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The national neurosurgery quality and outcomes database and neuropoint alliance: Rationale, development, and implementation

机译：全国神经外科质量和成果数据库和神经点联盟：原理，发展和实施

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Patient care data will soon inform all areas of health care decision making and will define clinical performance. Organized neurosurgery believes that prospective, systematic tracking of practice patterns and patient outcomes will allow neurosurgeons to improve the quality and efficiency and, ultimately, the value of care. In support of this mission, the American Association of Neurological Surgeons, in cooperation with a broad coalition of other neurosurgical societies including the Congress of Neurological Surgeons, Society of Neurological Surgeons, and American Board of Neurological Surgery, created the NeuroPoint Alliance (NPA), a not-for-profit corporation, in 2008. The NPA coordinates a variety of national projects involving the acquisition, analysis, and reporting of clinical data from neurosurgical practice using online technologies. It was designed to meet the health care quality and related research needs of individual neurosurgeons and neurosurgical practices, national organizations, health care plans, biomedical industry, and government agencies. To meet the growing need for tools to measure and promote high-quality care, NPA collaborated with several national stakeholders to create an unprecedented program: the National Neurosurgery Quality and Outcomes Database (N2QOD). This resource will allow any US neurosurgeon, practice group, or hospital system to contribute to and access aggregate quality and outcomes data through a centralized, nationally coordinated clinical registry. This paper describes the practical and scientific justifications for a national neurosurgical registry; the conceptualization, design, development, and implementation of the N2QOD; and the likely role of prospective, cooperative clinical data collection systems in evolving systems of neurosurgical training, continuing education, research, public reporting, and maintenance of certification.
机译：患者护理数据将很快为所有医疗护理决策领域提供信息，并定义临床表现。有组织的神经外科认为，对实践模式和患者结果的前瞻性，系统性跟踪将使神经外科医师能够提高质量和效率，并最终提高护理价值。为了支持这项任务，美国神经外科医师协会与其他神经外科学会的广泛联盟（包括神经外科医师代表大会，神经外科医师学会和美国神经外科学会）合作，创建了NeuroPoint联盟（NPA）该公司是一家非营利性公司，成立于2008年。NPA协调各种国家项目，包括使用在线技术从神经外科实践中获取，分析和报告临床数据。它旨在满足个体神经外科医生和神经外科实践，国家组织，医疗保健计划，生物医学行业和政府机构的医疗保健质量和相关研究需求。为了满足对衡量和促进高质量护理的工具的日益增长的需求，NPA与几个国家利益相关者合作创建了一个前所未有的计划：国家神经外科质量和结果数据库（N2QOD）。该资源将允许任何美国神经外科医师，执业团体或医院系统通过集中的，全国统一的临床注册资料来贡献和访问总体质量和结果数据。本文描述了全国神经外科注册的实践和科学依据; N2QOD的概念化，设计，开发和实施;以及预期的，合作的临床数据收集系统在不断发展的神经外科培训，继续教育，研究，公共报告和维护认证中的作用。

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