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AJRR News  
  
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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.

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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.​​

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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.

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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.

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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.

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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.

About CJRR

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.

About CHCF

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.

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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 miller@ajrr.net.

 

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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.

 

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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:

  • Michael R. Dayton, MD, AAOS Representative
  • Craig J. Della Valle, MD, The Knee Society Representative
  • Blair Fraser, Industry Representative
  • Brian S. Parsley, MD, AAHKS Representative

"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:

  • Robert L. Krebbs, Payer Representative
  • Gregory B. Krivchenia II, MD, AAOS Representative
  • Kristen Murtos, MBA, AHA Representative
  • Colin Nelson, Patient/Public Representative
  • Pamela L. Plouhar, PhD, Industry Representative
  • E. Anthony Rankin, MD, AAOS Representative
  • Scott M. Sporer, MD, AAOS Representative
  • Bryan D. Springer, MD, AAHKS Representative
  • Jeffrey P. Knezovich, CAE, Ex-Officio
  • David G. Lewallen, MD, Ex-Officio

"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:

  • Terence J. Goie, MD, The Knee Society Representative
  • Chair William J. Maloney, MD, AAOS Representative
  • Eric Rugo, MBA, Industry Representative
  • Secretary Treasurer Steven H. Stern, MD, MBA, Payer Representative

 

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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."

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As Read on ICJR.net: AJRR Releases First Annual Report on Hip and Knee Arthroplasty Data

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​



As Seen on iHealthBeat.com: "National Joint Replacement Registry Releases First Round of Data"

​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

As Seen In Modern Healthcare November 2014 – First Data Flows from National Registry Tracking Joint Replacements

​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​

AAOS Releases First Annual Report on Hip and Knee Arthroplasty Data

​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

Beaumont Health System Joins AJRR
Read the press release here.
Kaiser Permanente Study Finds Diabetes Does Not Increase Risk of Total Knee Surgical Complications
Patients with diabetes who undergo total knee replacement surgery do not have increased risk of surgical complications compared to those patients without diabetes, according to a Kaiser Permanente study published today in The Journal of Bone and Joint Surgery. Read more....
Reporting of joint-replacement outcomes lacking
A better understanding of the effects hip-implant materials have on the risk of early replacement surgery will require increased reporting of joint-replacement outcomes across Canada ....Read More.
The International Society of Arthroplasty Registries is hosting the 4th International Congress of Arthroplasty Registries in Gothenburg, Sweden, May 23-25, 2015.

​Click here to view the flyer.


Data collection for American Joint Replacement Registry actively underway

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....​

AMERICAN JOINT REPLACEMENT REGISTRY RECEIVES SPECIAL DESIGNATION

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​

American Joint Replacement Registry (AJRR) tapped to provide orthopaedic patient outcome data to Centers for Medicare and Medicaid Services (CMS)
​ROSEMONT, Ill.─The American Joint Replacement Registry (AJRR), the nation’s largest orthopaedic registry, is one of 41 organizations recently designated as a Qualified Clinical Data
Registry (QCDR) by the Centers for Medicare and Medicaid Services (CMS) to provide expanded, comprehensive medical procedure outcome information, including patient safety data. ...Read More
​The AJRR is pleased to announce the selection of William Maloney, MD to National Medical Device Registries Task Force.

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

UA Study Revolutionizes the Future of Outcome Research

​AJRR Data Committee member Dr. Michael Dohm of the University of Arizona shared this video story from Arizona Public Media. ....Click Here for More

Arthroplasty Registries Expand Around the World

​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

Learn More About Registries at Annual Meeting

​Aqualified clinical data registry is a new reporting mechanism available for the Physician Quality Reporting System beginning in 2014. ....Read More

Primary hip replacement prostheses and their evidence base: systematic review of literature

​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

The National Quality Strategy and You: How CMS Quality Measures Affect Policy and Practice CME
Mayo Total Joint Registry 20-year study reveals variation in implant survival

​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.

The New Zealand Joint Registry 14 Year Report Is Now Available

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

AJRR: Making Enrollment Easier

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....

NJR 10-year report: Patients can expect long life from joint implants

​ 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

New Australian joint registry report examines effect of surgical experience on patient outcomes

​The Australian Orthopaedic Association National Joint Replacement Registry released a new analysis on whether surgical outcomes are impacted by surgical experience. ....Read More

AJRR Hospital Reporting and Dashboard Video Demonstration
The following link provides a demonstration of the AJRR reporting dashboards. The dashboards and reports are intended to provide our participants with quality metrics that can be used for a variety of improvement efforts.  The reports and dashboards shown will be continuously improved over time with input from our stakeholders.   Please contact the AJRR if you have any questions or if you interested in participating in our registry.  http://www.youtube.com/watch?v=-TYnEYkVE28
 
Australian Orthopaedic Association research shows best artificial joints

​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

New FDA Database Will Track All Medical Devices

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

Researchers find inverse association between smoking and need for total joint replacement.
The reported association of smoking with risk of undergoing a total joint replacement (TJR) due to osteoarthritis (OA) is not consistent. ....Read More
NJR 10-year report: Patients can expect long life from joint implants
BIRMINGHAM, England – In the 10th the NJR, data showed that most patients can expect their knee and hip replacement implants to survive for 10 years.....Read More
Influence of Hospital Volume on Revision Rate After Total Knee Arthroplasty with Cement
The number of total knee replacements has substantially increased worldwide over the past ten years. Several studies have indicated a correlation between high hospital procedure volume and decreased morbidity and mortality following total knee arthroplasty.   ....Read More
Study reveals dramatic fall in death rates after hip replacements
Mortality rates in the first 90 days following hip replacement surgery have halved, according to a study led by the University of Bristol .... Read More
Orthopedic organizations jointly announce creation of National Orthopaedic and Spine Alliance
The Cleveland Clinic, The CORE Institute, OrthoCarolina and The Rothman Institute have jointly announced the creation of the National Orthopaedic and Spine Alliance LLC....Read More.
MediPoint: Total Hip Replacement - US Analysis and Market Forecasts
Osteoarthritis has become a global public health concern with no cure. It is the most common form of arthritis that is primarily due to wear and tear of the joints. ....Read More
The Direct and Indirect Costs to Society of Treatment for End-Stage Knee Osteoarthritis
Although total knee arthroplasty for end-stage osteoarthritis is a cost-effective procedure, payers are focusing on its indications and cost because of its high and growing use....Read More
Total Knee Replacement Surgery By the Numbers
Measuring the Value of Orthopaedics
Research reveals orthopaedic surgery has a social and economic impact....Read More.
New headquarters for the American Academy of Orthopaedic Surgeons and Orthopaedic Organizations
Rosemont, IL - August 8, 2013 — Today, leaders from the American Academy of Orthopaedid Surgeons—along with representatives from four equity partners—will break ground at the site of the Academy’s new headquarters....Read More.
Brian Williams joins rising numbers of boomers getting new knees
As we get older, none of us seems to be immune to deteriorating and painful knees. And that includes NBC Nightly News anchor Brian Williams....Read More.
DePuy Orthopaedics-LPS Lower Extremity Dovetail Intercalary Component: Class 1 Recall - Potential for Fracture of Device
FDA and DePuy Orthopaedics notified healthcare professionals of the class 1 recall of the LPS Lower Extremity Dovetail Intercalary Component....Read More
RA Patients Satisfied With Joint Replacements
Results in knee surgery are on par with OA patients'; some RA hip patients still lag. ...Read More
Do You Need to Replace Your Joint Replacement?
Recent cases of faulty hip joints have sent ripples of concern through patients. ...Read More.
Dr. E. Anthony Rankin Named as Interim Chief Medical Officer of Providence Hospital
Dr. E. Anthony Rankin will assume the position of Interim Chief Medical Officer at Providence Hospital effective June 14, 2013. He will replace Dr. Raymond Cox who has accepted the position of .... Read More
Scanning Product Barcodes for the Canadian Joint Replacement Registry
The CJRR team recently surveyed data providers to determine the ways in which they capture the requisite information (product number and lot number) from product stickers for reporting to CJRR. ...Read More
Study Assesses Impact of Rheumatoid Arthritis on Joint Replacement Surgery Outcomes
Two new studies by researchers at Hospital for Special Surgery have shed light on joint replacement outcomes in patients with rheumatoid arthritis (RA). ...Read more
Majority Return to Activities of Daily Living After Total Hip Arthroplasty
A majority of patients report less pain and a reversal of their moderate to severe impairment in activities of daily living following total hip arthroplasty...Read More
Methodist Hospital First in Kentucky to Join Joint Replacement Registry
More than a million hip and knee replacements are performed each year in the U.S., a number that is expected to increase as more and more men and women remain active as they get older....Read More
Stryker ShapeMatch Cutting Guides Class I Recall
Stryker Corporation announced today that its orthopaedic division has received notice that the U.S. Food and Drug Administration (FDA) has reviewed the voluntary recall of its ShapeMatch Cutting Guides...Read more.
A Spoonful of Sugar | Journal of Bone and Joint Surgery
Commentary and Perspective on "Surgical Outcomes of Total Knee Replacement According to Diabetes Status and Glycemic Control, 2001 to 2009. Read more....
Surgical Outcomes of Total Knee Replacement According to Diabetes Status and Blycemic Control, 2001 to 2009 | Journal of Bone and Joint Surgery
Poor glycemic control in patients with diabetes may be associated with adverse surgical outcomes. We sought to determine the association of diabetes status and preoperative glycemic control with several surgical outcomes, including revision arthroplasty and deep infection. Read More....
What to Expect After Hip Replacement | Arthritis Today
The study, published in the February issue of the journal Rheumatology, analyzed data from the Mayo Clinic Total Joint Registry, which contains information ....Read More
What Does a Hip Replacement Cost? The Transparency Imperative 2013
In the 1950s, the American automobile industry was rife with information asymmetries, leaving prospective buyers at the mercy of the dealer. Rarely would a buyer know the full price of a new car until after he or she had committed to buying it. Rarer still would that buyer know anything about the quality of the vehicle he or she had decided to purchase.  Read more….
Availability of Consumer Prices From US Hospitals for a Common Surgical Procedure
Many proposals for health care reform incentivize patients to play a more active role in selecting health care providers on the basis of quality and price. While data on quality are increasingly available, availability
of pricing data is uncertain.Read more…..
The 510(k) Ancestry of a Metal-on-Metal Hip Implant
Many medical devices that pose great safety risks to Americans, including metal-on-metal hip implants, currently enter the U.S. market through a Food and Drug Administration (FDA) regulatory pathway that is not intended for evaluating safety and effectiveness. Read more....
Hospital Participation Tops 100 and Counting in American Joint Replacement Registry (AJRR)
The American Joint Replacement Registry (AJRR) now has data on more than 34,000 total joint procedures and 119 hospitals enrolled nationwide. Read the full press release...
FDA discusses safety risks and effectiveness of metal-on-metal hip implants.
During the June 2012 Orthopaedic and Rehabilitation Devices Advisory Panel meeting, the FDA reviewed available data and discussed the safety risks and effectiveness of metal-on-metal hip implants with patients, physicians, researchers, international regulatory agencies, professional societies, and manufacturers. Read more....
AJRR Responds to Questions Posed During the Joint Commission Webinar
Click here to view the Joint Commission/AJRR Webinar Q&As.
The Joint Commission Webinar
On Thursday, November 29, 2012, the Joint Commission hosted a webinar introducing the AJRR. Please click here to hear the webinar. Contact us for more information.
Strategic review overwhelmingly endorses Australian joint replacement registry
The Australian Orthopaedic Association Board of Directors appointed Henry Bosch AO to Chair a Review Committee to conduct a 12 month strategic review  of the National Joint Replacement Registry (NJRR).  Read more ....
The AJRR: Becoming a National U.S. Joint Registry

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....

AJRR Hosts Another Legal Webinar
Click here to view our most recent Legal Webinar held on Monday, October 22, 2012. Contact us form or information.
AJRR Hosts Its First IT Webinar
Click here to view our recent IT Webinar. We will be having other webinars soon, please contact us if interested.
Beyond Joint Implant Registries, A Patient-Centered Research Consortium for Comparative Effictiveness in Total Joint Replacement
Despite the proven effectiveness of total joint replacement (TJR) surgery in relieving advanced knee and hip arthritis pain, TJR outcomes have come under intense public scrutiny in recent years. Read more....
Total Knee Arthroplasty Volume, Utilization, and Outcomes Among Medicare Beneficiaries, 1991-2010
Total knee arthroplasty (TKA) is a common and safe procedure typically performed for relief of symptoms in patients with severe knee arthritis. Available data suggest that approximately 600,000 TKA procedures are performed annually in the United States at a cost of approximately $15,000 per procedure ($9 billion per year in aggregate). Read more....
Increasing Use of Total Knee Replacement and Revision Surgery
In this issue of JAMA, Cram and colleagues report detailed analysis of primary and revision total knee replacement (TKR) performed on more than 3.2 million Medicare beneficiaries from 1991 to 2010. This analysis confirms and quantifies several important findings. First, the use of primary and revision TKRs in Medicare beneficiaries has increased both in absolute volume from 93,230 procedures in 1991 to 226,177 procedures in 2010 and in per capita usage. Second, the pattern of care has changed substantially.  Read more....
Introducing Decision Aids at Group Health Was Linked T Sharply Lower Hip and Knee Surgery Rates and Costs
Decision aids are evidence-based sources of health information that can help patients make informed treatment decisions. However, little is known about how decision aids affect health care use when they are implemented outside of randomized controlled clinical trials. Read more....
Metal-on-Metal Hip Replacement Implants
Information from the Australian Government, Department of Health and Ageing Therapeutic Goods Administration for General Practitioners, Orthopaedic Surgeons and other Health Professionals. Read more....
American Joint Replacement Registry Today & Tomorrow: Q&A With Director of Research Dr. Caryn Etkin

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....

New Report on Surgeon-Industry Relationships Available
The American Orthopaedic Association (AOA) and the Orthopaedic Institute of Medicine (OIOM) have released a report on Surgeon-Industry Relationships in the Discipline of Orthopaedic Surgery. The report is the result of 22 months of study by an OIOM Task Force and includes 16 recommendations. The full report appeared in The Journal of Bone and Joint Surgery–American (July 16). Read more….
Ensuring that AAOS CPGs Are Used – But Not Abused
Clinical Practice Guidelines (CPGs) are being developed by physicians across all disciplines to determine the evidence base and appropriateness for a particular procedure or technology. CPGs are valuable tools for multiple audiences: they can aid clinical decision making for physicians who are uncertain about the value of a specific intervention; they can empower patients by fostering shared decision-making opportunities; and they can inform payers about which procedures and technologies yield the best results. Read more….
Evaluation of Total Hip Arthroplasty Devices Using A Total Joint Replacement Registry
Total hip arthroplasty (THA) is a widely successful procedure for reducing pain and stiffness associated with osteoarthritis. Approximately 270 000 THA surgeries are conducted each year in the USA. The volume and the cost of this procedure are projected to increase significantly over the next decade as a result of market penetration, increased incidence of osteoarthritis, aging demographics, and introduction of new procedures and technologies. Read more….
The Bearing Dilemma in 2012: What Are We to Do?
New materials and better information on the way older materials perform are having a significant impact on joint replacement—particularly for total hip arthroplasty (THA). At The Hip Society/American Association of Hip and Knee Surgeons 2012 Specialty Day program, William J. Maloney III, MD, brought “The Bearing Dilemma in 2012” into sharp focus, with panelists focused on the evolution of polyethylene bearings, the use of ceramic-on-ceramic (CoC) bearings, and the controversy over metal-on-metal (MoM), and a series of audience response questions. Read more....
Adverse Local Tissue Responses to MoM Hip Implants
In the wake of recent developments in the controversy surrounding metal-on-metal (MoM) bearings, AAOS Now spoke with Dr. Jacobs about the adverse local tissue responses (ALTRs) that have been reported in some patients with MoM hip implants.Read more….
Revolutionizing Joint Replacement Research
As the number of joint replacement procedures performed in the United States continues to rise, the use of an evidence-based surgical approach is becoming increasingly vital. For more than 20 years, the HealthEast Joint Replacement Registry (HJRR) has provided invaluable data to orthopedic surgeons in St. Paul, MN, and across the country. Read more....
National Joint Registry in the US makes progress, but faces obstacles in execution
Although many regional and institutional joint arthroplasty registries exist, many look to the development of a national joint registry in the United States to improve patient care and identify early device warnings and adverse events in real-time. However, debate on the formation of a national total joint registry continues concerning data collection, funding sources, safeguards to protect patient privacy and methods to avoid potential litigation. Read more....
Meaningful Use Incentives: The Money Is on the Table
A recent report indicated that more than 800 orthopaedic surgeons have successfully implemented a certified electronic medical record (EMR) program and obtained Stage 1 meaningful use incentive payments from the federal government. With more than 22,000 orthopaedic surgeons in the AAOS who could potentially qualify for those payments, that’s disappointing, but not surprising. Read more....
AJRR Continues to Expand
Momentum is building,” said David G. Lewallen, MD, chair of the American Joint Replacement Registry (AJRR) board of directors, during an AJRR informational session at the 2012 AAOS Annual Meeting. “Multiple entities have committed to the effort.” Read more....
AJRR Completes Data Collection Pilot Project
Participating hospitals have been submitting data to the American Joint Replacement Registry (AJRR) for just a few months, but already information on more than 3,600 primary and revision joint replacements has been assembled from eight different reporting sites. Read more....
AJRR Launches Pilot Data Collection Project
The American Joint Replacement Registry (AJRR) recently kicked off its pilot data collection project after receiving a “huge response” from hospitals and orthopaedists eager to take part, said David G. Lewallen, MD, chair of the AJRR board of directors. Read more....

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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.

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