What is Spine IQ?
The Spine Institute for Quality™ (Spine IQ™) is a private, not-for-profit organization with the mission to increase the patient-centered value of spine care by leveraging multi-disciplinary models, measures, education, and research through the use of clinical data registries. Spine IQ goals are as follows:
- Clinical Data Registries: Establish clinical data registries for low back pain and neck pain that capture spinal care outcome measures and enable primary spine practitioners (PSPs) to benchmark the quality of care they provide;
- The Primary Spine Practitioner (PSP) Model: Improve quality and enhance the value proposition of spine care through the use of a primary spine care practitioner;
- Spine Care Quality Recognition Program: Develop a new spine care quality recognition program that enables high-performance providers’ expertise to be recognized in the marketplace;
- PSP Education: Improve the quality of spine care delivery by increasing PSP understanding and participation in relevant local and national quality initiatives and serving as a conduit to evidence-based training materials that can assist PSPs in meeting performance measurement benchmarks and/or standards; and
- Spine Care Research: Conduct rigorous research using pragmatic study designs that answer policy-relevant questions about spine care delivery in the real world.
Why was Spine IQ developed?
Spine IQ was developed to increase the patient-centered value of spine care. This is critical given the overwhelming public health significance of musculoskeletal or spine-related disorders and increasing concern that currently widely used interventions may be ineffective and/or carry unacceptable levels of risk.
Who developed Spine IQ?
Spine IQ was developed by Christine Goertz, DC, PhD along with current board members: Anthony Hamm, DC; Richard Branson, DC; William Meeker, DC, MPH; and Brian Justice, DC. The Spine IQ registries were and continue to be developed in collaboration with CMS-qualified software vendor CECity, a leading provider of cloud-based quality reporting, performance improvement, and lifelong learning platforms.
Who is eligible to join Spine IQ registries?
Spine IQ is envisioned as a multidisciplinary endeavor and is open to all interested practitioners who focus on spine care delivery. Thus, the Spine IQ low back pain and neck pain registries are open to all state-licensed health care professions who assess and manage spine pain.
Why should I join Spine IQ registries?
The Spine IQ registries will assist you in evaluating the clinical effectiveness of the spine care you provide. It will also help you measure and monitor care quality against standardized national benchmarks. Spine IQ registries meet current quality measurement standards for the Centers for Medicare and Medicaid (CMS) Physician Quality Reporting System (PQRS) and Meaningful Use programs. The registries’ automated data aggregation, comparison, and reporting capabilities will enable Meaningful Use reporting. The low back pain registry has been approved by CMS as a Qualified Clinical Data Reporting (QCDR) mechanism for PQRS.
How much does it cost to join the registries?
Annual membership to the low back pain registry is $549. Annual membership to the neck pain registry is $449.
How do I join a Spine IQ registry?
Pre-register for the Spine IQ registries here.
What Spine IQ registries exist? Are there other registries in development?
Spine IQ has developed two clinical data registries: low back pain and neck pain. Additional registries are in development.
What data will the Spine IQ registries collect?
Spine IQ registries will collect clinical data required to populate the CMS-approved performance measures. These measures include PQRS registry measures and non-PQRS measures. Specific data elements to be collected depend on the individual measure being reported. Both registries include a total of 21 performance measures, including 15 electronic Clinical Quality Measures (eCQMs) that fall under the chiropractic scope of practice or are required for Meaningful Use Reporting, the two PQRS measures which are approved for use by doctors of chiropractic by CMS and 4 custom measures focused on patient satisfaction, pain intensity, pain interference, and repeat x-ray.
How does my patient data get entered into the registries?
Spine IQ will work with EHR vendors to automate registry data collection. EHR interoperability will provide rapidly obtainable performance data from a larger patient population, making the integrated feedback component that allows providers to compare their performance to regional and national comparators much more robust. Providers will also have the ability to enter data directly into the registry.
How will the Spine IQ registry data be used?
Spine IQ data will be used to populate performance measures results available in the Spine IQ registries. In addition,
- providers will be able to use registry data to benchmark themselves against their peers on specific quality measures;
- scientists will be able to use de-identified data to answer important questions about the quality and outcomes of spine care delivery; and
- payers and purchasers will be able to use the registries to identify practitioners who are committed to quality care and meet performance benchmarks.
Who monitors the Spine IQ registries?
Spine IQ registries were developed in collaboration with CMS-qualified software vendor CECity, a leading provider of cloud-based quality reporting, performance improvement, and lifelong learning platforms. Their software will allow interoperability with electronic health records (EHRs) and website platforms, which is the primary mode of data acquisition.
Will I receive training so I know how to use the Spine IQ registries?
A video tutorial will be available on the Spine IQ website. If additional technical support is required, please contact CECity’s MedConcert support staff at firstname.lastname@example.org.
How much time will I have to invest to be involved in the Spine IQ registries?
Time commitments will vary based on method of data input. The platform is available at any time to review performance and educational resources. The performance monitor can be updated as frequently as each night depending on when and how the data is entered – but at a minimum of monthly.
Does my EHR system share information with the Spine IQ registries or do I have to double enter information?
Your EHR system may share information with the Spine IQ registries that would populate both the low back pain and/or neck pain registries. For additional information on integrated EHR systems please contact your EHR account manager or CECity’s MedConcert support staff at email@example.com.
Will I be able to run my own reports in addition to the reports the Spine IQ registries send me?
Performance and clinical data feedback is available to participants at all times via the MedConcert platform through Spine IQ. Providers are able to view performance results that are updated nightly, and view/edit received patient encounter data.
How will the Spine IQ registries use patient data for research?
Registry data will provide a unique opportunity to develop data-driven spine care delivery pathways, identify those patients most likely to respond to treatment protocols and comparison of patient-centered outcomes and cost among and across professions.
Is my patients’ health information and data safe in the Spine IQ registries?
Yes. CECity’s MedConcert platform is secure, HIPAA-compliant, and utilized by many leading health organizations today.
Who do I contact about questions or issues with my username and/or password?
Any username or password issues may be resolved by using the “forgot password” link on the login page, or by contacting CECity’s MedConcert support staff at firstname.lastname@example.org.
What determines the numerators and denominators in the performance measures?
Denominator: The denominator represents the total patients or visits that met the base eligibility criteria for the measure.
Numerator: The numerator represents the subset of the total patients or visits where the quality action was completed or documented.
What is the difference between denominator exclusions and denominator exceptions?
A denominator exclusion is defined as: the mechanism used to exclude patients from the denominator of a performance measure when a therapy or service would not be appropriate in instances for which the patient otherwise meets the denominator criteria.
A denominator exception is defined as: an allowable reason for nonperformance of a quality measure for patients that meet the denominator criteria and do not meet the numerator criteria. Denominator exceptions are the valid reasons for patients who are included in the denominator population but for whom a process or outcome of care does not occur.
What is an inverse measure?
An inverse measure is a measure for which lower performance rates indicate better performance.
What is continuous registry reporting and what does that mean for my practice?
A QCDR provides a way to continuously enter data into the registry. The registry will calculate and display each measure and quality score in the performance monitor (as frequently as daily). Additionally, the registry may generate performance measure gaps, lists of patient outliers, and link to interventions and improvement tools. Continuous performance measurement will help your practice monitor performance scores over time and provide benchmarking and gap analysis tools for improvement while satisfying annual requirements.
Why does the speed of the website vary when I’m loading performance reports?
The speed for the data to load through the performance tab depends on the amount of data entered into the registry and the number of measures that you have selected for the registry. The speed will be dependent on these items. Performance monitor can take longer due to large amounts of data and cross checking data against the measures selection as well as performing additional calculations in the background.