Across rheumatic diseases

Rheumatology Informatics System for Effectiveness Registry Participation Associated With Significant Gains in Quality Measure Performance: An Interrupted Time Series Analysis

Arthritis RheumatolPublished Interrupted time series analysis

Main finding · Improvement rate in RA functional status assessmentResult — go to the resultSlope difference 0.88 percentage points/month

Authors' conclusion

RISE enrollment was associated with significant improvements in three of four rheumatology-specific quality measures for practices with lower baseline performance.

Study context

Population
Practices that joined the ACR's Rheumatology Informatics System for Effectiveness (RISE) registry between 2015 and 2021331,975 patients
Participants
85 participants
Exposure
Practice-level quality measure performance before vs after RISE registry enrollment
Outcome
Annual performance on four primary quality measures
Follow-up
12 months before through 18 months after enrollment
Methodological detailsregistry-based, stratified by baseline performance
  • Registry-based
  • Stratified by baseline performance

Main finding

As reported in the abstract

Improvement rate in RA functional status assessment

Slope difference

0.88 percentage points/month

P = 0.006

Observational data: associations, not effects.

Further findings

Improvement after joining RISE by baseline performance (subgroup)

Lower-baseline practices had significantly greater improvements than high-performing practices for 3 of 4 primary measures: RA functional status assessment, TB screening before biologic therapy, osteoporosis screening

Original publication

Rheumatology Informatics System for Effectiveness Registry Participation Associated With Significant Gains in Quality Measure Performance: An Interrupted Time Series Analysis. Arthritis Rheumatol. Published 17 September 2026. doi:10.1002/art.70340

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