merger and acquisition activity

NACOR Quality Reporting

NACOR supports 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

Questions?

  • To learn more, please fill out this form.

Learn more about MACRA through the CMS Resources and ASA FAQs.