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

Level III TQIP Frequently Asked Questions

Onboarding

What are the eligibility requirements to participate in Level III TQIP?

To participate in Level III TQIP, a center must be either ACS Verified or state designated as a Level III trauma center, or be an “in process” Level III 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 III trauma center by their state (documentation must be provided).

What are the steps for joining TQIP?

See Getting Started with Level III TQIP available on the TQIP website.

What is the annual TQIP participation fee for Level III centers?

The current (July 1, 2017–June 30, 2018) annual TQIP participation fee for Level III centers is $7,210.

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 price structure for the Level III TQIP Program.

 

July 1, 2016

July 1, 2017

July 1, 2018

Level III TQIP

$7,000

$7,210

$7,426

What is the Level III 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 Level III 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 on-going 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 III TQIP centers include:

  • 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 Level III TQIP webinars for registry staff
  • Level III specific sessions at the TQIP Annual Scientific Meeting and Training
  • Access to the TQIP Portal
  • Participation in TQIP Google Group

Are there any additional costs associated with joining Level III 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 2 free registrations to the Annual Meeting. Visit our TQIP Annual Meeting webpage for more information on registration.

Additionally, we encourage you to contact your registry vendor for more details about your specific software requirements and fees. We are asking Level III centers to continue to only submit the Core Dataset (all NTDS data variables without Process Measures) when they join TQIP. At this time, we are not asking Level III centers to collect or submit Process Measures.  

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

All Level III centers are exempt from the NTDB annual participation fee.

When can my hospital join Level III TQIP?

Level III TQIP registration will be 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

July 16, 2016–January 15, 2017

Spring 2018 Report Cycle

January 16–July 15, 2017

Fall 2018 Report Cycle

July 16, 2017–January 15, 2018

Spring 2019 Report Cycle

January 16–July 15, 2018

Fall 2019 Report Cycle

Data Submission/Registry

As a Level III Program participant, will I need to submit data quarterly?

Yes, centers participating in the Level III program will submit data quarterly. See the TQIP Data Submission Schedule available on the TQIP webpage for a detailed submissions timeline.

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

We are asking Level III centers to continue to only submit the Core Dataset (all NTDS data variables without Process Measures) when you join TQIP. At this time, we are not asking Level III centers to collect or submit Process Measures.

We encourage you to notify your vendor that you will be joining Level III 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 Level III TQIP participant?

Fully enrolled Level III TQIP participants should choose File Type: TQIP without Process Measures. We are asking Level III centers to continue to only submit the Core Dataset (all NTDS data variables without Process Measures) when you join TQIP. At this time, we are not asking Level III centers to collect or submit 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 Level III 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 on-going TQIP education (online course, monthly quizzes, quarterly webinars, access to the TQIP Portal and Google Group)
  • Begin quarterly data submissions

Level III centers joining the program by July 15, 2018 will be eligible to receive their first Benchmark Report in the Fall 2019 Report Cycle. See the Level III TQIP Report Eligibility Table available on the TQIP webpage 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 the NTDB Benchmark Report that you receive each year 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.

I am a high volume Level III center, treating neurosurgery patients. Is there a way I can be benchmarked against Level II centers treating similar patients?

Because the TQIP Benchmark Report for Level I’s and II’s uses different patient inclusion criteria than the Level III report, we are unable to directly compare outcomes between Level II and III centers at this time.

Education

What education will be offered to centers participating in Level III TQIP?

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

  • 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 Level III TQIP webinars for registry staff
  • Level III specific sessions 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 III program?

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

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

Yes, the TQIP Annual Scientific Meeting and Training offers sessions specifically targeted to the needs of Level III centers. 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 complimentary registrations 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.