DIRE vs Anesthesia Data Capture

The DIRE Score is a tool that can be used to aid clinicians in their decision-making process when considering prescribing opioids for chronic non-malignant pain. Using the DIRE Score, the clinician rates seven factors each on a scale of 1, 2 or 3 with 1 being the least favorable or highest risk for prescribing opioids and 3 being the most compelling or lowest risk for prescribing. The seven DIRE factors are: Diagnosis, Intractability, Risk (there are four risk factors—psychological and chemical health, patient reliability and social support/life roles) and Efficacy. Adding the scores for these seven factors gives a total of 7 – 21. A score of 7-13 was predictive of a low probability of success when prescribing opioids; whereas a score of 14-21 was more likely to be associated with a successful prescribing process and outcome. The DIRE Score does not take into account medical risk factors for opioid prescribing such as comorbid medical conditions (chronic obstructive lung disease, sleep apnea, concomitant use of benzodiazepines, etc.). The clinician should understand that active use of illicit drugs, drug diversion and other aberrant behaviors is incompatible with ongoing opioid prescribing no matter what the DIRE Score may be. The DIRE Score is not meant to be a substitute for sound clinical judgment in the context of any individual patient. This App is meant for informational use only, and is not intended to aid in the diagnosis, treatment or prevention of disease. Decisions about prescribing are solely the responsibility of the licensed prescriber.

Specialty Benchmarks provides an easy and inexpensive solution to collect and report anesthesia quality outcome data, process metrics, patient satisfaction, and more. Point of Service Data Collection We track data collected on a half-million anesthesia procedures annually at more than 75 hospitals, ASCs and clinics in 9 states. Our paper and electronic and mobile data-capture options minimize impact on process flow. No special equipment or software is necessary. Risk-Stratified Benchmark Statistics We maintain a huge database of benchmark statistics risk-stratified by site class, procedure type, co-morbidity, date, and more. Compare your results to benchmark data on an apples-to-apples basis to identify meaningful and statistically significant outlier results. Demonstrate outstanding patient experience and clinical results that sets you apart from your competition. Demonstrate commitment to quality improvement that sets you apart from your competition. Efficient Use of Data for Multiple Constituencies We generate customized performance reports for sites, accreditation, prospecting, internal peer review, etc. Our cycle time to process data is very short, so reports are timely. Preferred Vendor for AQI Participation We are fully qualified to handle all aspects of data collection and submission to AQI’s NACOR registry and their CMS-approved QCDR. We are the experts to help you translate data into clinical improvement and business success. If you are not a current customer of Specialty Benchmarks but would like to try out this application, please email customerservice@specialtybenchmarks.com to obtain login credentials