AQuIRE - The ACCP Quality Improvement Registry

The American College of Chest Physicians (ACCP) now offers the ACCP Quality Improvement Registry, Evaluation, and Education (AQuIRE) to assist the chest physician with meeting increasing demands placed upon them by the public, credentialing bodies, regulatory agencies, payers, and the institutions in which they practice.

The ACCP AQuIRE Registry combines data collection, quality and data reporting, and pathways to targeted education to increase knowledge and performance in deficient areas. Participation provides participants with the ability to enhance their practice through the application of useful data reports and peer comparisons. Pulmonary, critical care, and sleep physicians will now have a tool to more easily monitor their practices, understand how they compare with their peers, and provide direction in the development of indications, which will someday be used to determine reimbursement.

Bronchoscopy Module

Researcher and clinician members of the ACCP have developed the ACCP AQuIRE Registry, which currently consists of two registries:

The main goal of the registries is to collect standardized multicenter data on various bronchoscopic interventional and diagnostic procedures.

Background
The registry was initially developed and used by bronchoscopy experts at four centers (Armin Ernst, MD, FCCP, Beth Israel Deaconess Medical Center, Boston, MA; David Ost, MD, MPH, FCCP, MD Anderson Cancer Center, Houston, TX; Michael Simoff, MD, FCCP, Henry Ford Hospital, Detroit, MI; and Felix Herth, MD, FCCP, Thoraxklinik, Heidelberg, Germany). Data was collected for 2 years from each of the centers.1

In 2008, the decision was made to develop the registry into a Web-based platform in collaboration with the ACCP. The ACCP formed a workgroup consisting of the initial developers (Drs. Ernst, Ost, and Simoff), as well as quality improvement experts (James O’Brien, MD, FCCP, The Ohio State University, Columbus, OH; and Jo Ann Brooks, DNSc, RN, FCCP, Clarian Health, Indianapolis, IN). The data elements were broadened to encompass elements pertinent to quality improvement.

1. Ernst A, Simoff M, Ost D, et al. Prospective risk-adjusted morbidity and mortality outcome analysis after therapeutic bronchoscopic procedures results of a multi-institutional outcomes database. Chest 2008; 134(3):514-519

AQuIRE Features

The AQuIRE Bronchoscopy Module features:

  • Web-based data collection
  • Real-time reporting on quality indicators
  • Tools to facilitate data collection
  • Access to your current data anytime
  • Comparative institutional outcomes reports to enable benchmarking against peers and the national experience
  • Access to clinically and technically experienced customer support staff
  • Participant training resources

AQuIRE Reports. AQuIRE Benefits.
Whether you are looking to optimize staffing, publish your work, or find a tool to gauge the progress of your fellows-in-training, the free AQuIRE registry reports offer the solution. Enter your data, and your practice will benefit.

Understanding Resource Utilization

  • Optimize resource consumption to reach the maximum quality of care
  • Examine the impact of practice changes and new technologies on patient care and consumption

Evidence of Performance

  • Monitor your indicators and benchmark against your peers in real time
  • Negotiate contracts and other professional opportunities
  • Demonstrate competency of new skills

Ongoing Professional Requirements

  • Evidence of ongoing self-assessment and performance improvement activities
  • Take steps to improve performance in a timelier basis
  • Evidence of participation in performance improvement activities for maintenance of certification

Research and Publication

  • Initiate research projects using data only aggregated through AQuIRE
  • Gain opportunities for recognition in manuscripts based on AQuIRE data

Fellows-in-Training and Competency Assessment

Fellows in training can:

  • Self-assess practice and demonstrate competency over time
  • Identify gaps in knowledge and practice, and engage in targeted educational interventions
  • Develop performance improvement projects
  • Help the ACCP Increase Opportunities for Your Reimbursement
  • Help the ACCP leverage data to negotiate more objectively determined reimbursement rates

Ed Dellert, RN, MBA
Vice President, Educational Resources
Phone: (847) 498-8333
Fax: (847) 498-5460
edellert@chestnet.org

Joyce Bruno Reitzner, MBA, MIPH
Assistant Vice President, Quality Improvement
Phone: (847) 498-8120
Fax: (847) 498-5460
jbruno@chestnet.org

Jeffrey Maitland
Program Coordinator
Quality Improvement
Phone: (847) 498-8369
Fax: (847) 498-5460
jmaitland@chestnet.org