Spine IQ is at the nexus of transforming spine care.

Spine IQ is a community of high-performing conservative spine care clinicians.

We demonstrate excellent clinical outcomes through evidence based clinical activities, reporting quality measures and benchmarking.

Our collective efforts will transform the culture of conservative spine care to elevate Spine IQ clinicians who demonstrate best practices and high-quality patient outcomes.

Join us to be on the forefront of this transformation.
#transformspinecare

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Conservative Spine Care Clinicians

The Spine Institute for Quality

Vision: Spine IQ uses an evidence-based approach to identify clinicians with demonstrated best practices in conservative spine care management.

Mission: Define quality, demonstrate value, and build trust in spine care delivery.

Given the overwhelming public health significance of spine-related disorders and the growing recognition that current medical practices are often ineffective or carry unacceptable levels of risk, the time is right for a new approach to spine care. It is for this reason that the Spine Institute for Quality™ (Spine IQ™) was created.

Unite with other primary spine practitioners who are using the power of data to change spine care delivery. Join Spine IQ QCDR registry today and begin:

  • tracking outcomes such as change in pain intensity and pain interference across your entire patient population;
  • improving patient follow-up by using data to identify patients who are not meeting performance benchmarks;
  • demonstrating the value of your practice to patients, payers and other stakeholders by benchmarking yourself on 27 performance measures;
  • meeting Centers for Medicare and Medicaid Services (CMS) regulatory requirements for Physician Quality Reporting System (PQRS) and Meaningful Use programs;
  • contributing real patient data towards research efforts that can answer important questions about spine care best practices.

What is Spine IQ?

Qualified Clinical Data Registry

Spine IQ has established a clinical data registry for 2017 that includes 28 performance measures – Registry Performance Measures. Clinical data registry is a computer-based network that collects data from clinicians in order to describe the natural history of disease, determine the clinical effectiveness, cost-effectiveness of health care services, and to measure/monitor safety and quality. Registries are increasingly used by health care professions to establish the value of the care they provide and will become even more important as the world moves towards performance-based payment systems.

Conservative Spine Care Performance Measures

Spine IQ’s clinical data registry has been approved by the Centers for Medicare and Medicaid Services (CMS) as a qualified clinical data registry (QCDR).

Spine Care Quality Benchmarking Program

Spine IQ is working to develop an independent spine care quality benchmarking program that enables high-performance providers’ expertise to be recognized. This will be the first quality program that is specifically designed for PSPs and uses individual provider data rather than proprietary standards based primarily on process measures and/or utilization rates. Three levels of benchmarking are planned:

Level 1: Verification that a provider is enrolled in one or more Spine IQ registries

Level 2: Level 1 verified Spine IQ providers AND meets at least 80% of performance benchmarks

Level 3: Level 2 verified Spine IQ providers who have applied and received recognition by a nationally known credentialing body

Spine Care Research

Through the use of registries and other data sources, Spine IQ will collect the information necessary to compare clinical and cost outcomes for patients with spine-related pain and disability receiving care from a large number of PSPs across nationally representative geographic and practice settings. Studies focused on this data will enhance our understanding of how spine care impacts both physical and emotional functioning for a variety of conditions, ultimately providing the critical evidence needed to improve patient care, identify future research questions and help policymakers make decisions regarding the appropriate role for PSP care within the rapidly evolving healthcare system.

PSP Provider Education

Spine IQ registries include evidence-based training materials designed to assist PSPs in meeting performance measurement benchmarks and/or standards. Spine IQ will use continuing education resources, such as reviews of the literature or webinars, to deliver information that is tied directly to the performance measures included in our registries. Additional educational opportunities will focus on improving the quality of spine care delivery by increasing PSP understanding and participation in relevant local and national quality initiatives.

 

Frequently Asked Questions

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 a clinical data registry. Spine IQ goals are as follows:

  • Clinical Data Registry: Establish a clinical data registry that captures 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 is eligible to join the Spine IQ registry?

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 clinical data registry is open to all state-licensed health care professions who assess and manage spine pain.

Why should I join the Spine IQ registry?

As a member of a clinical registry, you can use the insights provided to realize relevant benefits:

  • Track outcomes such as change in pain intensity and pain interference across your entire patient population;
  • Improve patient follow-up by using data to identify patients who are not meeting performance benchmarks;
  • Demonstrate the value of your practice to patients, payers and other stakeholders by benchmarking yourself on 27 performance measures;
  • Meet Centers for Medicare and Medicaid Services (CMS) regulatory requirements for MIPS;
  • Contribute real patient data towards research efforts that can answer important questions about spine care best practices and performance-based payment systems.

How much does it cost to join the registry?

Annual membership to the QCDR registry is $499.

How do I join the Spine IQ registry?

Join here.

What Spine IQ registries exist? Are there other registries in development?

Spine IQ has developed one clinical data registry. Additional registries are in development.

What data will the Spine IQ registry collect?

The Spine IQ registry 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. The registry includes a total of 27 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 3 custom measures focused on patient satisfaction, pain intensity, pain interference, and repeat x-ray.

How does my patient data get entered into the registry?

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 registry. 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 registry to identify practitioners who are committed to quality care and meet performance benchmarks.

Who monitors the Spine IQ registry?

The Spine IQ registry was 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 registry?

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 support@medconcert.com.

How much time will I have to invest to be involved in the Spine IQ registry?

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 registry or do I have to double enter information?

Your EHR system may share information with the Spine IQ clinical data registry. For additional information on integrated EHR systems please contact your EHR account manager or CECity’s MedConcert support staff at support@medconcert.com.

Will I be able to run my own reports in addition to the reports the Spine IQ registry 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 registry 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 registry?

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 support@medconcert.com.

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.

Who is Spine IQ?

Spine IQ Partners

Spine IQ is proud to be partnering with CMS-qualified software vendor CECity, a leading provider of cloud-based quality reporting, performance improvement, and lifelong learning platform. The low back pain and neck pain clinical data registries were developed through this collaboration with CECity. Their software will allow interoperability with electronic health records (EHRs) and website platforms, which is the primary mode of data acquisition.

Palmer College of Chiropractic
CECity
Logan University
American Chiropractic Association
Chirotouch

Announcements

American Chiropractic Association Partners with Spine IQ™ for Pivotal Initiative

 

Contact Spine IQ

For general or clinical questions about Spine IQ:
Call 1-800-531-0987
E-mail info@spineiq.org
Mon – Fri 9 am to 5 pm Central

For technical questions about Spine IQ registries:
Call 1-888-669-7444
E-mail medconcertsupport@premierinc.com.

Spine IQ Blog

Go to the Blog

© 2017 Spine IQ

Christine Goertz DC, PHD, Chief Executive Officer

Dr. Goertz received her Doctor of Chiropractic (DC) degree from Northwestern Health Sciences University in 1991 and her Ph.D. in Health Services Research, Policy and Administration from the University of Minnesota in 1999. Dr. Goertz 25 year research career has focused on working with multi-disciplinary teams to design and implement clinical and health services research studies that are intended to answer questions directly relevant to the conservative management of spine-related disorders. She has extensive experience in the administration of Federal grants, as a PI and as a former NIH Program Official. Dr. Goertz currently serves as Vice Chancellor for Research and Health Policy at Palmer College of Chiropractic, sits on the Board of Governors for the Patient Centered Outcomes Research Institute, is a member of the PCPI Measures Advisory Committee and Chair of the American Chiropractic Association Performance Measurement Task Force.

Brian Justice, DC (member)

Dr. Justice is currently a Medical Director at Excellus BlueCross BlueShield and Medical Director of Pathway Development and Spine Program, Lifetime Health Medical Group, hired to develop a comprehensive spine program for Upstate NY, further pathway development and innovation. The Spine Health Program focuses on a community wide approach to patient active care that embraces a best evidence care pathway, emphasizing the importance of ‘first touch’ provider decision making and language. By combining accurate outcome data with episode of care costs, the program will differentiate which individual providers bring value to their community, creating a degree agnostic, level playing field where quality providers can differentiate themselves. Dr. Justice spent 28 years in a spine focused chiropractic practice in a variety of private, industry and hospital settings. He has published in peer review journals, served on national committees and presented on spine care, quality improvement, pathway development and optimal interdisciplinary spine care.

William Meeker, DC, MPH (Secretary/Treasurer)

Dr. Meeker was appointed president of the San Jose Campus of Palmer College of Chiropractic in 2007. Prior to that he was Vice-President for Research for Palmer College of Chiropractic, and the Director of the NIH-supported Palmer Center for Chiropractic Research (PCCR). He was the editor of the Journal of the Neuromusculoskeletal System, and now currently serves on the editorial boards of The Spine Journal, the Journal of Manipulative and Physiological Therapeutics, Explore, The International Journal of Therapeutic Massage and Bodywork, and others. Dr. Meeker has published over 60 peer-reviewed papers, books and book chapters and has made over 100 scientific and policy presentations to multidisciplinary audiences around the world. He is a former member of the National Advisory Council of the National Center for Complementary and Alternative Medicine at NIH, and a former member of the Governing Council of the American Public Health Association. He currently serves on the Boards of the Academic Consortium for Complementary and Alternative Health Care, the Foundation for Chiropractic Progress, and the Academy for Integrative Health and Medicine. Dr. Meeker received his BA in political science from Wabash College in 1973, his Doctorate in Chiropractic from Palmer College of Chiropractic in 1982, and his Master of Public Health degree from San Jose State University in 1988.

Richard Branson, DC (Interim President)

Dr. Branson is a 1991 graduate of the University of Western States, where he obtained both his Bachelor of Science in Human Biology and a Doctor of Chiropractic degree. He currently serves as the first staff chiropractor at the Minneapolis Veterans Health Care System, a position he has held since January 2014. Prior to that, Dr. Branson was Director of Chiropractic Services at Fairview Health Systems, Minnesota’s second largest private hospital system for 15 years. Previously, he was an assistant professor at Northwestern Health Sciences University research department in Bloomington, MN, Director of Clinical Services for Health Services Management, a chiropractic managed care organization in St. Paul, MN, Site team academy member with the Council on Chiropractic Education, and served on the board of directors at ChiroCare of Minnesota, the nation’s first nonprofit independent chiropractic network. He has also served on numerous committees, including the Minnesota Department of Human Services Health Services Advisory Council, Institute for Clinical Systems Improvement Low Back Pain Advisory Committee, and as the clinical lead of care model redesign for low back pain in Fairview.

Clay McDonald, DC, MBA, JD

Dr. McDonald became the seventh president of Logan University in March 2013. Dr. McDonald has more than 20 years of experience as a senior administrator at chiropractic institutions and 30 years as a successful chiropractic practitioner. After graduating from Logan with his chiropractic degree in August 1982, Dr. McDonald spent eight years in Eureka, Montana, where he co-owned a multidisciplinary clinic that linked medical, chiropractic, physical therapy and mental health. Dr. McDonald earned his Master of Business Administration degree with an emphasis in healthcare administration from St. Ambrose University in 1997. He received his Juris Doctorate in 2001 from Valparaiso University School of Law with a Healthcare and Elder Law Certificate and Alternative Dispute Resolution Certificate. Dr. McDonald has participated in numerous accreditation activities through the Council on Chiropractic Education and was a CCE board/council member from 2005 to 2013. He has lectured and presented papers in more than 16 states, Canada and Austria and has published articles in a variety of professional journals during his distinguished career.

2017 Performance Outcomes

Download the Outcome Measures doc with descriptions for 2017 Spine IQ QCDR Measures.

Click here to download non-MIPS (QCDR) measure specifications

Quality # & Measure Title

Measure Description
NQS Domain
Measure Type

SPINEIQ1: Change in Functional Outcomes

Average percent change in functional outcomes assessment between the first date of a care encounter and each qualifying follow-up assessment during the reporting period for patients aged 18 years and older with a diagnosis of neck or low back pain.
Effective Clinical Care
Outcome

SPINEIQ2: Change in Pain Intensity

Average percent change in pain intensity between the first date of a care encounter and each subsequent encounter closest to a 14 day interval during the reporting period for patients aged 18 years and older with a diagnosis of neck or low back pain.
Effective Clinical Care
Outcome

SPINEIQ3: Repeated X-ray Imaging

Percent of patients with neck or low back pain who receive two or more of the same x-ray imaging studies within the reporting period.
Patient Safety
Process

Q#109 Osteoarthritis (OA): Function and Pain Assessment

Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain.
Person and Caregiver-Centered Experience and Outcomes
Process

Q#110 Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization.
Community/Population Health
Process

Q#111 Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine.
Community/Population Health
Process

Q#128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous six months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the current encounter. Normal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2 Community/Population Health Process

Q#130 Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration.
Patient Safety
Process

Q#131 Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present.
Communication and Care Coordination
Process

Q#134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen.
Community/Population Health
Process

Q#154 Falls: Risk Assessment

Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months.
Patient Safety
Process

Q#155 Falls: Plan of Care

Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months.
Communication and Care Coordination
Process

Q#182 Functional Outcome Assessment

Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies.
Communication and Care Coordination
Process

Q#226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.
Community/Population Health
Process

Q#236 Controlling High Blood Pressure

Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the measurement period. Effective Clinical Care Intermediate Outcome

Q#238 Use of High-Risk Medications in the Elderly

Percentage of patients 66 years of age and older who were ordered high-risk medications. Two rates are reported.
a. Percentage of patients who were ordered at least one high-risk medication.
b. Percentage of patients who were ordered at least two different high-risk medications.
Patient Safety
Process

Q#239 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
– Percentage of patients with height, weight, and body mass index (BMI) percentile documentation
– Percentage of patients with counseling for nutrition
– Percentage of patients with counseling for physical activity
Community/Population Health
Process

Q#240 Childhood Immunization Status

Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday.
Community/Population Health
Process

Q#281 Dementia: Cognitive Assessment

Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12 month period.
Effective Clinical Care
Process

Q#312 Use of Imaging Studies for Low Back Pain

Percentage of patients 18-50 years of age with a diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis.
Efficiency and Cost Reduction
Process

Q#317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated
Community/Population Health
Process

Q#318 Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period.
Patient Safety
Process

Q#317 Depression Utilization of the PHQ-9 Tool

Patients age 18 and older with the diagnosis of major depression or dysthymia who have a Patient Health Questionnaire (PHQ-9) tool administered at least once during a 4-month period in which there was a qualifying visit.
Effective Clinical Care
Process

Q#374 Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.
Communication and Care Coordination
Process

Q#402 Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user.
Community/Population Health
Process

Q#414 Evaluation or Interview for Risk of Opioid Misuse

All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the medical record.
Effective Clinical Care
Process

Q#431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user.
Community/Population Health
Process

Click here to see the full list of CMS QPP Measure Descriptions

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