• Once you've applied to use the Academy's IRIS® Registry, you should receive a welcome email confirming receipt of your application, along with your practice's IRIS Registry ID number. What happens next depends on when you signed up and whether or not your practice has an electronic health record system the registry can integrate.

    EHR-Based Reporting

    If you use an IRIS Registry compatible 2015 Edition Certified EHR Technology (CEHRT) and registered by the June 1 deadline, we will put your practice in the integration queue. If you did not register by the June 1 deadline, use the web-portal reporting described below. We will add your practice to the integration queue for the following year.

    • When it’s your turn in the queue, a technical representative from FIGMD will contact you. This may take up to two months from the date you applied.
    • Once we contact you, we’ll need to have a few meetings to confirm the information from your EHR system. Respond to emails in a timely manner so we can get the IRIS Registry set up to report on your behalf. If we don’t hear back from you in a timely manner, we may not have sufficient time to integrate fully to be able to report quality measures. 

    System Integration Process

    This process will take anywhere from two to four weeks, depending on the availability of staff at the practice and schedules:

    Application phase

    1. Verify that your EHR system is a 2015 certified edition through the federal Health IT Certification Program.
    2. Sign and return the Business Associate and Registry Participation Agreements for your practice.

    System set-up

    1. Beginning in April - May, we will send you EHR-specific instructions on how to download and install the Registry Practice Connector (RPC) software on the server/workstation of your choosing.
    2. After you complete and confirm installation of the RPC software, we will confirm that we can connect to your EHR system and start mapping data.

    Initial mapping and review

    1. During mapping, phase one, we will provide an EHR spreadsheet and a practice scorecard for your practice to complete.
      • The EHR spreadsheet will provide data on mapped information: appointment types, insurance, race and ethnicity, data elements, and provider count.
      • The practice scorecard will provide detailed information on the mapped and unmapped data measures and elements.
    1. After these two reports are completed by your practice, we will schedule an online web conference call with appropriate practice staff to discuss the reports. The meeting will cover:
      • What needs to be completed for registry setup.
      • How to use the scorecard.
    1. Practice returns completed spreadsheet.

    Test extract

    1. First test extract from system is produced for your practice. Afterward we will set up another online web conference call to review the data and make any necessary mapping adjustments from information your practice may provide during the conference call.
    2. Once the mapping has been refined, we will either:
      • Move the practice to maintenance if the data quality is good or
      • Produce a full test extract and again look to review it together.

    We will also provide you access to the IRIS® Registry Dashboard, where you can monitor the practice's measure performance rate for each location and physician.

    Ongoing maintenance

    1. After we review the full test extract and make any mapping refinements, the practice will be placed into maintenance and will have access to the Dashboard to see monthly updates.
    2. Once the practice is placed into the maintenance queue, we will look to the practice to establish how and when they would like to proceed with any additional mapping refinements. We can continue to update and refine mapping across time to improve data and/or incorporate any changes such as an EHR version upgrade via conference calls, Web conference calls, or via email exchange.

    Non-EHR reporting

    If you registered after June 1 or do not have an EHR system or a 2015 CEHRT for the entire year, FIGMD will give you access to the IRIS Registry web portal. You can use the web portal to report quality measures, IA or PI if you sign up by October 31.

     You are responsible for entering all the information in the web portal to meet the measure requirements. Carefully review the IRIS Registry web portal user guide and the measure requirements.