Welcome to this series of instructional videos directed toward onboarding education for our NCDR international community. The content in this lesson was developed by John Gerrout and myself. I'm David Bonner, and I'll be narrating this lesson. We've taken the steps to commit to improving patient care and heart health by using real world evidence so we can all live in a world where NCDR advances patient care, outcomes, and value through knowledge and innovation. Congratulations! So now that you're a participant with NCDR, what do you do? The following presentation will assist you with guidance to becoming successful within the NCDR registries. Along with following these 10 steps to NCDR registry success, each registry user must be diligent in capturing factual, real-world data to ensure accurate and meaningful outcomes. Make sure you create a team of engaged individuals who are committed to success and accurate reporting, and that includes identifying physician champions and administration champions who can act as your advocates in data capture via charting. Be a registry advocate to ensure meaning and success for your facility. Let's begin with a brief run-through of the 10 steps to registry success within NCDR. Then we'll get more granular later in the session. Step one requires significant input from you as the participant. The use of educational resources is a mandatory task in order to be successful in the registry and requires diligence and information sharing with your teammates. Please refer to our separate lesson in the QII Learning Center, which outlines more granular details about registry resources on each of the following educational-based resources. Each of these following tasks should be performed by every user at your facility who play a role in the collection, abstraction, and entry of data into the NCDR registries. Step two requires you, as a participant, to be aware that every element you collect has a target value associated with it. The target value has been strategically designed to allow for capture of meaningful data to ensure quality and accuracy. Some target values have a usual range in addition to a valid range, so even if a value seems too large or too small, the system will accept the value if it remains in the valid range. Please become familiar with your full specifications data dictionary, which is located in the resources document section on the registry website, and use this valuable information as you extract data from your medical records. Step three requires you, as the participant, to form a process within your facility to not only extract data from your medical records, but also to ensure the correct data is being charted in the patient medical record. Sometimes barriers to abstract data begin with documentation practices by your facility personnel or medical staff. Keep an open line of communication between your practicing physicians and your registry team to ensure the data you need for the registry is obtainable. This may require you seek out a physician champion or administration champion. NCDR supplies a word copy of the data collection form, so you may create a copy which highlights elements which might be particularly difficult for your physicians or your staff to remember. A custom-made form, which is distributed to operating physicians and staff, is the first step to creating a communication pathway. Step four requires participants to enter data which has been abstracted from electronic or paper medical records into an online data collection tool. The American College of Cardiology offers the ACC online data collection tool, which is available at the time of registry initiation and is included in your registry product without additional fees. Alternatively, the ACC offers certified vendors who provide third-party vendor tools which serve as a way to enter and send your data to the ACC data warehouse for evaluation and quality review. The choice between the ACC online data collection tool and a third-party vendor tool is at the complete discretion of the participating facility. More information about third-party vendors can be found on our website. Step five requires participants to perform a quality check on every patient data form entered into the registry. This is a simple automated process, which is available in the ACC data collection tool and serves as a preliminary check on the data entered in the online tool before it is sent to our data quality report process. A preliminary quality check helps you identify keystroke errors and major errors in logic. Participants using third-party vendor tools will also have a preliminary quality check process as well, but it is defined by each vendor. Step six occurs after your quality check has been performed and all identified initial issues in the quality check are resolved. The data quality report, or DQR report, is an evaluation of your data submitted within a defined quarter. The data are evaluated based upon discharge dates and provide a real-time report of the quality of the data you have entered. During this process, an evaluation of each sequence number will summarize the overall quality of data based upon data and completeness assessments such as thresholds, target values, and assessment of logic. The DQR report may be run as many times as necessary to ensure the final status of your data submission meets all expectations of quality requirements. Step seven. Each time a DQR report is initiated, you will receive a benchmark inclusion status report within approximately five to ten minutes. Each status report will identify your submission quality by assigning a red, yellow, or green status. For your data to be aggregated with other data in our NCDR registry aggregations, you must have a passing green status. For more granular information about the data quality review process, please access our QII Learning Center. Step eight is an extremely important step as it requires awareness and diligence on the part of all registry users to ensure all patient data entered and submitted meets targeted deadlines. The call for data deadline schedule is provided for all registries and serves as notification of the endpoint for data submissions defined by discharge dates which are posted by quarter. If your data is not in a green status at the time of the scheduled deadline per quarter, your data will not be included in the current aggregations. Data may still be entered and submitted after a scheduled deadline for inclusion in the next scheduled aggregation which will occur three months later. Step nine allows you to review and process the results of your hard work. Registry metrics and benchmarks are completed with green status aggregations and populate our registry dashboards with close to real-time data as well as provide an on-demand reporting option for certain registries. Static benchmark reporting options are available for some registries based on a rolling four-quarter process. For more information about our NCDR dashboard products, please be sure to navigate to our QII Learning Center and look for our dashboard lessons. Step 10. With diligence and determination combined with teamwork, you'll complete this 10-step process by reviewing your outcomes and benchmark reporting via our registry dashboards and outcome reporting, implementing our mission of improving patient care and heart health through trusted real-world evidence, and our vision of advancing patient care outcomes and value through knowledge and innovation, you can utilize your data to initiate opportunities to implement process improvement, quality improvement, and ultimately improve patient care and outcomes. Now let's take a moment to dive a little deeper into these steps to learn what information may be helpful to you as an international participant. This concludes our lesson. Thank you for your participation.

NCDR international community onboarding

real-world evidence

patient care

heart health

NCDR registries