Measure, report, &
improve patient care.
Pre-Register

The Spine Institute for Quality

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.

The mission of Spine IQ is to increase the patient-centered value of spine care by leveraging the primary spine practitioner (PSP) model, quality benchmarking, PSP education, and spine care research through the use of clinical data registries.

Unite with other primary spine practitioners who are using the power of data to change spine care delivery. Join Spine IQ clinical data registries 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 more than 20 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?

Clinical Data Registries

Spine IQ has established two clinical data registries for 2016 that each include more than 20 performance measures – low back pain and neck pain. Clinical data registries are computer-based networks that collect 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.

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

The Primary Spine Practitioner (PSP) Model

Spine IQ believes that changing how spine care is delivered can help achieve the lauded triple-aim goals of improved care, improved outcomes, and reduced costs. Central to Spine IQ’s mission is the establishment and empowerment of Primary Spine Practitioners (PSP) who are well trained to manage acute and chronic spine care and function within multi-disciplinary healthcare delivery settings, or independently (as a virtual member of such settings). The PSP model represents a new role for and a redeployment of existing, professionally trained spine care experts such as doctors of chiropractic, who can provide evidence-based spine care and who are versed in a variety of non-invasive spine care treatments.

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 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 support@medconcert.com.

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 support@medconcert.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 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.

Spine IQ would like to thank Logan University and Palmer College of Chiropractic for their support as well.

Pre-Register to get started

  • Select which registries you want to participate in:

Contact Spine IQ

For general or clinical questions about Spine IQ:
Call 1-800-531-0987
E-mail info@spineiq.org

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

© 2016 Spine IQ | Site by NERDWERX

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.

Anthony Hamm, DC, Board Chairman and Acting Chief Clinical Officer

Dr. Hamm is a 1979 graduate of National University of Health Sciences and has earned diplomate status in chiropractic orthopedics and forensic sciences. For the past 35 + years he has directed a referral-based practice in Goldsboro, North Carolina, with special interests in assessment and management of adult musculoskeletal disorders and pain management. Other experience includes health care quality measure development, risk management, CPT/ICD coding and Medicare. He has served as a carrier adviser to Cigna Government Services and Palmetto GBA Medicare Administrative Contractors. Dr. Hamm currently serves on the editorial board of the Journal Academy of Chiropractic Orthopedists and holds the position of American Chiropractic Association immediate past president. Dr. Hamm is also currently enrolled in a Master`s of Science in Health Sciences program with a concentration in Health Care Quality at the George Washington University School of Medicine and Health Sciences with anticipated completion in 2017. He has served two consecutive terms as co-chair of the AMA specialty society Resource based Relative Value Health Care Provider Advisory Committee (RBRVS HCPAC).

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 (Vice Chairman)

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.

2016 Performance Outcomes

Download the Outcome Measures doc with descriptions for low back pain & neck pain.

Low Back Pain PQRS Performance Measures

  • Pain Assessment and Follow Up – PQRS Measure #131
  • Functional Outcome Assessment – PQRS Measure #182

Low Back Pain eCQM Performance Measures

  • Closing the Referral Loop: Receipt of Specialist Report – eCQM Measure #CMS50v4
  • Pneumonia Vaccination Status for Older Adults – eCQM Measure #CMS127v4
  • Dementia: Cognitive Assessment – eCQM Measure #CMS149v4
  • Controlling High Blood Pressure – eCQM Measure #CMS165v2
  • Use of Imaging Studies for Low Back Pain – eCQM Measure #CMS166v5
  • Falls: Screening for Future Fall Risk – eCQM Measure #CMS139v3
  • Use of High-Risk Medications in the Elderly – eCQM Measure #CMS156v4
  • Documentation of Current Medications in the Medical Record – eCQM Measure #CMS68v5
  • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention – eCQM Measure #CMS138v4
  • Childhood Immunization Status – eCQM Measure #CMS117v4
  • Preventive Care and Screening: Influenza Immunization – eCQM Measure #CMS147v5
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents – eCQM Measure #CMS155v4
  • Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented – eCQM Measure #CMS22v4
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan – eCQM Measure #CMS2v5
  • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up – eCQM Measure #CMS69v4

Additional Low Back Pain Performance Measures

Neck Pain PQRS Performance Measures

  • Pain Assessment and Follow Up – PQRS Measure #131
  • Functional Outcome Assessment – PQRS Measure #182

Neck Pain eCQM Performance Measures

  • Closing the Referral Loop: Receipt of Specialist Report – eCQM Measure #CMS50v4
  • Pneumonia Vaccination Status for Older Adults – eCQM Measure #CMS127v4
  • Dementia: Cognitive Assessment – eCQM Measure #CMS149v4
  • Controlling High Blood Pressure – eCQM Measure #CMS165v2
  • Use of Imaging Studies for Low Back Pain – eCQM Measure #CMS166v5
  • Falls: Screening for Future Fall Risk – eCQM Measure #CMS139v3
  • Use of High-Risk Medications in the Elderly – eCQM Measure #CMS156v4
  • Documentation of Current Medications in the Medical Record – eCQM Measure #CMS68v5
  • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention – eCQM Measure #CMS138v4
  • Childhood Immunization Status – eCQM Measure #CMS117v4
  • Preventive Care and Screening: Influenza Immunization – eCQM Measure #CMS147v5
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents – eCQM Measure #CMS155v4
  • Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented – eCQM Measure #CMS22v4
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan – eCQM Measure #CMS2v5
  • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up – eCQM Measure #CMS69v4

Additional Neck Pain Performance Measures

  • Change in Functional Outcomes
  • Change in Pain Intensity
  • Patient Satisfaction Assessment
  • Average # of Visits per Episode of Care for Neck Pain
  • Assessment of Patient Safety
  • Repeated X-ray Imaging
×