General Radiology Improvement Database

Transcription

1 The American College of Radiology General Radiology Improvement Database User Guide October 12, 2010 American College of Radiology 1891 Preston White Drive Reston, VA Copyright 2010, American College of Radiology. All rights reserved.

2 Revisions Date August 28, 2008 September 17, 2008 February 13, 2009 October 12, 2010 Description of Revisions Original issue Section 5.5, Download Reports, added Green and Gold Level functionality added CMS PQRI Form deleted Section 5.1, Overview Procedure for exporting to Microsoft Excel revised Section 6.1, Registration Information Procedure for removing physicians and users added Section 6.1, Registration Information Number of Participating Radiologists added October 12,

3 Contents 1. INTRODUCTION USER INTERFACE Overview Login Navigation FORMS AND DATA DICTIONARY Entire Form Package Facility Form Monthly Data Form by Facility Monthly Data Form by Physician Data Dictionary DATA COLLECTION Overview Data Entry Conventions Saving a Partially Completed Form Finding a Form Changing a Form Canceling a Form Restoring a Form Facility Monthly Data by Facility Monthly Data by Physician REPORTS Overview Payment Tracking Form Submission Status by Facility Form Submission Status by Physician Download Reports REGISTRY MANAGEMENT Registration Information Adding or Changing a Participation Level Green and Gold Adding or Removing Participating Physicians Adding or Removing Facility Users GLOSSARY October 12,

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5 1. INTRODUCTION The American College of Radiology s General Radiology Improvement Database (GRID) is part of the NRDR system, a web-based collection of registries related to various radiological procedures. GRID collects information about imaging facilities which is then aggregated to establish benchmarks for quality improvement. It allows facilities and physicians to compare turnaround times, patient wait times, and many other process and outcome measures with other facilities and practices of similar size and type. Data from each facility are entered on the following forms: 1. Facility Form 2. Monthly Data Form by Facility 3. Monthly Data Form by Physician GRID shares physician and user dictionaries with the other registries included in NRDR. Consequently, information entered in the dictionaries need only be entered once, regardless of the number of registries in which a facility participates. Certain fields on the GRID forms are automatically filled in using data from these dictionaries. You can access GRID through the NRDR website at If you have any questions or difficulties using the website, please contact Lu Meyer, NRDR Administrator, at nrdr@acr.org or For more information on NRDR, refer to the NRDR User Guide, available on the NRDR website. 2. USER INTERFACE 2.1. Overview You must have a user type, user name and password to log in to GRID. Once logged in, you will have access to data from your facility only. The person who registers your facility in NRDR is known as the Facility Administrator, and is assigned a user type, user name and password during the NRDR registration process. Other users at your site are assigned a user type, user name and password when they are added to the NRDR user dictionary. For information about the registration process, refer to Section 2, Getting Started, in the NRDR User Guide. For information about adding users to the user dictionary, refer to Section 6.3.1, Adding Users, in the NRDR User Guide Login To log in to GRID, access the NRDR home page at and click the GRID icon. You may need to scroll to the bottom of the page to find the icon, depending on your screen resolution. Select your user type from the drop-down list and pause while the page is refreshed. After the page is refreshed, your user name appears as administrator if you are a Facility Administrator. If you are a Registry Administrator or Facility User, you must enter your user name. Fill in your facility ID and password and click the Log In button. October 12,

6 Login If this is the first time you have logged in and you are not a Facility Administrator, or if your password has been reset, you will be asked to change your temporary password (refer to Section 4.5, Changing Passwords, in the NRDR User Guide) Navigation The top part of each page is a status bar showing your user type, user name, and facility ID. A Logout button also appears. Click this button to terminate your session. If you have not yet logged in, these fields will be blank, and a Log In button appears. Enter your login information and click the Log In button to begin your session. A link to the online help pages appears in the upper right corner of each page. The left part of each page in GRID contains the GRID menu. The menu is comprised of a list of links giving you access to various registry functions. GRID pages are distinguished from other pages in the NRDR system by the GRID banner at the top of the page. Click the button to expand a menu item, or the button to collapse it. GRID Banner The right part of each page contains either an application page or a registration form. An application page allows you to view and maintain facility data. It may contain search filters, data entry forms, or reports. Filters are available on most data entry pages. You can use these filters to search for a form from a specific month or physician. Throughout this document, submit refers to the action you take when you have completed data entry for a form, and you want the entries to be recorded in the database. Save refers to the action you take when you have partially completed a form and you want to continue data entry at a later date. The entries you made prior to the save action will appear on the form when you continue data entry, but they will not be recorded in the database until you perform the submit action. If you have entered invalid data or performed an incorrect action, the system will display a red error message next to the invalid item, if applicable, and at the bottom of the page.!! Note: Do not use the Back button on your browser to navigate to a form; doing so will prevent your data from being stored in the database. Always use the Data Collection menu items to navigate to a form. 3. FORMS AND DATA DICTIONARY Click a form title under Forms and Data Dictionary to view or print a paper copy of the form. October 12,

7 3.1. Entire Form Package You can view and print all GRID forms at once by clicking Entire Form Package under Forms and Data Dictionary in the GRID menu Facility Form The Facility Form is the first form that you should complete. A Facility Form is required for each year for which you want to enter a Monthly Data Form by Facility or a Monthly Data Form by Physician. Refer to Section 4.2, Facility, below, for instructions on completing the form Monthly Data Form by Facility Complete a Monthly Data Form by Facility for each month during which you participate in GRID. You must first enter a Facility Form for the year to which the Monthly Data Form by Facility applies. The Monthly Data Form by Facility can be entered either before or after the Monthly Data Form by Physician. Refer to Section 4.3, Monthly Data by Facility, below, for instructions on completing the form Monthly Data Form by Physician The Monthly Data Form by Physician is not required. You may enter a Monthly Data Form by Physician for each month during which you participate in GRID, for each physician whose performance you want to track. You must first enter a Facility Form for the year to which the Monthly Data Form by Physician applies. The Monthly Data Form by Physician can be entered either before or after the Monthly Data Form by Facility. Refer to Section 4.4, Monthly Data by Physician, below, for instructions on completing the form Data Dictionary You can view and print a list of data element definitions by clicking Data Dictionary under Forms and Data Dictionary in the GRID menu. 4. DATA COLLECTION 4.1. Overview!! Note: for security purposes, your session will terminate automatically after 20 minutes of inactivity. Any entries you may have made since clicking the Save button will be lost. Throughout this document, submit refers to the action you take when you have completed data entry for a form, and you want the entries to be recorded in the database. Save refers to the action you take when you have partially completed a form and you want to continue data entry at a later date. The entries you made prior to the save action will appear on the form when you continue data entry, but they will not be recorded in the database until you perform the submit action. The procedure for data collection is as follows: 1. Print paper copies of the data collection forms by selecting links under Forms and Data Dictionary from the GRID menu. The following forms are required: October 12,

8 Facility Form. Complete this form only at the beginning of each year, or when first joining GRID. Monthly Data Form by Facility. Complete this form once a month, to report data from the previous month. The following form is optional and can be used to track individual physician performance: Monthly Data Form by Physician. Complete this form once a month, to report data from the previous month. 2. Record the information requested on the paper forms. 3. If you are entering a form for a specific physician for the first time, create a physician record by selecting NRDR from the GRID menu, and then selecting Manage Physicians. Refer to Section 6.5.1, Adding Physicians, in the NRDR User Guide for instructions on how to create a physician record. Then indicate that the physician is a GRID participant by clicking Registration Information on the GRID menu following the procedure described in Section 6.1, Registration Information, below. 4. Enter data from each of the forms, starting with the Facility Form, by selecting the corresponding link under Data Collection from the GRID menu. After completing each form, click the Submit button at the bottom of the page. You must submit a Facility Form for a specific year before a Monthly Data Form by Facility or Monthly Data Form by Physician for that year can be submitted. 5. If errors are detected when you click the Submit button, they will be flagged in messages that appear in red next to the appropriate field and at the bottom of the page. You must correct these errors and click the Submit button again before you can proceed to the next form. If no errors are detected, a confirmation message appears. You may either continue with data entry, or log in at a later time to resume the process.!! Note: Do not use the Back button on your browser to navigate to a form; doing so will prevent your data from being stored in the database. Always use the Data Collection menu items to navigate to a form. Use the button to view data element definitions. Use the and buttons to show or hide form sections Data Entry Conventions Please note the following when entering data: Dates must be entered in mm/dd/yyyy format. First and last names must be 45 characters long or less. At least 2 characters must be from the characters from "A to Z", "a to z", or " ' ". Additional characters can include a hyphen ( -"). Data elements defined as alphanumeric, other than first and last names, must include the characters A-Z, a-z, 0-9 or _ (underlining) only. Entries must not contain leading or trailing blanks. Sections 4.2 through 4.4 contain information regarding the format used for entries on specific forms. Clicking the button that appears next to most entries will also display format information in many cases Saving a Partially Completed Form If you want to save a partially completed form, click the Save button at the bottom of the page. You will be able to continue entering data on the form at a later time. October 12,

9 If you end your session without clicking the Save button, or without correcting errors after clicking the Submit button, your entries will be lost.!! Note: for security purposes, your session will terminate automatically after 20 minutes of inactivity. Any entries you may have made since clicking the Save button will be lost Finding a Form To find a form that has already been saved or submitted, do the following: 1. Click Facility, Monthly Data by Facility or Monthly Data by Physician under Data Collection in the GRID menu. 2. Click the button on the search bar, next to Filter. A box similar to the following appears: Form Search Filter 3. To find forms that have already been submitted, use the drop-down list to change the Form status field to Submitted. To find forms that have been saved but not submitted, change the Form status field to In Progress. To find forms that have been cancelled, change the Form status field to Cancelled. Leave the Form status field blank to list all forms. You can narrow the list of forms in the search results by entering values in one or more of the other search fields, such as Physician First Name, that appear in the box. The Facility and Monthly Data by Facility filters do not have Physician Information fields. 4. Click Search. A list of forms matching your search criteria appears. You can also click Reset to clear the search fields and start again. Search Results 5. Click the number in the Form # column to view a specific form Changing a Form After you have submitted a form, you cannot submit it again. However, you can make changes to it as follows: 1. Find the form as described in Section above. 2. Make the desired changes. 3. Enter a comment in the field at the bottom of the page, explaining the changes. Comments cannot exceed 250 characters. October 12,

10 Field for Entering Change Description 4. Click the Save button.!! Note: The system does not save historical data. Once you save a form with changes, the values that were previously in the changed fields are lost. When you make a change to a form that has previously been submitted, the system saves your name, the date the change was made, and the corresponding comment. You can click the History button at the bottom of the page to view information about previous changes Canceling a Form History Display If you want to cancel a form, first create a list of search results that includes the form you want to cancel. Do this by finding the form as described in Section 4.1.3, Finding a Form, above. Click Cancel in the rightmost column of the list. List of Forms Showing Cancel Link If both a Facility Form and monthly forms exist for the same year, then the Facility Form cannot be cancelled. In this case, you must first cancel all monthly forms for the year, and then cancel the Facility Form. You cannot add a Facility Form for the same year for which a cancelled Facility Form exists. Instead, you must restore the cancelled form and change the data to how it should appear on the new version of the form (See Section 4.1.6, Restoring a Form, below). The same applies to the Monthly Data Form by Facility when a cancelled form exists for the same year and month. This also applies to the Monthly Data Form by Physician when a cancelled form exists for the same year, month and physician Restoring a Form If you cancel a form in error, you can restore it by creating a list of search results that includes the form you want to restore. Do this by finding the form as described in Section 4.1.3, Finding a Form, above. Click Restore in the rightmost column of the list. October 12,

11 List of Forms Showing Restore Link 4.2. Facility If your facility participates in GRID at the Gold Level, then all fields on the Facility Form are required. If your facility participates at the Green Level, then only fields shown in green on the paper and electronic forms are required. You will not be able to enter data in the other fields. Refer to Section 6.1, Registration Information, below, for information on Green and Gold Level participation. Complete the Facility Form as follows. Refer to the GRID Data Dictionary for more detailed information on the data to be entered. 1. Facility number This field is filled in automatically. 2. Year Enter the calendar year for which you will be entering data, other than data specifically requested for the previous year. For example, if you enter 2009 in this field, then you should complete Number of admissions, Number of radiography exams, and all other fields for which previous year data are requested, using 2008 data. All other fields, such as Case mix index and Number of FTE radiologists, should be completed using 2009 data. You should update these values as changes occur during the course of the year. You cannot add a Facility Form for the same year for which another Facility Form exists, even if it is cancelled. If you want to enter data for a year for which a cancelled form exists, you must restore the cancelled form and change the data to how it should appear on the new version of the form (See Section 4.1.6, Restoring a Form, above). 3. Setting If your facility is a hospital, then enter Number of admissions during the previous calendar year and Case mix index. Otherwise, check Not applicable. 4. Volume Enter the number of procedures of each type performed at your facility during the previous calendar year. If a procedure is not normally performed at your facility, check Not applicable. 5. Personnel Enter the number of personnel of each type employed at your facility. You should keep this information up to date if it changes during the year. Choose the appropriate response for questions regarding certification requirements at your facility. CT certification required for technologists? This question is disabled if you checked Not applicable for CT in Section 4. MR certification required for technologists? This question is disabled if you checked Not applicable for MRI in Section MRI incidents Enter the number of incidents of each type that occurred at your facility during the previous calendar year. This section is disabled if you checked Not applicable for MRI in Section 4, or if your facility is a Green Level participant. October 12,

12 7. Other incidents Enter the number of incidents of each type that occurred at your facility during the previous calendar year. This section is disabled if your facility is a Green Level participant. 8. Structural measures Choose the appropriate response for each question. Fluoroscopy time routinely reported This question is disabled if you checked Not applicable for fluoroscopy in Section 4. Radiologist consult required before ordering image Some choices are disabled, depending on whether you checked Not applicable for the corresponding procedures in Section Protocol Indicate whether a written protocol exists for each event or condition. 10. Equipment type Enter the number of ACR accredited units, the number of units pending ACR accreditation, and the total number of units at your facility for each equipment type. 11. Name of person who completed this paper form If this name has not been previously entered for this field for a previous GRID form, then enter the person s first and last name. In the future, the name will appear in the drop-down list for this field. If the name has been previously entered, click the arrow and select it from the drop-down list. 12. Name of person submitting this form Submission date These fields are filled in automatically. Click the Submit button. You must correct any errors before the form will be accepted. If no errors are detected, a confirmation message will appear. The form will be assigned Completed status Monthly Data by Facility If your facility participates in GRID at the Gold Level, then all fields on the Monthly Data Form by Facility are required. If your facility participates at the Green Level, then only fields shown in green on the paper and electronic forms are required. You will not be able to enter data in the other fields. Refer to Section 6.1, Registration Information, below, for information on Green and Gold Level participation. Complete the Monthly Data Form by Facility as follows. Refer to the GRID Data Dictionary for more detailed information on the data to be entered. 1. Facility number This field is filled in automatically. 2. Month / year to which form applies Enter the month and year for which you will be entering data. You cannot add a Monthly Data Form by Facility for the same month and year for which another Monthly Data Form by Facility exists, even if it is cancelled. If you want to enter data for a month and year for which a cancelled form exists, you must restore the cancelled form and change the data to how it should appear on the new version of the form (See Section 4.1.6, Restoring a Form, above). 3. Process measures If you checked Not applicable for certain procedures in Section 4 of the Facility Form, then the corresponding fields on this form are disabled. All other fields are required. For patient wait times, enter the times in minutes. October 12,

13 4. Outcomes If you checked Not applicable for certain procedures in Section 4 of the Facility Form, then the corresponding fields on this form are disabled. If your facility participates at the Gold Level, then all other fields are required. If your facility participates at the Green Level, then all fields in this section are disabled. 5. Name of person who completed this paper form If this name has not been previously entered for this field for a previous GRID form, then enter the person s first and last name. In the future, the name will appear in the drop-down list for this field. If the name has been previously entered, click the arrow and select it from the drop-down list. 6. Name of person submitting this form Submission date These fields are filled in automatically. Click the Submit button. You must correct any errors before the form will be accepted. If no errors are detected, a confirmation message will appear. The form will be assigned Completed status Monthly Data by Physician If your facility participates in GRID at the Gold Level, then all fields on the Monthly Data Form by Physician are enabled. If your facility participates at the Green Level, then only fields shown in green on the paper and electronic forms are enabled. You will not be able to enter data in the other fields. Refer to Section 6.1, Registration Information, below, for information on Green and Gold Level participation. Complete the Monthly Data Form by Physician as follows. Refer to the GRID Data Dictionary for more detailed information on the data to be entered. 1. Facility number This field is filled in automatically. 2. Physician The physician s name must be selected from the drop-down list. In order for a physician s name to appear in the list, he or she must be listed as a GRID participant in the physician dictionary. Refer to Section 6.5.1, Adding Physicians, in the NRDR User Guide for instructions on adding physicians to the physician dictionary. Refer to Section 6.1, Registration Information, below, for instructions on listing a physician as a GRID participant. 3. Month / year to which form applies Enter the month and year for which you will be entering data. You cannot add a Monthly Data Form by Physician for the same month, year and physician for which another Monthly Data Form by Physician exists, even if it is cancelled. If you want to enter data for a month, year and physician for which a cancelled form exists, you must restore the cancelled form and change the data to how it should appear on the new version of the form (See Section 4.1.6, Restoring a Form, above). 4. Process measures If you checked Not applicable for certain procedures in Section 4 of the Facility Form, then the corresponding fields on this form are disabled. For patient wait times, enter the times in minutes. 5. Outcomes If you checked Not applicable for certain procedures in Section 4 of the Facility Form, then the corresponding fields on this form are disabled. If your facility participates at the Green Level, then all fields in this section are disabled. October 12,

14 6. Name of person who completed this paper form If this name has not been previously entered for this field for a previous GRID form, then enter the person s first and last name. In the future, the name will appear in the drop-down list for this field. If the name has been previously entered, click the arrow and select it from the drop-down list. 7. Name of person submitting this form Submission date These fields are filled in automatically. Click the Submit button. You must correct any errors before the form will be accepted. If no errors are detected, a confirmation message will appear. The form will be assigned Completed status. 5. REPORTS 5.1. Overview You can run the following reports from the GRID website: Payment Transaction Report Form Submission by Facility Report Form Submission by Physician Report You can only view data from your own facility. Reports are displayed as HTML documents in new browser windows. To navigate report pages, use the navigation buttons: To print a report, click the button. To zoom in on or out of a report, select a scale percent from the drop-down list. To export a report in Excel format, click the Export to Excel button in the toolbar at the top of the page: To export a report to another format, click the button. The export options page appears: October 12,

15 You can select from the following formats: Crystal Reports (RPT) Adobe Acrobat (PDF) Microsoft Word Microsoft Excel (formatted for printing) Rich Text Format (RTF) Enter the page range and click the "OK" button. Export Options 5.2. Payment Tracking The Payment Transaction Report shows the date, amount, method of payment and transaction number for each of your facility s payment transactions, as well as the user who submitted the transaction. All users can view this report. To view the report, click Payment Tracking under Reports in the GRID menu. The Payment Tracking Report filter appears: Payment Tracking Report Filter The GRID Facility Number and GRID Facility Name are automatically filled in and cannot be changed. You can narrow the transactions that will appear in the report by entering search criteria in any of the fields shown. If you leave all fields blank, the report will include all transactions for your facility. To run the report, click the "Submit" button. The report will appear in a new window. October 12,

16 Payment Transaction Report 5.3. Form Submission Status by Facility The Form Submission by Facility Report shows the status and submission date of all forms that have been submitted by your facility. Forms are sorted by type, year and month. All users can view this report. To view the report, click Form Submission Status by Facility under Reports in the GRID menu. The Form Submission Status by Facility Report filter appears: Form Submission Status by Facility Report Filter You can narrow the forms that will appear in the report by entering search criteria in any of the fields shown. If you leave all fields blank, the report will include all forms for your facility. To run the report, click the "Submit" button. The report will appear in a new window. Form Submission by Facility Report 5.4. Form Submission Status by Physician The Form Submission by Physician Report shows the status and submission date of all forms specific to physicians that have been submitted by your facility. This report differs from the Form Submission by Facility October 12,

17 Report in that it is sorted by physician, and shows only Monthly Data Forms by Physician. All users can view this report. To view the report, click Form Submission Status by Physician under Reports in the GRID menu. The Form Submission Status by Physician Report filter appears: Form Submission Status by Physician Report Filter You can narrow the forms that will appear in the report by entering search criteria in any of the fields shown. If you leave all fields blank, the report will include all forms specific to physicians that have been submitted for your facility. To run the report, click the "Submit" button. The report will appear in a new window Download Reports Form Submission by Physician Report At the end of each reporting period, your facility will be provided with a report comparing your data with aggregated data from other GRID facilities. You can view a list of these reports by clicking Download Reports in the GRID menu. List of reports available for downloading You can download a report by clicking the Download link on this page. October 12,

18 6. REGISTRY MANAGEMENT 6.1. Registration Information GRID User Guide The Registration Information page displays information about your facility s GRID registration. You can access this page by clicking Registration Information under Registry Management in the GRID menu Number of Participating Radiologists This field shows the number of radiologists at your site. This is the total of both full-time and part-time radiologists, not the number of full-time equivalencies. The field should be updated whenever the number of radiologists practicing at your site changes. Number of Participating Radiologists Adding or Changing a Participation Level Green and Gold GRID offers two levels of participation, Green and Gold. Facilities that wish to take advantage of the full range of metrics provided by GRID participate at the Gold Level. These facilities provide all data elements requested for GRID and receive a complete report at the end of each reporting period. The Green Level offers an alternative for facilities that are unable to provide outcomes data. Green Level participants supply a subset of GRID data elements, and receive a report of all GRID metrics other than those reflecting outcomes. If you are the Facility Administrator, you must choose the level of participation when you enroll in GRID by clicking the appropriate button on the Registration Information page: Choosing a Participation Level You must then click the Save Participation Level Change button. If you are a Facility Administrator or Registry Administrator, you can change your participation level at any time by clicking the button for the level you want. You must then click the Save Participation Level Change button. If the participation level has been changed, you can view information about the change by clicking the Participation Level Change History button. These functions are not available to Facility Users. October 12,

19 Participation Level Change History Adding or Removing Participating Physicians In order for a physician to be listed on a GRID form, he or she must be listed as a GRID participant in the physician dictionary. You can indicate that a physician is a GRID participant by clicking the Add Physician button on the Registration Information page. If you do not plan to enter data from the Monthly Data Form by Physician, which is optional, there is no need to enter physicians on this page. "Add Physician" Button on the Registration Information Page If you have made entries in the physician dictionary, a list of physicians will appear with checkboxes that you can use to indicate which physicians are GRID participants. Adding a Physician as a GRID Participant Physicians must exist in the physician dictionary before you can indicate that they are GRID participants. Refer to Section 6.5.1, Adding Physicians, in the NRDR User Guide for instructions on how to add physicians to the physician dictionary. You can remove a physician s association with GRID by clicking the Remove link next to his or her name on the Participating Physicians list. The physician will remain in the NRDR Physician Dictionary, however, and GRID forms previously entered for the physician will not be affected. The ability to add and remove physicians is not available to Facility Users Adding or Removing Facility Users You can add Facility Users who are authorized to perform data entry in GRID by clicking the Add Facility User button. "Add Facility User" Button on the Registration Information Page Facility Users must exist in the user dictionary before you can add them as GRID users. Refer to Section 6.3.1, Adding Users, in the NRDR User Guide for instructions on how to add users to the User Dictionary. October 12,

20 You can remove a Facility User s association with GRID by clicking the Remove link next to his or her name on the Staff list. The user will remain in the NRDR User Dictionary, however, and GRID forms previously entered by the user will not be affected. The ability to add and remove Facility Users is available to Facility Administrators and Registry Administrators only. If you want to add or remove Facility Administrators or Registry Administrators, you must perform these functions in the NRDR User Dictionary. Refer to the NRDR User Guide, Section 6.3, User Dictionary, for additional information. 7. GLOSSARY ACR American College of Radiology Facility Administrator The person performing the NRDR pre-registration process. The Facility Administrator has access to certain administrative functions that are unavailable to other staff members. Only one staff member at a facility may act as Facility Administrator. Refer to Section 4.2, Facility Administrators, in the NRDR User Guide, for additional information. Facility User A person designated by a Facility Administrator or Registry Administrator as having data entry functions for a specific registry. Refer to Section 4.4, Facility Users, in the NRDR User Guide, for additional information. FTE Full Time Equivalency Gold Level One of two levels of participation available for GRID. Gold Level participants provide all data elements requested for GRID and receive a complete report at the end of each reporting period. Refer to Section 6.1.1, Adding or Changing a Participation Level Green and Gold, above, for additional information. GRID General Radiology Improvement Database GRID menu A list of links that appears on the left side of the GRID home page and other GRID pages. GRID pages are distinguished from pages belonging to other registries by the GRID banner at the top of the page. Green Level One of two levels of participation available for GRID. Green Level participants supply a subset of GRID data elements, and receive a report of all GRID metrics other than those reflecting outcomes. Refer to Section 6.1.1, Adding or Changing a Participation Level Green and Gold, above, for additional information. NRDR National Radiology Data Registry Registry Administrator A person designated by the Facility Administrator as having certain administrative functions for a specific registry. Refer to Section 4.3, Registry Administrators, in the NRDR User Guide, for additional information. October 12,