Now let's review steps six and seven, submitting data to the DQR process and reviewing the DQR report to ensure you have a green status. What is the DQR? DQR stands for data quality report, which is the process for submitting data files to NCDR. All submissions are passed through this process and are evaluated for errors and completeness. How do participants submit their data in order to be assessed by the DQR? There are two pathways participants can use to submit their data. Number one, the ACC web-based data collection tool, or number two, a third-party software vendor that's been certified by NCDR. Third-party vendors are not available for all registries. After the data has been submitted and assessed by the DQR process, the data will be given a benchmark inclusion status of green, yellow, or red. We'll discuss this inclusion status in more detail later in the presentation. Here's a DQR workflow chart that can be very helpful in understanding the DQR process and steps. This chart is part of the DQR companion guide document, which is available for all registries and can be found under the resources tab and documents. The first step in the DQR process is to enter the data and complete quality checks. The data will be entered through the NCDR data collection tool or a third-party vendor tool. The NCDR data collection tool is located under the data tab. After entering the patient's data, please click save or save and next at the bottom of the page in order to save the data entered. Save will just save the data. Save and next will save the data and take you to the next page of the data collection tool. After saving the data, a quality check must always be performed. Quality check is part of the data collection tool submenu located to the left of the screen. The quality check process helps to identify errors prior to submitting data. Quality check will only evaluate data that has been entered and will not evaluate missing data or elements left blank. The quality check process will identify errors based on severity. Errors with an error severity of warning and category of outlier will not affect the submission of data. With outlier errors, the system is only warning the abstractor of a value not meeting the usual range. If the value entered is correct, no change needs to be made. Errors with severity of error and category of selection list or date will affect submission of data and needs to be corrected before submitting the data. If errors are not corrected, the submission will result in system alerts or a failed submission. When the data has passed the quality check process, it's ready to be submitted. Data submission will be done through the maintenance page or the submit to DQR tab. The data will be submitted to the DQR with DPI's or without DPI's. DPI stands for direct patient identifiers. More details on DPI's will be covered later in the presentation. Data that have passed the quality check can be submitted through two different pathways depending on the registry product being used. The first pathway is through the maintenance page which is part of the data collection tool. The second pathway is through the submit to DQR tab located under data. Both pathways will show the same information and follow the same process. The only difference is the location of the page. Submissions that have no system alerts are ready to be submitted and the system will allow you to choose the quarter to be submitted. If the quarter has system alerts, the system will not allow you to submit the data. When attempting to choose the quarter for submission, the system will show a stop sign when hovering over the square. To access system alerts in order to correct them, please click on the highlighted number under system alerts. In this case the highlighted number is 2. After clicking on the system alert number, the system will direct you to the episode management page and will display the patients having system alerts in the bottom of the page. In order to find the errors causing the system alerts, we will need to access the patient's episode information by clicking the edit procedure icon. After accessing the patient's procedure information, we will perform a quality check in order to identify errors. After all errors found by quality check have been cleared, the system alert will resolve and data will become available to be submitted. Please make sure that the new data entered or fixed is saved prior to performing a quality check. An important factor to remember is that the system will issue system alerts to data that have not gone through the quality check process, making resolving some system alerts as simple as running a quality check. After all system alerts have been resolved, the quarter will become available to be submitted. After choosing a quarter or quarters to be submitted, please choose to submit with DPIs or without DPIs. These options are located at the bottom of the page. When an NCDR participant is using a third-party vendor software instead of the ACC online data collection tool, the process of submitting data is different. If you use a third-party vendor tool, you'll need to upload data submissions. Data migration is defined as the process of moving data from the ACC online data collection tool to a third-party vendor tool. This process should only occur after an NCDR participant has completed the contract process with a third-party vendor. The purpose of data migration is to ensure that all data entered into the ACC tool is consolidated into the new third-party vendor tool to centralize all data for submission. The use of the ACC online data collection tool simultaneously with a third-party vendor tool is strictly prohibited. Once data migration is completed, access to the ACC online data collection tool will be turned off. Reverse data migration from a third-party vendor to the ACC online data collection tool is not possible. If an NCDR participant wishes to move back to the ACC online data collection tool, it is responsibility of the NCDR participant to maintain data files for the complete time period the third-party vendor was used.

DQR process

submitting data

DQR report

NCDR

data quality report