Anesthesia Quality Institute National Anesthesia Clinical Outcomes Registry

The Anesthesia Quality Institute is home to the National Anesthesia Clinical Outcomes
Registry , a data warehouse that has been designated as a Qualified Clinical Data Registry
by the Centers for Medicare and Medicaid Services for Physician Quality Reporting System
reporting. With 20 million cases and growing, Anesthesia Quality Institute's clinical data
provides an evidence-based rational that informs treatment choices and helps control
treatment costs.

National Anesthesia Clinical Outcomes Registry is intended for all anesthesia providers
caring for patients. The registry provides participating providers with:

Custom continuous performance monitors Performance gap analysis and patient outlier
identification Access to improvement interventions to close performance gaps including
patient care management tools, targeted education, resources and other evidence based
interventions Registry and peer-to-peer benchmarks

Performance

Participants have unlimited access to National Anesthesia Clinical Outcomes Registry to
identify opportunities to improve anesthesia clinical care. Reports allow participants to
immediately identify gaps in specific quality measures and focus efforts to close those
gaps. Performance tracking reports capture trends over time and help measure improvements in
quality care. National Anesthesia Clinical Outcomes Registry also provides participants with
access to national benchmarking reports.

Patient Outliers

National Anesthesia Clinical Outcomes Registry participants can also improve care by
reviewing performance results across their patient population. This information helps to
address clinical gaps in a timely manner. Consider and choose interventions that can lead to
sustainable practice improvement for your aggregate performance, which can help reduce the
number of patient outliers in the future.

Improvement

National Anesthesia Clinical Outcomes Registry identifies possible interventions for
improvement based on clinical quality gaps found through calculating selected data. Data can
be used to review performance and determine quickly the impact of an improvement
intervention. Results are presented graphically to identify trends in performance.

National Anesthesia Clinical Outcomes Registry is approved by Centers for Medicare and
Medicaid Services as a Qualified Clinical Data Registry . A Qualified Clinical Data Registry
is a registry comprised of Physician Quality Reporting System (PQRS) and/or non Physician
Quality Reporting System-approved measures which qualifies as a Centers for Medicare and
Medicaid Services-approved reporting tool for Physician Quality Reporting System.
Previously, physician anesthesiologists were limited to reporting three measures to
Physician Quality Reporting System. National Anesthesia Clinical Outcomes Registry has more
than a dozen additional anesthesia-related measure--helping eligible professionals
satisfactorily report on outcomes that matter to them and their patients, and more easily
meet Physician Quality Reporting System requirements.

Qualified Clinical Data Registry reporting services are included in American Society of
Anesthesiologists (ASA) membership, and all Eligible Professionals may participate through
American Society of Anesthesiologists membership. Non-member physicians and non-physicians
must pay additional fees. All eligible professionals using Qualified Clinical Data Registry
reporting services must be a member of National Anesthesia Clinical Outcomes Registry.

Steps for becoming a National Anesthesia Clinical Outcomes Registry participant

National Anesthesia Clinical Outcomes Registry participants range from pen-and-paper
anesthesiology practices to the most wired academic centers. You do not need an AIMS system
or electronic health records to participate. Anesthesia Quality Institute will help
facilitate the contribution of desired data.

National Anesthesia Clinical Outcomes Registry allows for close collaboration between
Anesthesia Quality Institute, individual providers and healthcare technology vendors. Roles
are defined as follows:

Anesthesia Quality Institute Key Roles

Define data and outcomes collected in National Anesthesia Clinical Outcomes Registry Provide
unifying definitions and templates Contract with individual practices and hospitals to
exchange data Report collected data

Individual Anesthesia Practices, Hospitals and Providers Key Roles

Provide data to National Anesthesia Clinical Outcomes Registry Use reports to improve
patient care to meet various local, state and federal regulatory requirements

Vendors of Anesthesia Information Technology Key Roes

Facilitate National Anesthesia Clinical Outcomes Registry through reporting work with
individuals; vendors that provide formatted data for contribution to National Anesthesia
Clinical Outcomes Registry will be listed as Anesthesia Quality Institute Preferred Vendors

Inclusion Criteria:

- all patients undergoing an anesthetic

Exclusion Criteria: