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AJRR Reaches 500 Milestone!
Milestones – we can't get there without the help and support of the orthopaedic community. The American Joint Replacement Registry (AJRR) is proud to have reached its 500th participating hospital as of today. We welcome Texas Health Presbyterian Hospital of Rockwall in Rockwall, Texas to the other 499 hospital who have agreed to participate in our hip and knee joint replacement registry. As the national registry, we have orthopaedic representation from all 50 states and all types of medical institutions – academic medical systems to smaller community hospitals, surgery centers, and private practice groups.
Additionally, we have surpassed our 2015 annual goal of achieving 250,000 procedures in the database. As of today, we have 269,231 procedures from participating institutions in the Registry.
We are proud of the milestones we have achieved, and it wouldn't be possible without the support of the orthopaedic community!
AJRR is a not-for-profit organization that is dedicated to improving orthopaedic care through collecting, analyzing, and bench marking data from across the entire United States. AJRR provides a wide range of actionable information and reporting that helps improve patient care and hospital management to all participating sites.
AJRR was developed by leaders in the orthopaedic community – from renowned surgeons, to organizations involved in establishing policy and influencing federal legislative and regulatory developments. We're proud to call the following organizations supporters:
Together, we are improving orthopaedic care through data!
To view the AJRR milestones, click here.For a complete list of all 500 institutions, click here.To join the Registry, click here.To subscribe to our e-newsletter, click here.
The Joint Commission Statement about the American Joint Replacement Registry
The Joint Commission is pleased to continue to work with the American Joint Replacement Registry (AJRR) to support its multiple goals, especially the aim to establish a locus of information that can be used for quality improvement and to increase patient safety related to total hip and knee replacement surgery. The Joint Commission has severs on AJRR's Public Advisory Board for a number of years and has appreciated the opportunity to be part of AJRR's efforts to increase the relevancy of the registry to patients and to providers. AJRR has exhibited a very thoughtful approach to ensuring that it builds a credible data collection infrastructure and to ensuring the usability of the registry to those focused on reducing morbidity and mortality.
AJRR Applauds Congress for Enacting SGR Repeal and
Medicare Provider Payment Modernization Act
Rosemont, Ill. - April 15, 2015 - The American Joint Replacement Registry (AJRR) applauds Congress for enacting the SGR Repeal and Medicare Provider Modernization Act of 2015. AJRR appreciates the hard work and difficult decisions that have resulted in a bipartisan solution for a better solution for providing Medicare payments to physicians. The legislation contains provisions of importance to Qualified Clinical Data Registries (QCDR) and clinical data registries that will greatly improve the ability of these organizations to provide improved patient care and safety.
"The AJRR commends congressional leadership for enacting legislation to replace the sustainable growth rate formula for physician payment," said Daniel J. Berry, MD, chair of the AJRR. "Recognizing the benefits of moving from volume to value by creating a new Medicare reimbursement system that rewards providers for quality care and improved patient safety is very beneficial for our health system. AJRR is very grateful to Congress for recognizing the important role that registries like ours play in improving patient safety and controlling health costs, and providing several important program changes to improve our ability to perform these important services."
AJRR was recognized by the Centers for Medicare & Medicaid Services (CMS) in 2014 as the only national orthopaedic QCDR, and one of only 41 in all of medicine. The QCDR designation is only awarded to registries demonstrating a gold standard of service, performance, and care. AJRR provides participating surgeons and hospitals comprehensive analytics on hip and knee replacement and revision procedures for the purpose of improving patient care, reducing costs, and providing surveillance on implant performance.
"This legislation is especially relevant to the AJRR and the role that Qualified Clinical Data Registries play in improving patient care and provider performance," continued Dr. Berry. "AJRR will now have access to Medicare claims data, providing us with the ability to track device performance and patient recovery over time and any geographic location to improve our reported outcomes."
The bill also directs the Department of Health and Human Services to issue a guidance on applicability of the Common Rule to clinical registries. The Common Rule applies to entities involved in human subject research that receive federal funds and regulates the use and disclosure of patient health information. Uncertainty over the impact on clinical data registries have imposed burdens on hospitals and other participants of registries.
About the American Joint Replacement Registry The American Joint Replacement Registry (AJRR) is a multi-stakeholder, independent, not-for-profit 501(c)(3) organization for data collection and quality improvement initiatives for total hip and knee replacements. AJRR's goal is to optimize patient outcomes through collection of data on all primary and revision total joint replacement procedures in the U.S. The mission of the registry is to enhance patient safety, improve quality of care, and reduce the cost of care. As of March 2015, AJRR contains hip and knee procedures from nearly 465 hospitals, 3,000 surgeons in 50 states. The registry is increasing at a rate of 2,500 procedures per week. Today, the registry contains more than 250,000 procedures. For more information about AJRR, visit www.ajrr.net.
The American Joint Replacement Registry and the California Joint Replacement Registry Announce Affiliation
Rosemont, Ill. – [March 31, 2015] – The California Joint Replacement Registry (CJRR), founded and primarily funded by the California HealthCare Foundation (CHCF), and the American Joint Replacement Registry (AJRR) today announced the transfer of CJRR to AJRR. Both CJRR and AJRR are registries that collect clinical information about hip and knee replacement surgeries. This new relationship between the two organizations will help advance the mission to provide better outcomes for patients having total hip and knee arthroplasties in California and throughout the United States.
Effective as of the transaction closing earlier today, CJRR will be solely owned and managed by AJRR. CHCF will provide a restricted grant to CJRR to aid AJRR in the transition process and to support CJRR's operations as a separate entity, in parallel with AJRR operations. As part of the agreement between CHCF and AJRR, CJRR will continue public reporting of patient outcomes in consultation with the newly formed California Data Use Group (CDUG). CDUG will serve as an advisory committee to CJRR.
"This announcement is the culmination of a longstanding vision for CJRR to further the national conversation about the collection and public reporting of patient-reported outcome data," said Sandra R. Hernández, MD, CHCF president and CEO. "Partnering with a national organization such as AJRR makes sense given the similarity of our missions, the opportunity for AJRR to apply the CJRR data-collection model in other parts of the country, and the ability of AJRR to feed those results, including national benchmarks, back to California hospitals."
Currently approximately 45 hospitals and their affiliated surgeons contribute data to CJRR. These hospitals perform more than one third of the total volume of hip and knee replacements in the state. AJRR has 30 participating sites in California, 18 of which participate in CJRR.
"CJRR brings a wealth of knowledge and expertise in collecting and reporting robust, standardized patient-reported outcomes, which we are excited to see integrated into AJRR," said Daniel J. Berry, MD, chair of the AJRR board of directors. "This affiliation will help us to provide the best service possible to all participating institutions and surgeons throughout the country."
The agreement continues a tradition of collaboration between the two organizations. Over several years, the two registries have worked to align data elements, share resources, and support shared policy objectives. In addition, there is significant overlap among the leadership.
"Since CJRR's founding in 2009, we have always had the vision that CJRR would become part of the national total joint replacement registry effort when mature," said Kevin Bozic, MD, MBA, founding chair of CJRR and current vice chair of AJRR. "This union will allow AJRR to capitalize on the expertise in measuring patient-reported outcomes that we have developed in California over the past six years, and allow Californians to have an impact on the national effort to improve total joint replacement patient outcomes."
More information, including a set of frequently asked questions, is available at www.ajrr.net and www.caljrr.org.
About AJRR The American Joint Replacement Registry (AJRR) is a multi-stakeholder, independent, not-for-profit 501(c)(3) organization for data collection and quality improvement initiatives for total hip and knee replacements. AJRR's goal is to optimize patient outcomes through collection of data on all primary and revision total joint replacement procedures in the U.S. The mission of the registry is to enhance patient safety, improve quality of care, and reduce the cost of care. As of February 2015, AJRR contains hip and knee procedures from over 450 hospitals and 2,900 surgeons in 50 states. The registry is increasing at a rate of 2,500 procedures per week. Today, the registry contains more than 240,000 procedures. For more information about AJRR, visit www.ajrr.net.
The California Joint Replacement Registry (CJRR), founded and primarily funded by the California HealthCare Foundation, was created to meet the need for comprehensive, scientific assessment of devices, treatment protocols, surgical approaches, and patient factors influencing the results of hip and knee replacement surgeries. The Pacific Business Group on Health (PBGH) and the California Orthopaedic Association (COA) were founding partners and have contributed both funding and in-kind support since CJRR's inception.
CJRR is a Level III registry, meaning it collects and incorporates clinical information and direct feedback from patients about the outcomes of their hip and knee replacement surgeries. It is one of only a small number of registries in the United States to do so.
The California HealthCare Foundation works as a catalyst to fulfill the promise of better health care for all Californians. We support ideas and innovations that improve quality, increase efficiency, and lower the costs of care. Visit www.chcf.org.
AJRR Launches New User Group Network
Bringing together users of its registry to learn from each other
Rosemont, Ill. – March 24, 2015 – The American Joint Replacement Registry (AJRR) launched its first ever User Group Network at the 2015 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting in Las Vegas, Nev. This network provides a forum for individuals who work closely with the Registry to stay connected and learn from others who are in similar situations.
"The AJRR User Group Network is intended to serve as a place in which information and best practices can be shared," said executive director Jeffrey P. Knezovich, CAE. "We want all of our participants and interested parties to take full advantage of this opportunity to learn more about AJRR and any future plans that may be on the horizon."
During the first meeting, AJRR provided attendees with a panel of various participants from large and small hospital systems and academic medical institutions. Panelists offered information about their best practices for going through the enrollment process to data submission, and lessons learned as they implemented the system in their hospital. User Group Network participants will be provided with many opportunities to connect in the future with each other as well as AJRR staff. Some future plans include webinars, list serves, social media sharing, and quarterly calls.
As part of this network, AJRR is currently initiating a User Group Advisory Board. Members of the board will be tasked in setting the tone for future discussion topics and meetings as well as providing information to those who are part of the network.
"Users of our registry come in all different shapes and sizes – from individual surgeon groups to large health systems. The premise behind our User Group Network is to share stories among the sites so they can hear firsthand how to utilize the registry to its full potential," said Lori Boukas, director of marketing and communications. "We currently have close to 450 user sites, and there's a great wealth of knowledge to be shared within that group. We're glad to be able to offer a way for these users to convene and share best registry practices."
Those wishing to attend the inaugural session can do so on March 25, 2015 from 10:30 a.m. – 12:30 p.m. by stopping by room 4301 at the AAOS Annual Meeting at the Venetian/Sands EXPO. The session title is, "AJRR: Progress, Collaborative Efforts, Future Directions, and User Group Meeting."
There is no fee associated with joining the AJRR User Group Network and/or Advisory Board. Those who are interested in joining should contact Terra Miller at firstname.lastname@example.org.
AJRR Launches Total Joint Replacement Risk Calculator
A gift from Othro Apps helps the orthopaedic profession
Rosemont, Ill. – March 24, 2015 – AJRR recently received the Total Joint Replacement (TJR) Risk Calculator by Ortho Apps, a collaborative of Massachusetts General Hospital, Mayo Clinic, and the University of California, San Francisco and debuted it today at the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting in Las Vegas, Nev.
The TJR Risk Calculator is intended to assist surgeons in assessing risk associated with each patient undergoing a procedure in relation to their comorbidities and demographics. It was created utilizing Center for Medicare & Medicaid Services (CMS) data from 2007-2012 and contains over 30 different comorbidities to select from.
Surgeons input patient data into the calculator, and the risk is displayed in two graphs: Patient Mortality within 90 Days and Periprosthetic Joint Infection within Two Years. Each graph displayed contains a comparison between the patient with the selected demographics and comorbidities, a patient with similar demographics but no co-morbidities, and Medicare population average.
"Receiving this risk calculator from Ortho Apps will allow for AJRR to offer surgeons a tool to provide better patient care by becoming more educated on the risk associated with each procedure," said AJRR executive director Jeffrey P. Knezovich, CAE.
Surgeons wishing a demonstration can stop by the AJRR booth during the AAOS Annual Meeting from March 24-27, 2015 located just outside Academy Hall G at the Venetian/Sands EXPO.
There is no fee associated with accessing the TJR Risk Calculator. Surgeons can access the TJR Risk Calculator by visiting AJRRs website at www.ajrr.net.
AJRR Announces 2015 Board of Directors
A diverse stakeholder group from the orthopaedic profession, industry, and insurance rounds out the national registry
Rosemont, Ill. – March 23, 2014 – The American Joint Replacement Registry (AJRR) announced today its latest member of the 2015 Board of Directors. With the addition of Brian S. Parsley, MD, the AJRR 2015 Board of Directors is complete. The Board improves the quality, outcomes, and costs-effectiveness of total joint replacement outcome through the Registry and is responsible for governing the AJRR by making policy decisions and overseeing operations. As a multi-stakeholder group, the AJRR Board is reflected in its structure and is comprised of members representing AJRR, American Academy of Orthopaedic Surgeons (AAOS), American Association of Hip and Knee Surgeons (AAHKS), The Hip Society, The Knee Society, industry, payers, and the public.
The AJRR Executive Committee has some new members as well. The new chairperson for AJRR is Daniel J. Berry, MD (The Hip Society representative), the vice chair is Kevin J. Bozic, MD, MBA (AJRR representative), and David E. Mino, MD, MBA is the Secretary Treasurer (payer representative).
Additional members joining the AJRR Board of Directors include:
"At the end of last year we increased the number of representatives by two to more accurately reflect our constituent groups. We are pleased to welcome the second member from AAHKS on our board and look forward to our deepening relationship," said AJRR executive director Jeffrey P. Knezovich, CAE. "As the national registry that focuses on hip and knee joint replacement procedures, our missions are a perfect complement to each other."
Returning members include:
"We had a lot of successes and momentum during the last couple of years, and we would like to thank the outgoing board members for their hard work and dedication," continued Knezovich. "AJRR would like to acknowledge the service of those who have served their term on the Board, including the past chair Dr. Maloney, and secretary treasurer Dr. Stern."
The Board of Directors members stepping down include:
AJRR Releases Orthopaedic Quality Resource Center Web Portal
Tools to Align Physician Quality Reporting and Registry Participation
Rosemont, Ill. – January 9, 2015 – The American Joint Replacement Registry (AJRR), the nation's largest orthopaedic registry, has launched a web portal whereby its participating surgeons can report to the Centers for Medicare & Medicaid Services (CMS) Physician Quality Reporting System (PQRS) program. AJRR is one of 41 organizations in the US designated as a Qualified Clinical Data Registry (QCDR) by CMS to provide expanded, comprehensive medical procedure outcome information, including patient safety data. PQRS requirements can be completed based on satisfactory participation with AJRR. The website can be accessed at www.medconcert.com/ajrr.
"We knew collaborating with CMS was important to our success when we started building our hip and knee registry," said Daniel J. Berry, MD, chair of the AJRR board of directors. "The designation allows physicians who send outcome data to an appropriate and accredited QCDR to seek CMS incentive payments and try to avoid penalties, and we're excited about providing this resource to orthopaedic surgeons who participate in our registry."
As a QCDR, AJRR now has the opportunity to provide a new standard for eligible professionals (EPs) to satisfy PQRS requirements. AJRR partnered with CECity, healthcare's leading provider of cloud-based registry platforms for performance improvement, value-based payment, and professionalism, to create a custom PQRS reporting platform specifically for AJRR participants to submit data to CMS. This platform ensures that all participating EPs meet all requirements before submitting their PQRS reports to CMS for payment.
By participating in PQRS reporting through the AJRR Orthopaedic Quality Resource Center, EPs receive a mechanism to report to CMS their Medicare patients, while being provided with timely, continuous performance monitors, performance gap analysis and patient outlier identification, access to patient care management tools, targeted education, and various resources used to close performance gaps, and registry benchmarks. Satisfactory participation may also earn EPs the 2014 PQRS incentive and possibly avoid the 2016 PQRS payment adjustment.
"We've seen a lot of growth over the last 12 months and this quality initiative adds even more to the value to orthopedic surgeons of participating in the AJRR," continued Dr. Berry. "Enhancing patient safety and improving quality of care is part of the AJRR mission and we look forward to more of our surgeons utilizing the new PQRS web portal."
More than 120 hospitals submitted data on nearly 49,000 primary and revision total hip and total knee arthroplasty procedures in 2013.
Data from the American Joint Replacement Registry's (AJRR) 2013 Annual Report on Hip and Knee Arthroplasty Data – the organization's first-ever annual report on these procedures – confirms what orthopaedic surgeons have been seeing in practice: total hip and total knee arthroplasty patients are getting younger. .....Read More
On Friday, the American Joint Replacement Registry released the first round of data from its national registry on hip and knee replacement surgeries, Modern Healthcare reports.
According to Modern Healthcare, the registry marks the "first step" toward compiling data that could assist providers with assessing how medical devices perform and improving the quality and safety of hip and knee replacements, which are among the most commonly performed surgeries in the U.S. ....Read More
Hospitals for the first time have access to national data on hip and knee replacement surgeries, which are among the most common surgical procedures performed in the U.S. and require expensive revisions when they fail. ... Read More
Rosemont, Ill. – November 6, 2014 – The American Joint Replacement Registry (AJRR), a multi-stakeholder, not-for-profit organization that optimizes patient outcomes through collection of data on all primary and revision hip and knee replacement procedures in the US, today released its 2013 Annual Report on Hip and Knee Arthroplasty Data at the 2014 American Association of Hip and Knee Surgeons (AAHKS) Annual Meeting. This annual report is the first released by AJRR. .......Read More
Click here to view the flyer.
Orthopedic surgeons are currently submitting data on about 2,000 procedures weekly to the American Joint Replacement Registry, according to a presenter who gave an update on the initiative here at Orthopedics Today Hawaii 2014. Read more....
The American Joint Replacement Registry (AJRR) has been designated as a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare and Medicaid Services (CMS), meaning that it will be able to provide an enhanced array of medical outcome data, including patient safety information. Other information will include physician and patient observations and joint replacement concerns. AJRR is one of 41 organizations given such a designation. ...Read more
An independent selection committee was charged with selecting the final composition of the Task Force and has now concluded that process. The Registry Task Force will be charged to....Read More
AJRR Data Committee member Dr. Michael Dohm of the University of Arizona shared this video story from Arizona Public Media. ....Click Here for More
As the demand for total joint arthroplasty continues to increase, growing attention is being paid to arthroplasty registries, which can serve as vehicles for reporting outcomes and enhancing the quality of care patients receive. ....Read More
Aqualified clinical data registry is a new reporting mechanism available for the Physician Quality Reporting System beginning in 2014. ....Read More
Medical device regulation has been the subject of recent debate. Both professional and public confidence in the system is at a low point. This is particularly true in orthopaedics, where the premature failure of some metal-on-metal hip replacements has added considerably to the global burden of hip revision. ....Read More
New implantable devices can never reach clinical use without some level of uncertainty about their effectiveness and overall safety, despite the best possible safeguards and pre-market regulatory requirements. ....Read more.
In 1997 the New Zealand Orthopaedic Association (NZOA) agreed to establish a national Hip and Knee Register to be based at the Department of Orthopaedic Surgery at Christchurch Hospital, directed by Professor Alastair Rothwell (Chairman and Registry Supervisor). While this initiative was intended to mark 30 years of joint arthroplasty in New Zealand it was also recognised that there was a real need to collect data on implants and outcomes. Their 14 Year Report is now available. ....Read more
With more than 100 participating hospitals, the American Joint Replacement Registry (AJRR) has been able to streamline the enrollment process and make it easier for orthopaedic surgeons and their affiliated hospitals to participate in this important quality initiative. Read more....
In the 10th report from the National Joint Registry for England, Wales and Northern Ireland, data showed that most patients can expect their knee and hip replacement implants to survive for 10 years. ....Read More
The Australian Orthopaedic Association National Joint Replacement Registry released a new analysis on whether surgical outcomes are impacted by surgical experience. ....Read More
Faulty joint replacements force 8000 Australians every year back on the operating table, but National Joint Replacement Registry research has found four devices with lower rates of problems. ....Read More
The U.S. Food and Drug Administration (FDA) announced that a new electronic system designed to protect patients will track millions of high-risk medical devices including pacemakers and hip implants. ....Read More
The American Joint Replacement Registry (AJRR) is a national total joint replacement registry, governed by an independent, not-for-profit entity, under the direction of orthopaedic surgeons in partnership with stakeholders. Read more....
The American Joint Replacement Registry is an initiative to improve quality, outcomes and cost-effectiveness of total joint replacements. Today, the registry has contracts with 51 institutions representing 72 hospitals. With current sites, the registry has gathered data on more than 30,000 procedures. Read more....
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Join the AJRR User Group Network
The AJRR User Group Network is for participating hospitals. It is a forum for hospitals to communicate and learn from each other based on questions or comments that are shared. As a member of the Network, you will be able to choose which topics are discussed. The AJRR may use this forum to start discussions regarding specific topics that need hospitals’ vaulable input.
AJRR is proud to be a member of the International Consortium of Orthopaedic Registries (ICOR). Listed below are some links to our international registry friends:
International Consortium of Orthopaedic Registries (ICOR)