2. Axon Registry: Background
Free AAN member benefit established in 2015
US Neurologists in outpatient settings
Created to address movement in medicine towards value based care
Demonstrates the value of neurology
Size to Date
Over 200 practices and 1,100 providers (22% from large institutions)
4.5 million patient visits

3. Axon Registry: Background
The Axon Registry is:
A clinical quality data registry, designed to gather clinical data from a broad cross section of patients for the purpose of quality measurement and then improvement
It is also a Qualified clinical data registry (QCDR), a CMS-approved entity that collects clinical data for the purpose of patient and disease tracking to foster improvement in the quality of patient care
Quality, Promoting Interoperability, and Improvement Activities

4. Axon Registry: How It Works
How many measures?
40 quality measures currently integrated in Axon
Dementia, Parkinson disease, epilepsy, headache, peripheral neuropathy, MS, sleep apnea, falls, child neurology, essential tremor, ophthalmology
Not required to be documenting for all 40 measures
Annual call for measures, from which additional measures will be selected

5. Axon Registry: How it Works
The AAN has contracted with a vendor (FIGmd) with extensive experience creating clinical registries
Participants work with the vendor to identify where in their EHR to locate performance on each measure (“mapping”)
Data can be “pulled” or “pushed”
Data pull collection is daily and automatic, requiring no additional practice resources
Data push collection (the most common for academic centers and it requires files to be sent via SFTP
Epic App Orchard option available late 2018

7. Axon Registry: Why Participate?
Benefits for the individual neurologist:
Learn about your practice, benchmark, and improve
Free to AAN members
Specialty and subspecialty specific quality measures
Qualifies for MOC Part IV Clinical Module Activity and waive 8 credits Part II self-assessment
Report for government reporting programs such as MIPS
PQRS (MIPS/Quality in 2019)
Value based payment modifier (MIPS/Cost in 2019)
MU (MIPS/ACI in 2019)
MOL potentially

8. Axon Registry: Why Participate?
The benefits differ for academic neurology departments
Numerous research opportunities within the large, novel Axon Registry data set
Health services research
Health care disparities
Clinical outcomes (“real world experience”)
Useful tool for faculty interested in quality improvement as an academic identity
Potential component of academic promotion
A quantitative tool for neurology practice feedback

9. Next Steps
Designate a physician champion and support staff member to coordinate signing of participation agreement and completing enrollment
Contact for copy of PA to review
Designate staff for implementation
At least 1 physician champion (.1 FTE)
At least 1 support staff (APP or nurse) with clinical knowledge (.1 FTE)
At least one designated IT staff member that works closely with clinical support staff (.2 FTE)
Note once process is standardized staff time is reduced

10. Questions? Website www.aan.com/view/Axon
Review participation agreement
Measures
Enrollment
FAQs
AAN staff contact: