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Axon Registry: Background

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Axon Registry: Background

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  1. Axon Registry: Background • Free AAN member benefit established in 2015 • US Neurologists in outpatient settings • Created to address movement in medicine towards value based care • Demonstrates the value of neurology • Size to Date • Over 200 practices and 1,100 providers (22% from large institutions) • 4.5 million patient visits

  2. Axon Registry: Background • The Axon Registry is: • A clinical quality data registry, designed to gather clinical data from a broad cross section of patients for the purpose of quality measurement and then improvement • It is also a Qualified clinical data registry(QCDR), a CMS-approvedentity that collects clinical data for the purpose of patient and disease tracking to foster improvement in the quality of patient care • Quality, Promoting Interoperability, and Improvement Activities

  3. Axon Registry: How It Works • How many measures? • 40 quality measures currently integrated in Axon • Dementia, Parkinson disease, epilepsy, headache, peripheral neuropathy, MS, sleep apnea, falls, child neurology, essential tremor, ophthalmology • Not required to be documenting for all 40 measures • Annual call for measures, from which additional measures will be selected

  4. Axon Registry: How it Works • The AAN has contracted with a vendor (FIGmd) with extensive experience creating clinical registries • Participants work with the vendor to identify where in their EHR to locate performance on each measure (“mapping”) • Data can be “pulled” or “pushed” • Data pull collection is daily and automatic, requiring no additional practice resources • Data push collection (the most common for academic centers and it requires files to be sent via SFTP • Epic App Orchard option available late 2018

  5. Axon Registry: Why Participate? • Benefits for the individual neurologist: • Learn about your practice, benchmark, and improve • Free to AAN members • Specialty and subspecialty specific quality measures • Qualifies for MOC Part IV Clinical Module Activity and waive 8 credits Part II self-assessment • Report for government reporting programs such as MIPS • PQRS (MIPS/Quality in 2019) • Value based payment modifier (MIPS/Cost in 2019) • MU (MIPS/ACI in 2019) • MOL potentially

  6. Axon Registry: Why Participate? • The benefits differ for academic neurology departments • Numerous research opportunities within the large, novel Axon Registry data set • Health services research • Health care disparities • Clinical outcomes (“real world experience”) • Useful tool for faculty interested in quality improvement as an academic identity • Potential component of academic promotion • A quantitative tool for neurology practice feedback

  7. Next Steps • Designate a physician champion and support staff member to coordinate signing of participation agreement and completing enrollment • Contact registry@aan.com for copy of PA to review • Designate staff for implementation • At least 1 physician champion (.1 FTE) • At least 1 support staff (APP or nurse) with clinical knowledge (.1 FTE) • At least one designated IT staff member that works closely with clinical support staff (.2 FTE) • Note once process is standardized staff time is reduced

  8. Questions? • Website www.aan.com/view/Axon • Review participation agreement • Measures • Enrollment • FAQs • AAN staff contact: registry@aan.com