A clinic data coordinator checking unresolved ART cycle outcomes against the annual reporting deadline on a fertility clinic office screen, used to show where federal submissions are assembled.
ART REPORTING

Your IVF clinic reports every cycle to a federal system, and the outcome is not known for months.

An IVF fertility clinic is a facility performing assisted reproductive technology procedures, and in the United States it is a federally reporting one. Clinics performing ART must provide data on the procedures they perform each year, from which standardised success rates are calculated and published. The reporting is unusual because an outcome is not known until the pregnancy resolves, so a cycle performed in one year is reported well into the next.

453 clinicsreported data in the 2021 annual report
98%of US ART cycles captured by the surveillance system
2.5%share of US births from ART that year
The outcome being reported is a birth, which is why the year stays open so long.

Neurobird IVF Fertility Clinic in short

  • Record each cycle in the shape the federal submission needs, at the time it happens.
  • Hold outcomes open until they resolve, because a live birth can be months past the cycle.
  • Track which cycles are still unresolved so submission completeness is visible before verification.
  • 453 clinics The annual report for 2021 included data from 453 clinics, covering roughly 414,000 ART cycles and about 92,000 live births. Congressional Research Service
  • 2.5% ART accounted for roughly 2.5 percent of all births in the United States in that reporting year. Congressional Research Service
  • Pricing runs 170 to 880 US dollars per month across 3 tiers. Early access is free.
The daily reality

What fertility clinics and ART laboratories actually deal with

Cycle outcomes arrive months after the cycle itself, so the reporting year stays open long after it ended.
Data is assembled for the annual submission from clinical records that were never structured for reporting.
Nobody can tell whether this year's submission is complete until the verification stage, when it is late.

Why it stays broken

Clinical systems record care as it happens. Federal reporting wants a cycle level record whose outcome is only known once a birth has occurred, which can be the better part of a year later. That gap means the reporting dataset is never simply a copy of the clinical one, and most clinics rebuild it by hand each year rather than accumulating it as they go.

98% of all ART cycles in the United States are estimated to be captured by the national surveillance system, because most non reporting clinics are small.

Infertility is a reproductive health disorder generally defined as the inability to achieve a successful pregnancy after a certain time period of attempting to become pregnant.

Congressional Research Service, assisted reproductive technology regulation and oversight, source

How does Neurobird IVF Fertility Clinic work?

  1. Cycle

    Each ART cycle opens a reporting record at the point of care, structured for the annual submission rather than for the chart alone.

  2. Resolve

    Outcomes attach as they become known, and unresolved cycles stay visible, since the earliest reporting date is months past the end of the reporting year.

  3. Submit and verify

    The annual submission is built from resolved records, and verification becomes a check rather than a reconstruction.

What it does

Neurobird IVF Fertility Clinic Operations Platform

Accumulate the reporting record cycle by cycle as outcomes resolve, so the annual submission is assembled rather than reconstructed.

  • 1Record each cycle in the shape the federal submission needs, at the time it happens.
  • 2Hold outcomes open until they resolve, because a live birth can be months past the cycle.
  • 3Track which cycles are still unresolved so submission completeness is visible before verification.
  • 4Keep laboratory certification and accreditation status against the clinic record.

What changes with Neurobird IVF Fertility Clinic?

The same work, read left to right: how it runs today, and how it runs once the record is in one place.

Ivf fertility clinic: current practice compared with Neurobird IVF Fertility Clinic
TodayWith Neurobird IVF Fertility Clinic
Cycle outcomes arrive months after the cycle itself, so the reporting year stays open long after it endedRecord each cycle in the shape the federal submission needs, at the time it happens.
Data is assembled for the annual submission from clinical records that were never structured for reportingHold outcomes open until they resolve, because a live birth can be months past the cycle.
Nobody can tell whether this year's submission is complete until the verification stage, when it is lateTrack which cycles are still unresolved so submission completeness is visible before verification.

Who is this for?

Three places the reporting year and the clinical year come apart.

Single site clinic

The year that will not close

The earliest a clinic can report outcomes is roughly nine to ten months past the end of the reporting year, once births have occurred. A reporting year therefore overlaps the next one, and a team working from clinical records alone is assembling two years at once.

Multi site group

Completeness before verification

Clinics that report and verify their data are considered compliant with the federal reporting requirements. Discovering an incomplete dataset at verification is late, because the cycles in question happened a year earlier.

New clinic

Getting onto the list

CDC and a professional society maintain a list of ART clinics known to be operating, tracking reorganisations and closings. A clinic that changes structure needs its reporting identity to follow it.

What the numbers say about IVF clinic reporting

This is one of the few clinical specialities with a mandated national dataset. The figures below come from it.

453 clinics

The annual report for 2021 included data from 453 clinics, covering roughly 414,000 ART cycles and about 92,000 live births.

Congressional Research Service
2.5%

ART accounted for roughly 2.5 percent of all births in the United States in that reporting year.

Congressional Research Service
50 clinics

Roughly 50 clinics did not submit data, or did not approve its inclusion in the annual report, in that year.

Congressional Research Service
98%

The surveillance system is estimated to hold information on about 98 percent of all ART cycles performed in the United States.

CDC National ART Surveillance System
1992

Federal law from 1992 requires clinics performing ART to provide data annually on the procedures they carry out.

CDC National ART Surveillance System
Interactive preview

See it work

A short walk through a cycle, an outcome and an annual submission.

ART reporting workspace
Unbilled found$0
Line itemAmount
Outcome recorded$1,840
Year ready$620
Cycle open$3,275
Outcome recorded$455

Click recover to add a missed line to the invoice.

Ivf fertility clinic software questions, answered

Key terms

What is ART reporting?
It is the annual federal reporting obligation that applies to clinics performing assisted reproductive technology. Clinics provide data on the procedures they perform, and standardised success rates are calculated for each clinic that reports, expressed per cycle or per transfer. Clinics that report and verify their data are considered to be in compliance with the federal requirement. It is an unusual arrangement in healthcare: a mandated national dataset with published, clinic level outcomes.

Why does reporting lag the clinical year?

Because the outcome being reported is a birth. The earliest a clinic can report ART outcomes is roughly nine to ten months past the end of the reporting year, once all births from that year's cycles have occurred. That means a reporting year stays open well into the following one, and a clinic is often handling two reporting years simultaneously.

How complete is the national dataset?

Very, though not total. A small number of clinics do not report and are listed as non reporters, but because most of those are small, the surveillance system is estimated to contain information on about 98 percent of all ART cycles in the United States. In the 2021 report roughly 50 clinics either did not submit data or did not approve its inclusion.

What else does a clinic report?

Clinics also report certification of their embryo laboratories. The agency does not endorse particular accreditation programmes, but publishes each clinic's laboratory accreditation status alongside its outcomes. Laboratory practice additionally sits under the federal tissue rules, so the laboratory has its own compliance surface separate from the reporting one.

Is the software available now?

No. It is in development and open for early access. We are building the cycle level reporting record with clinics that would rather accumulate the submission than rebuild it each year.

Why we are building this

Fertility is one of the few specialities where outcomes are published clinic by clinic, on a national dataset, by federal mandate.

That raises the stakes on the reporting record, and yet the record is usually rebuilt once a year from clinical notes that were never structured for it. The lag makes it worse: outcomes are not known for months, so the reporting year never lines up with the working one.

So we are accumulating the submission as outcomes resolve. The Neurobird Team is starting with clinics that already know how much of their year that rebuild consumes.

Neurobird Team neurobird.com

Where the requirement comes from

Primary sources, straight from the regulators.

How much does Neurobird IVF Fertility Clinic cost?

Early access pricing, held for the first 12 months for clinics that help shape the build.

Single clinic
$170
per month
  • Cycle level records
  • Outcome tracking
  • Submission completeness view
Join early access
Group
$440
per month
  • Several sites
  • Laboratory certification records
  • Verification support
Join early access
Network
$880
per month
  • Large networks
  • Retention policy
  • Direct support
Talk to us
10 early access places

Get free early access

We want clinic directors who have rebuilt an annual submission from clinical notes.

Straight answer on where this is: The software is unfinished. Cycle records, outcome tracking and completeness views work. There is no direct submission integration and no EMR connector yet.

Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.