ICRR for sites
Information for Sites Interested in Joining
To learn more about being part of the ICRR community, please review the information below and/or view this 30-minute video overview of the registry: https://www.youtube.com/watch?v=nbvrbqBJ0JE (English) or https://youtu.be/9Cj9qGJkiaU (Spanish)
The goal of the ICRR is to evaluate cardiac rehabilitation (CR) delivery (e.g., describe care patterns, variations in treatment and outcomes) and enable quality improvement in low-resource settings, with the aim of ultimately improving patient outcomes. We hope to use the information to advocate for more CR delivery. The data will also be used for research purposes.
Thank you for considering joining the ICRR. You, like us, are dedicated to improving CR delivery. We hope we can work together.
CR programs in low-resource settings (i.e., low or middle-income country according to World Bank, or in region within a higher-income country where there is under-development of CR due to limited financial resources, lack of healthcare system resources, lack of patient and provider awareness, and/or patient disadvantage [e.g., limited social resources, geographic barriers] are eligible to join the registry. A CR program is defined as one that offers initial assessment, structured exercise (can be supervised or unsupervised) and at least one other strategy to control risk factors. The registry pertains to phase II CR. Programs that cannot enter data in English unfortunately cannot be accommodated at this time.
WHAT IS INVOLVED:
As per the data dictionary on the website, there are 12 program-reported variables collected pre and post-program, and 17 patient-reported variables if you opt in to patient report (or you can provide the information directly if you want to collect it directly from patients). Data are entered pre and post-program, and annually thereafter online into the secure registry, in anonymized manner.
Once you are familiar with the ICRR interface and understand the variable definitions, the time required to enter patient data will vary depending on your access to the data that you are entering (e.g., whether you do it as you are interviewing a patient) and the assessment point you are entering, but it takes approximately 10 minutes each to enter data for a patient pre and post-program.
You may want to ask for dedicated work time each week to get started with the registry, contribute data regularly thereafter, and to engage in quality improvement activities. ICRR is here to support you in making requests to your institution for some devoted time; just ask.
At this time, there is no cost to join the registry. There will be no payments to your program for contributing data to the registry.
BENEFITS OF JOINING THE REGISTRY:
The ICRR is committed to optimizing utility of the registry to you. There are real-time dashboards to display program quality indicators and patient outcomes; your site will be compared anonymously to other sites, as well as against yourself for change over time. There is a learning community to enable quality improvement if your program is interested.
Where patients provide post-program data, a lay summary is generated to support them in maintaining their cardiovascular risk reduction long-term. The research and user sub-committees shall provide overall updates on the registry to participating programs annually.
You have access to your program data and are the owner at all times. You can download it to excel from the registry at any time. We have a research sub-committee who may support you if you would like to analyze your site data in a different manner than is available on the dashboards, for reporting to your institution or beyond. We hope the registry data can be used for you to demonstrate the efficacy of your program and advocate for resources. Note there is a separate process to request access to data from beyond your site through the research committee; Please be in touch for further information.
As a contributing program, you are eligible to volunteer to serve on the ICRR user sub-committee. Terms of reference are available on the governance webpage of the CR registry dropdown menu. To express your interest, email us (firstname.lastname@example.org).
You also have the opportunity to get involved in research. You may be invited to participate in research by the research sub-committee; this is voluntary. Primary data stewards who have an academic appointment, as specified in program survey on initiation of registry participation, will be recognized as “ICRR collaborators” on publications stemming from the registry (please see the Data Access & Dissemination policy on the governance webpage for more details).
Finally, ICCPR has developed a Program Certification mechanism through ICRR for a nominal fee. As a registry-contributing program, you will have already completed many of the steps to apply. See the Program Certification page on our website.
ELIGIBLE/INTERESTED SITES SHOULD AGREE TO THE FOLLOWING:
If you are interested, the ICRR is here to support you through the following steps to becoming a participating site.
Note you will have contact with the ICRR secretary (email@example.com), User sub-committee chair (responsible for on-boarding), and user sub-committee co-chair (responsible to support quality improvement initiatives and optimize registry feedback).
1. Interested and eligible CR sites are directed to ICCPR’s ICRR website to complete the program survey above.
2. The secretary will share the registry protocol, information letter etc with the site, and support the site to apply for ethics approval. The approval should be forwarded to the secretary.
3. The site will be given a registry agreement and asked to secure institutional approval. The signed document should also be forwarded to the secretary.
4. Once these 2 approvals are in place, the ICRR secretary shall secure a login for the site data steward(s) from Dendrite. Dendrite remains available for any technical training on the registry website for users.
5. The ICRR secretary and user sub-committee chair shall hold a first training session over videoconference with the site. They will also discuss ways in which variables from the data dictionary which are not currently assessed could be.
a. During this call, site processes to provide information to patients on the registry (opt-out letter and / or consent as per approved protocol) should be described to the ICRR, so the program can be supported in any way.
b. The site data steward shall arrange to enter pre-program data for the first patient privately (no screen sharing) while on a call with the user committee secretary (firstname.lastname@example.org) to troubleshoot any challenges.
c. Any challenges with patient report (if opting in) will also be addressed.
6. When entry of post-program data to the registry will begin (based on the duration of your program as per your program survey responses), the site data steward shall have a 2nd video call with the user sub-committee co-chair and ICRR secretary. During the session, we will also review challenges, data quality issues, and the functionality of the dashboards and patient lay summary (if the latter is used at the site).
TRAINING FOR PARTICIPATING SITES
1. Introduction to registry and pre-program assessment data entry
2. Post-program assessment data entry and registry features
3. Registry features for quality assessment (program and patient-level)
About the association
The International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) was created in 2010 to bring together associations dedicated to the promotion of cardiovascular disease prevention and cardiac rehabilitation globally. Named Board member from each associations serve on our Council, which meets quarterly. ICCPR is an Associate International Member of the World Heart Federation.
Copyright © 2010 International Council of Cardiovascular Prevention and Rehabilitation (ICCPR). All Rights Reserved.