NRDR Accounts and User Profiles

TABLE OF CONTENTS

• NRDR Account Types
• User Accounts and Profiles
• User Types
• Permissions for NRDR User Types
• Physician User Profile for MIPS Reporting
• Switching Between Facilities in the NRDR Portal

NRDR Account Types

NRDR accounts define the entities from which data are submitted to one or more registries. There are two types of accounts in NRDR:

• A Corporate Account has a unique ID associated with one or more facility accounts. Corporate Accounts allow participants to act as the point of contact and manage activities such as payment, updating participation agreements, managing physician lists, etc. for multiple physical locations. Every facility is associated with a single Corporate Account and each Corporate Account has at least one associated facility account.

• A Facility Account defines information for a location that submits data to the NRDR. Each Facility Account is identified by a unique Facility ID that maps to the site’s physical address and other location information.

All data submitted to the NRDR are associated with the Facility ID from where the data originated. Data may not be submitted through a Corporate Account.

User Accounts and Profiles

NRDR users have a single account regardless of how many registries in which they participate or how many different facilities with which they are associated. Each user account has a unique username and password for accessing the NRDR portal.

Most users are invited to join NRDR by existing participants, such as Corporate Account Administrators, Facility Administrators or Registry Administrators. The invitation process creates a user account, creates one or more user profiles to define which registries a user may access and with what permissions, and sends an e-mail inviting the new user to log in and begin using the NRDR portal. In this manner, an NRDR user account provides “single sign-on” access, regardless of how many profiles the user has.

User Types

The user profile created for each facility a user supports includes the user name, email, registry access, and assigned user roles, or “user types". There are six main NRDR user types available for NRDR registries:

• A Corporate Account Administrator (CAA) has extensive permissions across all subordinate facilities for that account, including managing user accounts, viewing and paying invoices, and adding facilities or signing up for additional registries. An account may have only one CAA active at any one time; adding a new CAA disables access to the existing CAA. A CAA can perform most of the functions of other users, except for viewing detailed facility data. CAAs who need to see detailed data for a facility should have the appropriate Facility Administrator create a new user account and a facility user profile. The CAA does not need to be the director or manager at your facility. However, the person you choose must be able to receive and respond to e-mail notices, process invoices, and coordinate users for the account. The CAA serves as the point of contact for all NRDR issues for their associated facilities.

• A Facility Administrator (FA) has the most comprehensive permissions for a single facility, including managing other user accounts. Only one FA may be active for a facility at a time; consequently, adding a second FA disables access to the existing FA. The FA can manage accounts and data across all registries for that facility. An FA is effectively a “super user” for their facility in that they can perform all functions of Registry Administrators and Facility Users.  The Facility Administrator profile is “facility-based” in that it is linked to a single facility. A user may have the Facility Administrator role across several facilities, with each Facility Administrator profile linked to each facility ID.

• Registry Administrators are authorized by FAs to manage Facility User accounts. Facilities may have any number of Registry Administrators for each registry in which they participate. Registry Administrators manage Facility User accounts, control access to their given registry, and may perform all functions of a Facility User. Registry Administrators may manage multiple registries for a facility if so authorized by the Facility Administrator.  Registry Administrator profiles are specific to a single facility and registry.

• Facility Users submit data to registries and may view most reports. Facilities may have any number of Facility Users for each registry in which they participate.  Facility User profiles are specific to a single facility and registry.

• The Service User profile is meant for individuals requiring NRDR login credentials to submit

  data to the GRID, LCSR, or NMD registries via web services or to the DIR through ACR Connect + DIR Link software. This role is generally assigned to IT or other personnel who maintain the data connection between participating facilities and the NRDR portal but do not necessarily require most other permissions. Service users are created at the corporate account level, and are not linked to a specific facility ID. This implies that they can access all facilities within a corporate account, for tasks such as scanner mappings, scanner configuration and exam name mappings for the DIR. However, they cannot access any facility data submitted to registries.

• The Clinical Lead profile may be assigned to NRDR users for one or more registries and is designed to encourage engagement in the registry by radiologists and clinical leaders at the facility level.  This role enables NRDR staff to communicate issues of clinical importance related to the registry and recommend strategies for the use of registry reports. For example, registry-specific webinar announcements, communications about new measures and reports, and new materials supporting quality improvement. This user profile can access aggregate reports but cannot edit clinical exam data pages. 

Permissions for NRDR User Types

Below is a summary of user-type permissions. Service User and Clinical Lead permissions are very limited given the nature of the roles:

*CTC and LCSR Registry Facility Users can add patients indirectly by entering patient information on data collection forms for a new patient. Facility Users may not change or remove patient records on the Manage Patient Form.

Physician User Profile for MIPS Reporting

The Physician User role is specific to the Merit-based Incentive Payment System (MIPS) portal. This role allows physicians to use NRDR’s status as a Qualified Clinical Data Registry (QCDR) to report measures to CMS and fulfill MIPS reporting requirements. A Physician User account and profile are created automatically when a Facility or Registry Administrator adds a physician to their facility’s physician dictionary and designates them as participating in MIPS. Physician Users can access the MIPS Portal to register their participation in MIPS, select their MIPS measures, and submit data to CMS. However, this role does not give Physician Users direct access to registry data; physicians requiring such access need a Facility User or Registry Administrator profile added to their account. More information on using the MIPS Portal can be found under MIPS/CMS Reporting.  Physician Users are independent and not linked to any specific facility or registry.

Switching Between Facilities in the NRDR Portal

Users with accounts linked to more than one facility can switch between facilities in the NRDR portal by using the dropdown menu on the portal's home page to view reports and work with registries across different facilities.  Facilities are shown in the dropdown menu with their Corporate Account ID followed by their Facility ID and Facility Name:

A user may have different user types across registries and facilities, e.g., a user may be a Facility Administrator for one facility, and a Facility User for another. If a user has multiple user types for the same facility, then the greater profile in the hierarchy is applied, e.g., a user with a Registry Administrator and Facility User profile for the same registry and facility would have Registry Administrator rights when logging in.

User profiles are managed through the Manage User Profiles page.