COMMON QUESTIONS ABOUT HIPSTR
What is HipSTR?
The HipSTR (The Hip Surgical Treatment Registry) is a quality assessment and improvement registry with the primary focus of creating a national benchmark for hip arthroscopy. Participants will be able to see and analyze their own outcomes data and be able to compare their data against the national benchmark. This will give the surgeon feedback on their own outcomes relative to the national average. HipSTR will also allow overall assessment of the value and efficacy of certain procedures. In the future, this may provide vital information to payors on the benefits of certain procedures that currently do not have billing codes, providing justification for these procedures. Additional goals include identifying trends which may benefit from further research and, overall, to help optimize our patients’ outcomes. HipSTR is a 501c3 and is its own entity.
What is PatientIQ?
Patient IQ is a commercially available, HIPAA compliant, electronic data capture platform. Patient IQ is a cloud-based application corporation that intelligently collects patient-reported outcomes (PROs) and clinical data in a workflow optimized for the in-demand physician. PatientIQ’s cloud-based platform couples industry-leading patient engagement technology with research quality advanced analytics. Patient IQ is the electronic platform that has been customized for HipSTR. Though it is a commercially available platform, HipSTR participants can still use HipSTR through PatientIQ, without cost, while still using another electronic data capture platform
What is the cost of joining HipSTR?
For the participating surgeon, there are no direct monetary costs to participate in the HipSTR registry. The cost to participate is covered by a research grant (Smith and Nephew) and the on-boarding fee has been waived by PatientIQ. There are costs associated with extra services related to EHR integration if this interests you, although this is not necessary to be able to participate in HipSTR.
What if I already collect my PRO data in another electronic database? How does this work with HipSTR/PatientIQ?
Patient IQ has worked with many different electronic medical record systems and has the ability to transfer that data to HipSTR. However, you will need to make sure you are collecting the HipSTR data (PROs) on your current system, as well as the surgical data on the custom HipSTR surgical form.
What data is being collected in the HipSTR database?
The HipSTR registry utilizes the PatientIQ platform to collect demographic/surgical data and Patient Reported Outcomes (PROs), including iHOT-12, EQ-5D, SANE Score, and Likert questions (related to Function and Satisfaction). Follow up PROs will be collected through PatientIQ at the 6 month, 1 year, 2 year, 5 year and 10 year post-surgery. The surgeon’s team will be responsible for collecting demographic data, pre-operative PROs, and intra-operative findings. The PatientIQ platform will send out automatic reminders to assist in collecting the post-operative outcome scores.
May I access my own personal patient data?
Yes, you will be able to access all of your patient data through the HipSTR/PatientIQ platform. You own your own data, while HipSTR owns the aggregate data.
Will other surgeons be able to access my own personal patient data?
No. No one can access data identifiable to you. While your de-identified patient data will be available in an aggregate fashion, other surgeons will not be able to access any of your personal collective patient data.
Will I be able to compare my outcomes to others in the HipSTR Registry?
Yes, you will be able to compare your outcomes to the national benchmarks (average outcomes of all HipSTR participating surgeons). However, you will not be able to access other surgeons’ data, and no one will be able to access your specific data.
How is my data going to be used within the registry?
You may use your own patient data to perform your own outcomes and quality improvement research and reports.
The aggregate data will be used to assess the overall value of certain hip arthroscopy procedures. Aggregate data may be used to help support procedure efficacy that may lead to better patient access to care and easier reimbursement for certain procedures.
HipSTR has an application process for submitting research proposals. Specific guidelines will be provided in the future.
As a HipSTR member, what are my direct personal benefits for joining and submitting all of my hip arthroscopy data?
You will be able to utilize the HipSTR/PatientIQ interface free of charge. This database will allow you to collect patient data, including patient reported outcomes. The system has been designed to maximize patient compliance and reduce the burden, improving our ability to measure, monitor, and compare outcomes to national benchmarks. It will allow you to collect your patient outcomes which will be important as payers are working towards reimbursement linked to Value Based Care.
You will be able to utilize the data analytics platform within Patient IQ to be able to perform research analysis on your own patients.
As an active HipSTR member, you will be listed on the official website for patients and colleagues to see.
You will receive annual reports on the data collected in HipSTR.
Active members will have opportunities to be actively involved in collaborative research studies.
Do I need to complete an IRB to join?
An IRB approval is not needed as HipSTR is classified as a quality improvement registry (similar to the AAOS registries). All patient information shared with HipSTR will be de-identified.
How do I start enrolling patients into HipSTR?
The following paperwork will need to be completed in order to participate:
i. HipSTR Participation Agreement
ii. PatientIQ Master Service Agreement
iii. PatientIQ Business Associate Agreement
iv. HipSTR Registry Statement of Work
Your institution’s compliance team (likely an authorized signatory of your covered entity) will need to sign off on the paperwork since PatientIQ will be handling PHI.
Once paperwork has been completed, the on-boarding process with PatientIQ may begin.
Patient enrollment must begin within 4 weeks of signing the participation agreement.