{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:50:29Z","timestamp":1791852629828,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["AR079566"],"award-info":[{"award-number":["AR079566"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis &amp;amp; Rheumatology"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between participation in a qualified clinical data registry and quality measure performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included practices that joined the American College of Rheumatology's Rheumatology Informatics System for Effectiveness (RISE) registry between 2015 and 2021. We calculated annual performance on four primary measures and two control measures starting 12 months before through 18 months after enrollment. We used an interrupted time series (ITS) analysis to assess changes in practice\u2010level performance before and after RISE enrollment overall and stratified by practices\u2019 baseline performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 85 practices caring for 331,975 patients. Overall, performance on all primary measures improved during the study period, although RISE enrollment was associated with a significantly greater improvement rate in one of the four primary measures (rheumatoid arthritis [RA] functional status assessment [slope difference 0.88 percentage points\/month;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.006]). Practices with lower baseline performance had significantly greater improvements after joining RISE for three of the four primary measures compared with high\u2010performing practices, including RA functional status assessment, tuberculosis screening before biologic therapy, and osteoporosis screening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RISE enrollment was associated with significant improvements in three of four rheumatology\u2010specific quality measures for practices with lower baseline performance. These findings suggest that registry participation may accelerate uptake of best practices and narrow performance gaps across sites. Future work is needed to understand the mechanisms underlying these improvements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/art.70340","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:31:11Z","timestamp":1789630271000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rheumatology Informatics System for Effectiveness Registry Participation Associated With Significant Gains in Quality Measure Performance: An Interrupted Time Series Analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-5043","authenticated-orcid":false,"given":"Gabriela","family":"Schmajuk","sequence":"first","affiliation":[{"name":"University of California  San Francisco California"},{"name":"San Francisco VA Medical Center  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2686-7628","authenticated-orcid":false,"given":"Jessica","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3298-2112","authenticated-orcid":false,"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9257-2609","authenticated-orcid":false,"given":"Stephen","family":"Shiboski","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5637-7515","authenticated-orcid":false,"given":"Emma","family":"Kersey","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3508-4094","authenticated-orcid":false,"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001674"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23089"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24444"},{"key":"e_1_2_7_5_1","unstructured":"Centers for Medicare & Medicaid Services.2023MIPS CQM measure #178: rheumatoid arthritis (RA): functional status assessment. Accessed February 10 2026.https:\/\/qpp.cms.gov\/docs\/QPP_quality_measure_specifications\/CQM\u2010Measures\/2023_Measure_178_MIPSCQM.pdf"},{"key":"e_1_2_7_6_1","unstructured":"Centers for Medicare & Medicaid Services.2023MIPS CQM measure #177: rheumatoid arthritis (RA): periodic assessment of disease activity. Accessed February 10 2026.https:\/\/qpp.cms.gov\/docs\/QPP_quality_measure_specifications\/CQM\u2010Measures\/2023_Measure_177_MIPSCQM.pdf"},{"key":"e_1_2_7_7_1","unstructured":"Centers for Medicare & Medicaid Services.2023MIPS CQM measure #176: tuberculosis screening prior to first course of biologic and\/or immune response modifier therapy. Accessed February 10 2026.https:\/\/qpp.cms.gov\/docs\/QPP_quality_measure_specifications\/CQM\u2010Measures\/2023_Measure_176_MIPSCQM.pdf"},{"key":"e_1_2_7_8_1","unstructured":"Centers for Medicare & Medicaid Services.2023MIPS CQM measure #39: screening for osteoporosis for women aged 65\u201085 years of age. Accessed February 10 2026.https:\/\/qpp.cms.gov\/docs\/QPP_quality_measure_specifications\/CQM\u2010Measures\/2023_Measure_039_MIPSCQM.pdf"},{"key":"e_1_2_7_9_1","unstructured":"American College of Rheumatology.2026Rheumatology Informatics System for Effectiveness (RISE) qualified clinical data registry (QCDR) measures specification summary. Accessed January 26 2026.https:\/\/assets.contentstack.io\/v3\/assets\/bltee37abb6b278ab2c\/bltcfccd009d6129d73\/qcdr\u2010measure\u2010specifications.pdf"},{"key":"e_1_2_7_10_1","unstructured":"Centers for Medicaid and Medicare Services. Quality Payment Program: Merit\u2010based Incentive Payment System (MIPS) 2024 Quality Benchmarks User Guide. Published January 25 2024. Accessed January 26 2026.https:\/\/www.cms.gov\/files\/document\/2024\u2010quality\u2010benchmarks\u2010user\u2010guide\u2010scoring\u2010examples\u2010pdf.pdf"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-3102-8"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1536867X1501500208"},{"key":"e_1_2_7_13_1","article-title":"XTITSA: Stata module to perform interrupted time\u2010series analysis with panel data","author":"Linden A.","year":"2021","journal-title":"Stat Softw Comp"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0183667"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010200"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzaa128"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000259.pub4"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/72709"}],"container-title":["Arthritis &amp; Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.70340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/art.70340","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.70340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:25:24Z","timestamp":1791851124000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/art.70340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":17,"alternative-id":["10.1002\/art.70340"],"URL":"https:\/\/doi.org\/10.1002\/art.70340","archive":["Portico"],"relation":{},"ISSN":["2326-5191","2326-5205"],"issn-type":[{"value":"2326-5191","type":"print"},{"value":"2326-5205","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]},"assertion":[{"value":"2026-03-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"art.70340"}}