Welcome to this learning activity entitled NCDR Onboarding, Available Resources. The content in this lesson was developed by David Bonner and myself. My name is John Giroud, and I will also be narrating this lesson. The NCDR suite of cardiovascular data repositories are designed to be outcomes-based to help hospitals continuously measure and improve the quality of care they provide. In the international space, NCDR has been used by a variety of public and private institutions to create a culture of ongoing quality improvement, detect gaps in patient care, and make decisions towards the best use of resources. Overseas, there are clear examples of how institutions have been able to achieve reduction in costs, increases in revenue, and improvement in patient outcomes simultaneously. There are 10 participant responsibilities that we'd like to review in this presentation that are important to ensuring success within the NCDR registries. They are to read announcements, review the Start Here link, participate in the Learning Center, review resource documents, study case scenarios, review the FAQ database, attend registry calls, network with peers, review participant resource sharing, and access the Clinical Quality Advisor team. We will spend the rest of this presentation reviewing each of these topics. Registry announcements are an integral part of the communication pathway between NCDR and registry participants. Once a user enters their credentials, logs into NCDR, and selects a registry, they arrive at the home page, which features announcements relevant to that particular registry, with the most recent messages posted at the top. These often include, but are not limited to, registry call information, updated FAQ or product update notifications, functionality reporting, Learning Center updates, and upcoming call for data notifications. Start Here resources are designed to ensure new NCDR users are equipped with all necessary information for a successful onboarding. Start Here checklists for the registry site manager and individual registry user are provided with step-by-step instructions, links, and resources. It is strongly recommended that individuals who are going to have access to a registry review and perform each of the items on the checklist. Frequently used NCDR terminology, as well as other critical resources for new participants, are available at the Start Here link as well. For a complete review of the resources available at the Start Here link, please visit the QII Learning Center. To help you successfully utilize the NCDR and its breadth and depth of features and benefits, the ACC has launched the NCDR Learning Center. This educational resource will help you get the most out of the registries to improve clinical practice and patient outcomes. NCDR courses, as well as registry-specific courses, can be selected from the Select Program drop-down menu. Case scenarios are a valuable educational tool. Each month, the Clinical Quality Advisor team creates and posts a unique real-world clinical scenario highlighting a data element or performance measure. A rolling 12 months of case scenarios are posted and available by selecting the Learning Center tab and then selecting Monthly Case Scenarios. A Registry Inclusion Criteria document is provided with each registry in the User Guide documents of the Resources section. This essential document outlines the basic criteria that a patient and procedure must meet in order to warrant inclusion in the registry. It is strongly recommended that registry users and abstractors familiarize themselves with this resource to ensure that patients and procedures are not erroneously included or excluded in a given registry. The FAQ link houses a database of frequently asked questions and answers which have been compiled by the NCDR Clinical Quality Advisor team. FAQ topics can be located by Data Element Sequence Number, or FAQ ID, as well as by searching for keywords in the text of the question or answer. The FAQ page also offers the opportunity for participants to seek clarification on any number of topics, including, but not limited to, data definitions, target values, and metrics by utilizing the Ask Question function. Submitted questions are answered by members of the Clinical Quality Advisor team on a first-come, first-served basis. It is important to note that not all incoming questions directed to NCDR via the FAQ tool are posted to the FAQ database. In order to keep this database manageable, the CQA team posts FAQs which are deemed to assist the registry participants with the most relevant answers based on specific needs. Regularly scheduled registry calls are available to all NCDR participants and are provided as a valuable source of education. The content of the calls can include, but are not limited to, announcements, registry updates, questions from your peers, monthly case scenario review, and relevant topics such as metric-related or data definition education. All calls are scheduled to begin at 1 p.m. Eastern Standard Time, unless otherwise noted. The registry call schedule also includes a hyperlink to the call meeting minutes for participants who are unable to attend a call and or want to review the content. NCDR registry site managers can elect to have their contact information published in the NCDR Participant Directory. Doing so provides participants with the opportunity to connect with one another on any variety of high-level registry and quality improvement topics. Publishing your contact information in the Participant Directory is entirely optional and at your discretion. The NCDR Participant Resource Sharing page is available to all participants with access to ncdr.com who are looking for ideas from other NCDR participants. The purpose of this site is to encourage and allow sharing of NCDR-related tools and processes developed by NCDR participants and used to improve cardiovascular care. Submitters are encouraged to provide materials that have evidence supporting their value. The Technology Downloads page includes lists of devices, such as intercoronary devices, medications, and closure devices, that are commonly utilized during a procedure in one of NCDR's procedure-based registries. Specific lists of data elements that are subject to modification from time to time are also housed here. The lists are registry-specific and are updated regularly to include relevant and recent devices that warrant abstraction in the data collection tool of a given registry. The Clinical Quality Advisors, CQAs, are a team of NCDR staff members with clinical expertise, skillfully trained to educate and provide registry-specific consultation to NCDR participants. Clinical Quality Advisor Associates are available for all registries between the hours of 9 a.m. to 5 p.m. Eastern Time, Monday through Friday, except for days when the American College of Cardiology is closed. The CQA team operates on a standard policy of first in, first out, to ensure fairness for the entire participant community. This concludes this presentation. Thank you for your participation.

NCDR Onboarding

Available Resources

cardiovascular data repositories

patient outcomes

participant responsibilities