ATI Patient Outcomes Registry
The first of its kind in the industry, the ATI Registry is a unique milestone in rehabilitation care that will inform and direct evidence-based approaches and physical therapy treatment guidelines for years to come.
A Powerful Tool to Understand and Optimize Patient Outcomes
The ATI Patient Outcomes Registry features a unique method for the collection of observational, epidemiologic, financial and clinical data that supports innovative approaches to physical therapy, produces more rapid gains in knowledge and improves broader awareness of patient outcomes. More than ever before, it provides a clear understanding of the rehabilitative process and how it can impact patients’ quality of life.
"Patient registries are organized systems that collect data for scientific, clinical, or policy purposes. Registries are a valuable complement to randomized controlled trials in determining real-world outcomes in the practice of medicine.
They do not generally have restrictive inclusion or exclusion criteria, nor do they specify what therapy the health care provider must adhere to. They can be used to evaluate outcomes for diverse purposes ranging from the natural history of a disease, to the safety of drugs or devices, to the real-world effectiveness of therapies."
– EFFECTIVE HEALTH CARE PROGRAM OUTCOME SCIENCES, INC. AND DUKE EVIDENCE-BASED PRACTICE CENTER
Collaborative and Vetted Approach
The primary goal of the Registry is to improve understanding of patient outcomes following rehabilitation to create actionable insights, set future vision, improve outcomes, and enable the realization of value more quickly. Through the sharing of data and intelligence, as well as through collaboration with other scientists, research institutions and physicians, the Registry seeks to enhance patient care and clinical knowledge.
Fully HIPAA-compliant, the Registry has been registered with ClinicalTrials.gov, listed in the Registry of Patient Registries, and has been vetted by the U.S. National Institutes of Health and the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality.
Comprehensive View for the Medical Community
Registry data is collected through ATI’s proprietary electronic medical record system and is synthetic to the clinical process. Data is gathered real-time with patients and scores, which are immediately provided to treating therapists, as well as archived for Registry and scientific use. Registry reporting can be risk-adjusted to any variable collected, which yields robust insights to the medical community on idiopathic patient conditions. Risk-adjusted expectations are based on customizable aspects, for example, BMI, age, type(s) of co-morbidity, and more. Therefore, utilization – the amount of functional status change per visit – can be risk-adjusted, ultimately developing optimal numbers of visits per identified patient type.
A Growing Dataset
The Registry features a large and growing dataset that is available for a wide variety of custom analyses, for example, cross-tabulation of functional outcome change scores with patient satisfaction datasets or Net Promoter Scores. Data can be analyzed by physician, payer or referral source or any combination thereof:
- Functional outcomes measured by standardized and validated tools from published literature
- Co-morbidities and patient demographic characteristics
- Measures of general health
- Activities of daily living and behavioral health aspects
- Measures of quality and satisfaction
- Net Promoter Scores
- As a result, benefits include:
- Captures real-world clinical data and findings that will inform best practices
- Serves as an active knowledge-base that can provide population management
- intelligence
- Provides the ability to compare clinical outcomes with diverse patient populations
- Supports the ability to add to the existing body of knowledge in rehabilitation
Unparalleled Research Opportunities
Numerous healthcare associations have taken leading roles in developing outcomes registries, including the Society of Thoracic Surgeons and the American Association of Orthopaedic Surgeons. ATI is one of the first and largest collaborators with the growing American Physical Therapy Association’s Outcomes Registry. Collaborations between registries allows for more vigorous benchmarking opportunities. Some outcomes-based scientific literature is often contradictory or employs a great number of exclusionary criteria for scientific reasons that limit the generalizability to heterogeneous outpatient clinic populations, thus significant gaps in knowledge remain. The ATI Registry is not restricted with such methodological limitations.