117th Annual Meeting: Press Briefing
Improve Performance and
Outcomes in Ophthalmology
Speakers
• William L. Rich III, M.D.
– Chair of the Registry Measure Development Work Group, Academy
Medical Director of Health Policy
– Financial Disclosures: None
• David May, M.D.
– Managing partner, Cardiovascular Specialists, PA; President of the
Texas Chapter of the American College of Cardiology (ACC) and
member of the ACC PINNACLE registry steering committee
– Financial Disclosures: None
• Michael F. Chiang, M.D.
– Knowles Professor of Ophthalmology and Medical Informatics and
Clinical Epidemiology at Oregon Health and Science University, Chair
of Academy’s Medical Information Technology Committee
– Financial Disclosures: None
• Tim Parr
– Vice president of technology, FIGMD, Inc.
Briefing Agenda
• Why build the IRIS Registry/Benefits to ophthalmologists and patients
– William L. Rich III, M.D.
• How registries have helped the American College of Cardiology/cardiology
patients
– David May, M.D.
• The regulatory benefits of using the IRIS Registry
– William L. Rich III, M.D.
• IRIS Registry - current development and physician participation & future
developments
– Michael F. Chiang, M.D.
• IRIS Demo
– Tim Parr, FIGMD
– William L. Rich III, M.D.
• Questions
• Concluding Remarks
Why Build the IRIS Registry
Patient data analysis and benchmarking
can help improve quality and outcomes.
How registries have helped the
American College of Cardiology
IRIS Registry: Regulatory Benefits
Your data
extracted from
your EHR
system
Satisfy
multiple
regulatory
requirements
by providing
data to one
entity: the
IRIS™
Registry.
Your
individual
performance
improvement
dashboard
IRIS Registry
Physician
Quality
Reporting
System
Meaningful
use quality
measure
reporting
Meaningful
use stage 2
menu: report
to registry
Quality
measures for
value-based
modifier
IRIS Registry:
Regulatory Benefits
Financial Benefits: Earn Incentives and Avoid Penalties
VBP
2013
2014
2015
2016
2017
2018
Meaningful use
-
-
(1)%
(2)%
(3)%
(3-4)%
Physician
Quality
Reporting
System
0.5%
0.5%
(1.5)%
(2)%
(2)%
(2)%
Value-based
modifier
-
-
(1)%
(2)%
TBD
(proposed)
TBD
Total
incentive/cuts
avoided
0.5%
0.5%
(3.5)%
(5)%
(6-7)% or
more
(6)% or
more
IRIS Registry:
Regulatory Benefits
Penalty Impact Per Physician
Assuming $300k of
Medicare Revenue Per Year
• 2013: $1,500
• 2014: $1,500
• 2015: -$10,500
• 2016: -$15,000
• 2017: -$18,000
• 2018: -$18,000 to $21,000
Impact on a 4Physican Practice
 2013: $6,000
 2014: $6,000
 2015: -$42,000
 2016: -$60,000
 2017: -$72,000
 2018: -$72,000 to
-$84,000
IRIS Registry – Current Developments
Who’s currently piloting it
Contracted By
Practices
Providers
Locations
Patient
Encounters
Total
124
685
332
370,000
Contracted Practices in 35 states –
Even before full roll out in April!
IRIS Registry EHR Integration –
Already mapped
•
•
•
•
•
•
•
EyeDoc EMR
EyeMD EMR
GE Centricity EMR
IO Practiceware
ifa
iMedicWare
MaximEyes EHR
•
•
•
•
•
MDIntelleSys
Medflow
NextGen
WebChart EH
But, IRIS Registry
can work with ANY
EHR
IRIS Registry Future Developments
Timeline
Patient Records
Current
370,000 patient encounters
Full roll out in April
2014
?
Projected for 2016
15-20 million patients (2020
physicians)
Future Developments
• IRIS Registry will support ABO’s Maintenance of
Certification Part IV Practice Improvement Modules
by automating the collection of data directly from
EHRs
• Subspecialty outcomes measures – cataract,
glaucoma, retina, pediatrics, etc.
• Clinical research
• Post-market surveillance studies
• Early detection of safety signals
• Determining changes in practice patterns
• Support CME activities
IRIS Registry - Demo
Questions
Take a closer look at the IRIS™ Registry
Sunday
• The Power and Benefits of the IRIS Registry (Sym57) – Presentations
and a Q&A session. La Nouvelle Orleans C, 12:45 to 1:45 p.m.
• IRIS Registry Launch Party – Academy Resource Center, Hall G,
Booth 3239, 3 to 5 p.m.
Monday
• An Ophthalmic Clinical Registry: A Pathway to Improved Quality and
Outcomes – New Orleans Theater C, 9:02 to 9:12 a.m. This
discussion is part of Sym17, 8:30 to 10 a.m.
• Introducing the Academy’s IRIS Registry: How to Meet Regulatory
Requirements for Quality Measures (Tech13) – Technology Pavilion,
Hall I1, Booth 4145, 12:30 to 1:30 p.m.