Seven years ago, the National Neurosurgery Quality and Outcomes Database (N2QOD) was created to meet the neurosurgical need to measure and promote quality care. A collaboration with national stakeholders, this unprecedented program expanded beyond the boundaries of its name, rebranding last year as the Quality Outcomes Database (QOD). Included in QOD are the QOD-Lumbar Spine (including Deformity), QOD-Cervical Spine and QOD-Neurovascular registries. Participants in QOD include U.S. surgeons, practice groups and hospital systems who can contribute to and access aggregate quality and outcomes data through this centralized, nationally-coordinated quality program.
The QOD-Lumbar Spine registry launched in February 2012. In 2019, it has over 105 contracted centers across the country with more than 98,000 enrolled patients across 98 centers. The QOD-Cervical Spine registry started in March 2013 with 84 active centers and nearly 42,000 patients enrolled in 2017. In December 2014, the QOD expanded its spine program to include spinal deformity cases and now has nearly 4,000 patients enrolled from 64 active centers. The QOD-Neurovascular registry is active in 26 centers with over 6,700 patient cases enrolled.
QOD Program Enhancements and Expansion
The NPA has been actively investigating new technology platforms for the QOD registries that will provide participants with a more robust, timely and user-friendly experience. Pilot testing was initiated on the QOD Tumor Registry in February 2019 within seven existing QOD centers. The pilot runs through December 2019 with an anticipated launch in early 2020.
The QOD Spine Surgery Predictive Calculators are being testing in a limited number of centers under a grant obtained from the Lumbar Spine Research Society (LSRS). Upon conclusion of testing, the NPA will embark on a prospective validation plan for the calculators before they are made available to QOD participating sites.
The QOD was again approved as a Qualified Clinical Data Registry (QCDR) for the Centers for Medicare & Medicaid Services (CMS) Merit-Based Incentive Payment System (MIPS) 2019 Program Year. The 2019 QOD QCDR offers eleven spine specialty-specific measures that can be used to report MIPS Quality Data to CMS. The QOD has been a QCDR since 2015. Prior to becoming a QCDR, the QOD was a Qualified Registry under the CMS Physician Quality Reporting System (PQRS) in 2013 and 2014.