American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Level I & II TQIP Frequently Asked Questions

Onboarding

What are the eligibility requirements to participate in Level I & II Trauma Quality Improvement Program (TQIP)?

To participate in Level I and II TQIP, a center must be either ACS-Verified or state-designated as a Level I or II trauma center, or be an “in process” Level I or II trauma center.

A center is considered “in process” if they meet one of the following criteria:

  • Center has completed an application to schedule an ACS Verification or Consultation visit within the next 24 months.
  • Center has applied for trauma center designation at the state level (documentation must be provided).
  • Center is provisionally designated as a Level I or II trauma center by their state (documentation must be provided).

What are the steps for joining TQIP?

See Getting Started with Level I & II TQIP.

What is the annual TQIP participation fee for Level I & II centers?

The current annual TQIP participation fee for Level I & II centers is $12,000.

To provide for the ongoing stability of our programs and to support advancements in technology, analytics, and training for participants, we have established a long-term pricing structure for the Level I & II TQIP Program.

January 1, 2017

July 1, 2018

July 1, 2019

Level I & II TQIP

$12,000

$12,000

$13,000

What is the TQIP Start-Up Year?

In an effort to improve data quality and ensure that reports are useful to centers beginning with their first report, all TQIP centers will participate in the Start-Up Year. During this Start-Up Year, centers will:

  • Have the opportunity to identify and resolve data quality issues using TQIP tools before receiving the first Risk-Adjusted Benchmark Report
  • Participate in ongoing TQIP education
  • Begin quarterly data submissions

Education is a key component of the program, particularly during the Start-up Year. Educational opportunities available to Level I & II TQIP centers include:

  • The TQIP Online Course, which covers updates to the NTDS Data Dictionary, understanding and using data quality information, and the roles of the TQIP team at your hospital
  • Monthly quizzes
  • Regular TQIP webinars for registry staff
  • Sessions for new centers at the TQIP Annual Scientific Meeting and Training
  • Access to the TQIP Portal
  • Participation in the TQIP Google Group

Are there any additional costs associated with joining TQIP?

In budgeting for program participation, hospitals should factor in the cost of travel and hotel accommodations for the TQIP Annual Meeting held each November. Each participating hospital will receive two (2) free registrations—not including the administrative fee—to the TQIP Annual Meeting. Visit our TQIP Annual Meeting webpage for more information.

Additionally, we encourage you to contact your registry vendor for more details about your specific software requirements and fees. Level I & II TQIP centers are asked to add the TQIP Process Measure fields to their registry.

If my hospital joins TQIP, do we still need to pay the National Trauma Data Bank (NTDB) annual participation fee?

All fully enrolled TQIP centers are exempt from the NTDB annual participation fee.

When can my hospital join TQIP?

TQIP registration is open year round for your center to join at any time. Deliverables will vary by join date.

The table below displays risk-adjusted benchmark report eligibility, based on the timing of center enrollment.

Center Enrollment Date

Eligible for First Benchmark Report

January 16, 2017–July 15, 2017

Fall 2018 Report Cycle

July 16, 2017– January 15, 2018

Spring 2019 Report Cycle

January 16, 2018– July 15, 2018

Fall 2019 Report Cycle

Data Submission/Registry

As a new TQIP participant, will I need to submit data quarterly?

Yes, beginning with the first TQIP Quarterly Call for Data window that occurs after you complete enrollment in TQIP, your hospital submit data quarterly. See the 2018 TQIP Data Submission Schedule for a detailed submissions timeline.

To ensure that there are no gaps in data submissions, we encourage all new TQIP centers to submit the full year of 2017 admissions data during the 2018 NTDB Call for Data.

What additional fields will need to be added to my registry when I join Level I & II TQIP?

We are asking Level I & II centers to collect and submit the TQIP Process Measure fields when you join TQIP. These fields can be found beginning on page 107 of the 2018 NTDS Data Dictionary.

We encourage you to notify your vendor that you will be joining TQIP and moving from annual data submissions to quarterly data submissions as a part of the program.

We also encourage you to work with your vendor to ensure that you are up to date with the current version of the NTDS.

What File Type should I choose when submitting my data as a fully enrolled TQIP participant?

Fully enrolled TQIP participants should choose "File Type: TQIP" when submitting data that contains Process Measures. The "File Type: TQIP without Process Measures" should be used for data that does NOT contain process measures.

Reports

When will I receive my first Risk-Adjusted Benchmark Report?

In an effort to improve data quality and ensure that reports are useful to centers beginning with their first report, all new TQIP centers will participate in the Start-Up Year.

During this Start-Up Year centers will:

  • Have the opportunity to identify and resolve data quality issues using TQIP tools before receiving the first Risk-Adjusted Benchmark Report
  • Participate in ongoing TQIP education (online course, monthly quizzes, quarterly webinars, access to the TQIP Portal and Google Group)
  • Begin quarterly data submissions

A TQIP center will become eligible to receive their first risk-adjusted benchmark report following 12 months of participation in the program. See the Level I & II TQIP Report Eligibility Table for more detailed information.

What is the difference between the NTDB Benchmark Report we receive annually and the TQIP Benchmark Report that we will receive after the Start-Up Year?

The main difference between them annual NTDB Benchmark Report and the TQIP Benchmark Report, is that the NTDB Benchmark Report is purely descriptive, providing only a simplistic baseline without accounting for the case variation of trauma centers, while the TQIP Benchmark Report applies complex statistical models to account for those hospital-to-hospital differences.

More specifically, TQIP uses a mixed-models approach to risk adjustment, which accounts for case-mix differences in demographic, medical history, and injury characteristics to provide more actionable and accurate like-to-like comparisons across a variety of outcomes. Additionally, as TQIP risk-adjusted reporting is based on a subset of more severely injured patients, we focus our feedback on those at the greatest risk for an adverse outcome and those with the greatest opportunity to benefit from improved interventions.

Education

What education will be offered to centers participating in Level I & II TQIP?

Education is a key component of the program, particularly during the TQIP Start-up Year. Educational opportunities available to Level I & II TQIP centers include the following:

  • The TQIP Online Course, which covers updates to the NTDS Data Dictionary, understanding and using data quality information, and the roles of the TQIP team at your hospital
  • Monthly quizzes
  • Regular TQIP webinars for registry staff
  • Sessions on a variety of topics at the TQIP Annual Conference
  • Access to the TQIP Portal
  • Participation in the TQIP Google Group

Will I have access to the TQIP Portal once I join the Level I & II program?

Once fully enrolled in TQIP, the TQIP team members listed on your Information Form will receive an e-mail with information on how to access the TQIP Portal. You can add additional staff at any time by contacting tqip@facs.org.

Will there be information at the TQIP Annual Scientific Meeting and Training that will be beneficial to new centers?

Yes. Each year at the TQIP Annual Scientific Meeting and Training, we offer specific sessions geared towards new centers or new staff at existing centers. The next TQIP Annual Scientific Meeting and Training will take place November 16–18, 2018, in Anaheim, CA. Please see our TQIP Annual Meeting webpage for more details.

Is my center required to attend the TQIP Annual Scientific Meeting and Training?

While we strongly encourage hospitals to attend the meeting, we realize that not all centers can participate each year. Included in your TQIP participation fee are two (2) complimentary registrations—not including the administrative fee—to the TQIP Annual Meeting that we hope will encourage you to attend. Additional staff are welcome to attend but must pay the meeting registration fee. Please see our TQIP Annual Meeting webpage for more details.