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

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

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

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

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

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

Next Steps Designate a physician champion and support staff member to coordinate signing of participation agreement and completing enrollment Contact registry@aan.com 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

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