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Regent: Helping Improve Treatments, Practice


H. Louise Eddy talks about her experience as the executive director of a private practice using the Regent QCDR as James C. Denneny III, MD, and Lisa Ishii, MD, MHS, listen.

Otolaryngology practices can join the AAO-HNSF RegentSM Qualified Clinical Data Registry (QCDR) now to put themselves in a position in the future to share practice data that can lead to treatment advances, demonstrate quality requirements for reimbursement, and ease the Maintenance of Certification (MOC) process.

All of those positives were explained Sunday during the Miniseminar “The Future is Now, Regent: The First Otolaryngology-Specific Clinical Data Registry.” Making presentations were members of the Regent Executive Committee, the QCDR vendor, and a participant in Regent’s pilot phase.

Regent was opened to the Academy membership July 25 and it will start operating October 1. All practices interested in securing one-year free access to Regent for their providers must execute a signed contract by September 30. Attendees can execute contracts in the Regent booth in the Sails Pavilion, which closes at noon Wednesday.

Emphasizing the value to otolaryngologists was H. Louise Eddy, MS, CCC/A, FAAA. She is executive director of Texas Ear, Nose & Throat Specialists, one of the 35 pilot sites for Regent.

“Quality now is defined by CMS using measures that may or may not reflect the true standard of care for our specialty. If we want to determine how we are measured for quality, we must participate in the development of the quality metrics for otolaryngology,” she said. “Regent is the only option for the development and measurement of ENT-specific quality measures.”

The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) and MIPS are changing the world of reimbursement that requires documentation of quality treatments. Regent is the best option for otolaryngologists to meet those documentation requirements, she said.

“In your practice, as in mine, the quality mandate has added a level of complexity and tedium that can be staggering,” Eddy said. “You cannot go it alone. Regent is the catalyst for your success.

She used her experience as a pilot site to present tips that are keys to a practice’s successful implementation of Regent:

  • Designate a point person to be a conduit for communication and work product
  • Engage your IT resource to get do the basics correctly
  • Know and engage your EHR vendor and read your agreement
  • Read your Regent agreement and be sure to understand it
  • Open the lines of communication with the Regent team

Reviewing the basics of Regent was AAO-HNS/F Executive Vice President and CEO James C. Denneny III, MD, who emphasized that it integrates with a practice’s EHR to minimize additional work on the part of the provider. Providers use registries to:

  • Improve quality of care via enhanced surveillance and population management
  • Participate in provider certification and recognition programs
  • Contribute real-world data for clinical research

Lisa Ishii, MD, MHS, coordinator for Research and Quality and a member of the Regent Executive Committee, discussed the future of Regent. It can be used to provide verification for MOC, provide a direct link for providers participating in MIPS, and help subspecialties link their data to research improved treatments.

“This will be used to develop performance measures and have new grasp of what is going on in the specialty that we have not had before,” she said. “Regent is priming us to move forward in that domain (of quality over cost for reimbursement). If you have not signed up already, I hope you will do so and leave here as an ambassador for Regent.”

Tim Parr, vice president of technology for FIGmd, the vendor providing the technology behind Regent, explained its technical aspects. It allows automated data extraction and submission, collection of complete clinical records from multiple sources, and provides insight into your practice quality data.

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