American Society of Anesthesiologists - NACOR

AQI is home to NACOR, a data warehouse designated as a QR and a QCDR by CMS for quality. With millions of cases and growing, AQI's clinical data informs treatment choices and helps control treatment costs.

ASA Membership Matters!  ASA Members receive participation in NACOR Basic for FREE 
NACOR Basic, which does not include additional quality reporting options, is intended for all anesthesia providers in all practice settings. The registry provides:

  • Custom continuous performance monitors
  • Performance gap analysis and patient outlier identification
  • Improvement interventions, including patient care management tools, targeted education, and links to anesthesia information technology vendors
  • Peer-to-peer benchmarks

Reporting Outcomes/Adverse Events (excluding CMS measure data)

  • If a practice is reporting outcomes to NACOR, a blank outcome field is represented in the database as "no adverse event." Ideally, the most accurate capture is to record 'yes' or 'no' to an adverse event for every case. We recognize that many practices are capturing outcomes on paper or some other manual system where clicking a box 'yes' or 'no' for every case may be resource intense and interrupt workflow. 
  • Outcomes definitions are standardized and all vendors and groups should report based on definitions posted on our website.  

Performance
Participants have continuous online access to NACOR reports, which they can use to 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. NACOR also provides access to national benchmarking reports.

Identify Outliers
NACOR participants also can improve care by reviewing performance results across their patient population, which helps address clinical gaps in a timely manner. Consider interventions that can lead to sustainable practice improvement for your aggregate performance, which can help reduce outliers in the future.

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

Participants range from pen-and-paper anesthesiology practices to the most technologically advanced academic centers. An AIMS system or electronic health record (EHR) is not required to participate.

Participation requires close collaboration between the anesthesia practice, its providers and healthcare technology vendors. Roles are defined as follows:

Key roles for individual anesthesia practices, hospitals and providers 

  • Provide data to NACOR
  • Use reports to improve patient care to meet various local, state and federal regulatory requirements

Key roles for anesthesia information technology vendors 
Facilitate NACOR reporting with practices; vendors that provide formatted data for NACOR will be listed as AQI Vendors.