Thank you for participating in this learning activity titled An NCDR Overview, Part 3. After participation in this learning activity, the learner should be able to identify NCDR governance, review NCDR registry teams, identify communication pathways, and discuss registry development processes. NCDR is governed by the NCDR Oversight Committee, which reports directly to the ACC Board of Trustees. The NCDR Oversight Committee develops and oversees NCDR's strategic direction, ensures high-quality programs and services are provided to its constituents, advocates, promotes, and influences key groups regarding NCDR services, and maintains fiduciary accountability for NCDR's performance. The Board is comprised of members with a balanced representation of competencies and ACC membership categories including physicians, nurses, administrators, and at least one consumer member. Each specific NCDR registry is led by a steering committee that is charged with providing strategic direction and monitoring research and clinical activities. The membership of the steering committee is also representative of ACC member categories. Additionally, the Clinical Science and Quality Subcommittee is responsible for establishing and monitoring policies, procedures, guidelines, and methods that ensure the scientific integrity of all NCDR scientific, quality of care, and patient safety activities are met. The NCDR committee organizational structure is an essential component to the success of each registry and to the overall NCDR program. Many teams contribute to the success of NCDR. NCDR's front-facing team, communicating directly with our participant community, is our Business Support Operations team. The BSO team answers your calls and emails, triaging them as needed. Additionally, our BSO team processes and maintains contract, renewals, and account specifics. If you have questions about clinical scenarios, our Clinical Quality Advisors are here to help. The CQA team focuses on education and clinical resourcing for our data dictionaries, DQR processes, dashboards, and metric interpretation and coding. The Science team members work with physician advisors to develop and enhance the NCDR clinical registries. This includes data elements, definitions, and target values. In conjunction with these physician advisors, we also create executive-level metrics, detail lines and complex measures such as risk models, composite measures, and appropriate use criteria metrics to support facility-level quality improvement initiatives. Product managers drive and support execution for product development and implementation, strategic planning, product marketing and communications, participant retention and recruitment, registry steering committee facilitation, and providing subject matter expertise for clinical scientific and strategic inquiries. And, of course, the wheel would not spin without the important work being done behind the scenes with clinical registry and accreditation leadership, information technology, research and data analytics, and a top-notch marketing team. NCDR registry development is a multi-step process which involves the input and coordination of many staff and end-users. The process to launch a new registry or update an existing registry begins with a designated registry planning group charged with defining the registry purpose, determining if the registry is a means to achieve that purpose, identifying key stakeholders, and assessing feasibility and scientific rigor. Once important questions are answered, a dataset development workgroup is formed. This team of experts determines the core dataset needed to answer the central questions for why the registry was developed. When the first draft of elements and definitions are ready, an open comment period is set. The purpose of the open comment is to allow all stakeholders a chance to review and provide feedback on the value, feasibility, and relevance of the dataset. At the close of the period, all feedback is considered in the review and revise process. At this point, the NCDR science and IT teams spring into action to create algorithms which will allow for meaningful collection of data points that power the registry metrics. The registry metrics are the essential components for the benchmark comparisons and the quality improvement indicators. Next, the registry build begins and remains ongoing including several periods of system acceptance testing, user acceptance testing, and beta testing to ensure the product is working as expected. When issues are identified during testing, the teams come together to correct and enhance any area of the registry which would otherwise not be ready for launch. NCDR offers the option to use a certified third-party vendor for data entry. The NCDR accounts for the necessary lead time to ensure vendors have time to develop their product to match the one the NCDR is building. The use of non-certified vendors is prohibited. The final stages of the process include the NCDR educational teams. Education for new products and product upgrades will be found in the QII Learning Center. After all the steps are completed, the launch of a new registry or registry upgrade occurs. Throughout the country and globally, NCDR supports thousands of participating hospitals. NCDR's Business Support Operations team is the front line in triaging communication from participant inquiries coming from Contact Us, email sources, and phone calls. NCDR's email pipeline should be directed to ncdr at acc.org and our phone line is 1-800-257-4737. Contact Us is the preferred way of contacting NCDR and is available on all registry homepages. Please access the Contact Us page to send your inquiry, send attachments, and follow the status of your inquiry. Registry announcements are a vital source of information. Each registry maintains registry-specific information relevant to ACC and NCDR closures, registry fees, dashboard and benchmark updates, maintenance notifications, and a whole lot more. Please try to review this most current announcement each time you log into the registry. NCDR News and Views Newsletter is a monthly newsletter sent to NCDR and accreditation participants containing information about NCDR, ACC accreditation services, and ACC quality improvement efforts. ACC Communication is a valuable resource for NCDR participating facilities. Make sure to look for marketing emails and materials which help to communicate registry upgrades and changes and other important information. Registry webinars are an additional source of communication with participants. In addition to questions from your peers, the registry calls also include registry announcements which are an overview of what is currently happening at NCDR. The QII Learning Center is a great place to find a lot of helpful sources of documented information focused on communication, education, and training. Make sure to review our library of case scenarios while you're in there. Thank you for participating in this learning activity titled An NCDR Overview, Part 3. After participation in this learning activity, the learner should now be able to identify NCDR governance, review NCDR registry teams, identify communication pathways, and discuss registry development processes. Please advance to Part 4 of this four-part activity. And thanks again for participating.

NCDR Overview

governance

NCDR Oversight Committee

registry development

communication pathways