WAILEA, Hawaii — 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.
“It has been slow going although we hope to get there. It isn’t still a done deal, but there is a lot of potential,” William J. Maloney, MD, said.
The pilot program of the American Joint Replacement Registry (AJRR), a national total joint registry whose mission is to improve arthroplasty patient care by data-driven modifications in the behavior of collaborating providers, institutions, manufacturers, payers and patients, started with 15 hospitals in October 2010. The pilot program concluded in June 2011 with eight institutions and 11 hospitals involved. The AJRR software was launched in June 2012.
William J. Maloney
Level 1 data collected in the registry include hospital responsibility, patient age and gender, hospital, surgeon, diagnosis and procedure, implants and laterality, and the outcome. Level 2 data collected include hospital/surgeon input, patient comorbidity, and surgical technique. Level 3 data include surgeon and patient input, patient-reported outcomes, surgeon-reported outcomes, complications and physical findings.
Maloney said that currently more than 65,000 procedures are entered in the AJRR database with 125 hospitals contributing data. Also, 145 business associate agreements have been signed that represent 238 total hospitals. Orthopedic electronic health record vendor agreements are in place, and Epic (Verona, Wisc.) and Cerner (Kansas City, Mo.) have created AJRR-specific level 1 reporting modules. Finalized AJRR policies and procedures for data reporting have been developed, he said.
In November 2013, the AJRR launched its pilot program for level 2 and level 3 platforms at 15 participating sites, Maloney said. The AJRR currently does not have participating sites in Oklahoma, Rhode Island and Alabama. – by Kristine Houck, MA, ELS
Maloney WJ. The American Joint Replacement Registry (AJRR). Presented at: Orthopedics Today Hawaii 2014; Jan. 19-23, 2014; Wailea, Hawaii.
Disclosure: Maloney receives royalties from Stryker (Mako) and is on the boards for the Western Orthopaedic Association, American Association of Hip and Knee Surgeons, Knee Society, and the American Joint Replacement Registry.