Quality Improvement for Institutions
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Join PINNACLE Registry and Diabetes Collaborative Registry

Enroll in the PINNACLE Registry and Diabetes Collaborative Registry or get more information.

PINNACLE Registry®

The PINNACLE Registry® is cardiology's largest outpatient quality improvement registry, capturing data on coronary artery disease, hypertension, heart failure and atrial fibrillation.

Participation offers many advantages, including:

  • The ability to easily collect data on coronary artery disease, hypertension, heart failure, and atrial fibrillation
  • Easy-to-interpret online benchmark reports available from the PINNACLE Interactive Portal that help you validate the quality care you provide and pinpoint opportunities for improvement
  • Seamless participation in federal quality reporting programs including the Quality Payment Program
  • Access to participate in ACC-sponsored continuing education programs
  • The opportunity to advance cardiovascular care through participation in the PINNACLE Research Alliance
  • PINNACLE-AF, a unique platform to help you focus on best practices in atrial fibrillation treatments and next-generation anticoagulants

View sample Practice-Level Executive Summary Report

To generate these reports, data for all relevant patient encounters must be collected and submitted via one of the several data collection options available.

PINNACLE Data Collection

The PINNACLE Registry is powered by the NCDR and its partnership with FIGmd. PINNACLE offers the following methods by which a practice can send data. When you are contracted, our technical team will help guide you through the data submission process.

System integration with your existing electronic health record (EHR) Practices currently using an EHR can use easy-to-install system integration (SI) software to extract relevant registry data fields from their EHR and transmit them to the PINNACLE Registry HIPAA compliant database. This method works best for practices with their own server-based EHR installations.

PINNACLE SI is compatible with over 80 EHR and Practice Management Systems including Allscripts, Cerner, GE Centricity, GEMMS, NextGen, Greenway, Intergy/Sage/Vitera, Amazing Charts, Soapware, and eMDS.

If your system is not listed here, please contact ncdr@acc.org or 800-257-4737. New systems are being mapped frequently.

Data Push from the EHR by the practice

Practices that are unable to install system integration on to their systems, can opt into sending the data directly to the ACC via secure SFTP. Our technical team will help guide you through this process. This method is employed by many using Practice Fusion, EPIC, Athena, as well as many others.


Prior authorization requirements for cardiovascular drugs pose significant challenges to ensuring patients receive the right treatment at the right time. A 2017 ACC survey showed that 78 percent of respondents consider prior authorization and the associated documentation a heavy administrative burden and one of the greatest barriers to providing patients with the benefits of new therapies. In addition, a November 2017 study in JAMA Cardiology found that less than one-third of patients prescribed a PCSK9 inhibitor received the medication because of low insurance approval rates and patient abandonment. The PINNACLE Registry has developed a Prior Authorization Reporting Tool (PARTool) designed to protect patients by collecting real-world denial data regarding prior authorization from ACC members and their practices. The goal is to leverage the data from the tool to work with payers and other stakeholders on meaningful change. Start using the tool at ACC.org/PCSK9PARTool.

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