Collecting data to enhance understanding of spine care treatment, resulting patient outcomes and examine the natural history of spine disorders.
NASS has developed a diagnosis-based outcomes data registry. The registry uses a web-based platform to collect and analyze spine care treatment and outcomes data. The registry is being tested via pilot before expansion to the NASS membership. In the final registry expansion, NASS will track patient care and outcomes, with long term goals of developing quality measures, for quality improvement purposes, or to identify best practices as well as begin closing gaps in the medical evidence for spine care and for advocacy purposes.
The NASS Spine Registry Pilot is underway and testing registry processes for collecting data, as well as participant administrative and financial outlay. Pilot sites plan to collect data for approximately 1,000 patients from diverse sites relative to both specialty and practice type.
Comparative Efficacy of Treatments for the Lumbar Spine. Proceedings from the Professional Society Coalition on Lumbar Fusion Outcomes Meeting, July 11-13, 2010. SpineLine October 2010.
In October 2015, CMS finalized changes to the Meaningful Use program aiming to shift all physicians to a more standardized set of reporting requirements. As part of these changes, starting in 2015, all physicians are required to attest to Objective 10: Public Health Reporting (or claim an exemption). "Specialized registry reporting" is one of the measure options available to meet Objective 10. NASS’ registry is still in the pilot stage. NASS has determined that it is NOT ready at this time to receive electronic data from participants in the format vaguely specified by the federal government. The medical community is urging federal officials to provide clarification and guidance on specialized registry reporting that might allow NASS to “declare readiness” in the future once the pilot is completed.
Alternate exclusion and specification information from CMS can be found here.
The application and instructions can be found on the CMS website here.
Guidance on Legal Challenges and Regulatory Obligations for Clinical Data Registries
NASS Signs on to Physician Clinical Registry Coalition Letter on Concerns Regarding Commercial Use of MIPs Measures
NASS Signs on to Physician Clinical Registry Coalition Letter Re: Medicare Program: Expanding Uses of Medicare Data by Qualified Entities
NASS Signs On to Physician Clinical Registry Coalition Comments on CMS-5517-P – Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models
NASS Signs on to Physician Clinical Data Registry Comments on Medicare Program: Expanding Uses of Medicare Data by Qualified Entities Proposed Rule
NASS signs on to Physician Clinical Registry Coalition Comments on Draft Bipartisan Legislation to Improve Health Information Technology for Patients and Families
NASS Signs on to Physician Clinical Registry Coalition Comment on HHS-OPHS-2015-008, Federal Policy for the Protection of Human Subjects Notice of Proposed Rulemaking
NASS Signs on to Physician Clinical Registry Coalition Comments on 21st Century Cures Legislation Discussion Draft