The PCCR Evidence-Based Toolkit for Clinicians Series

The PCCR Evidence-Based Toolkit for Clinicians Series

The Palmer Center for Chiropractic Research (PCCR) encompasses all three Palmer campuses and employs more than 35 professionals including administrators, faculty members,  professional and administrative staff and clinical research fellows. The annual budget tops $5 million, with 50 percent coming from external funding sources.

Since its inception in 1995, PCCR has achieved several historical firsts:

  • First chiropractic institution to receive a grant directly from the National Institutes of Health (NIH) to establish a formal research center
  • First chiropractic institution to receive a total of four multi-million dollar developmental center awards from NIH
  • First chiropractic institution to conduct simultaneous research projects funded by three different government funding agencies – the NIH, Health Resources and Services Administration and DoD
  • First chiropractic institution to receive a research curriculum grant for providing master of science degree training of chiropractors in high-level clinical research

Current high priority areas of study:

  • Integrating health care for musculoskeletal pain and mental health disorders for veterans
  • Evaluating chiropractic care practiced in integrated clinic settings
  • Growing emphasis on multi-disciplinary health services research and health policy initiatives

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The PCCR Evidence-Based Toolkit for Clinicians is a collection of resources, tools, and services to help you provide evidence-based care to your patients.

Patient Management Resources
Access evidence-based clinical guidelines organized by condition as well systematic review summaries.

Patient-Reported Outcome Tools
Find tools, scales, and questionnaires to assist you in collecting outcomes from your patients.

Translating Research into Practice
Learn about evidence-based clinical practice (EBCP), read condensed articles about using EBCP in practice, and find plain-language research article summaries to share with patients.

Accessing the Scientific Literature
Search, read, and sign up to have articles about topics you’re interested in sent directly to your inbox.

In this article, we’ll discuss Clinical Data Registries:
Join a community of clinicians who are committed to quality-driven spine care delivery.

The PCCR Evidence-Based Toolkit for Clinicians Series

Clinical data registries are computer-based networks that collect data from clinicians in order to describe the natural history of disease, determine the clinical effectiveness, cost-effectiveness of health care services, and to measure/monitor safety and quality. Registries are increasingly used by health care professions to establish the value of the care they provide and will become even more important as the world moves towards performance-based payment systems.

Spine IQ

Clinical Data Registries
Spine IQ has established two clinical data registries for 2016 that each include more than 20 performance measures for low back pain and neck pain. Clinical data registries are computer-based networks that collect data from clinicians in order to describe the natural history of disease, determine the clinical effectiveness, cost-effectiveness of health care services, and to measure/monitor safety and quality. Registries are increasingly used by health care professions to establish the value of the care they provide and will become even more important as the world moves towards performance-based payment systems.
Low Back Pain Performance Measures
Neck Pain Performance Measures

Spine IQ’s low back pain registry has been approved by the Centers for Medicare and Medicaid Services (CMS) as a qualified clinical data registry (QCDR).

The PCCR Evidence-Based Toolkit for Clinicians Series

The Primary Spine Practitioner (PSP) Model
Spine IQ believes that changing how spine care is delivered can help achieve the lauded triple-aim goals of improved care, improved outcomes, and reduced costs. Central to Spine IQ’s mission is the establishment and empowerment of Primary Spine Practitioners (PSP) who are well trained to manage acute and chronic spine care and function within multi-disciplinary healthcare delivery settings, or independently (as a virtual member of such settings). The PSP model represents a new role for and a redeployment of existing, professionally trained spine care experts such as doctors of chiropractic, who can provide evidence-based spine care and who are versed in a variety of non-invasive spine care treatments.

The PCCR Evidence-Based Toolkit for Clinicians Series

Spine Care Quality Benchmarking Program
Spine IQ is working to develop an independent spine care quality benchmarking program that enables high-performance providers’ expertise to be recognized. This will be the first quality program that is specifically designed for PSPs and uses individual provider data rather than proprietary standards based primarily on process measures and/or utilization rates. Three levels of benchmarking are planned:

Level 1: Verification that a provider is enrolled in one or more Spine IQ registries
Level 2: Level 1 verified Spine IQ providers AND meets at least 80% of performance benchmarks
Level 3: Level 2 verified Spine IQ providers who have applied and received recognition by a nationally known credentialing body

The PCCR Evidence-Based Toolkit for Clinicians Series

Spine Care Research
Through the use of registries and other data sources, Spine IQ will collect the information necessary to compare clinical and cost outcomes for patients with spine-related pain and disability receiving care from a large number of PSPs across nationally representative geographic and practice settings. Studies focused on this data will enhance our understanding of how spine care impacts both physical and emotional functioning for a variety of conditions, ultimately providing the critical evidence needed to improve patient care, identify future research questions and help policymakers make decisions regarding the appropriate role for PSP care within the rapidly evolving healthcare system.

The PCCR Evidence-Based Toolkit for Clinicians Series

PSP Provider Education
Spine IQ registries include evidence-based training materials designed to assist PSPs in meeting performance measurement benchmarks and/or standards. Spine IQ will use continuing education resources, such as reviews of the literature or webinars, to deliver information that is tied directly to the performance measures included in our registries. Additional educational opportunities will focus on improving the quality of spine care delivery by increasing PSP understanding and participation in relevant local and national quality initiatives.

The PCCR Evidence-Based Toolkit for Clinicians Series

Spine IQ – Join the Spine IQ low back pain and/or neck pain clinical data registries – improve your clinical skills, participate in Medicare quality initiatives and contribute to chiropractic research

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