Purpose and Use of Clinical Registries
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Purpose and Use of Clinical Registries
Purpose of Registry
One of the purposes of clinical registries is quality improvement. It involves integrating and analyzing operational, financial, and clinical data from all relevant sources, provision of a toolset to show the best practice for each patient, and reporting adherence to the best practices. Additionally, the benchmarking is done using clinically validated outcomes that have the measures adjusted for fair comparisons. Its robust predictive analytics engine allows for informed decisions, which enables patient-level decision support at the point of care. According to Liu et al. 2010, through the scientifically valid and relevant reports available on-demand in real-time, they allow for building trust and engaging providers in quality improvement. An example is when the Michigan Surgical Quality Collaborative in 2019 used registry data in the generation of knowledge; in procedure-specific opioid prescribing guidelines. The results were that the post patient opioid consumption dropped 30% while the post-surgery prescription dropped by 50%.
Use of Registry
Payment and value-based reimbursement are one of the uses of the clinical registry. It aims to succeed with value-based care and deliver high-value care instead of focusing more on loads of data or the dashboard. There is a need to find alternative payment models in the healthcare sector, bearing in mind the emphasis on the transition to value, putting more money at risk (James, Rao & Granger, 2015). Adequate management solutions can go a long way at ensuring that providers can chart their own course with the alternative payment methods, with the simplified value-based care. For example, the Cerebral Palsy Research Registry has been coming with new ways to enable the cost of treating the disease to be affordable to all persons affected. The results are not yet realized, as it is still a work in progress.
References
James, S., Rao, S. V., & Granger, C. B. (2015). Registry-based randomized clinical trials—a new clinical trial paradigm. Nature Reviews Cardiology, 12(5), 312-316.
Liu, S. S., Gordon, M. A., Shaw, P. M., Wilfred, S., Shetty, T., & YaDeau, J. T. (2010). A prospective clinical registry of ultrasound-guided regional anesthesia for ambulatory shoulder surgery. Anesthesia & Analgesia, 111(3), 617-623.