The American Joint Replacement Registry's The Register
Visit our Booth at the AAOS Meeting
If you're planning to attend the 2017 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting from March 14-18 at the San Diego Convention Center, be sure to stop by our booth. We will have reached the one millionth procedure milestone, which is an impressive achievement since we didn't start collecting data until 2013. Our staff will be happy to provide free demonstrations of our now more compre hensive and efficient dashboards, along with a walk-through of our new Level III patient-reported outcome platform. If you're an AJRR participant that's already well acquainted with our dashboard system, there are still benefits to coming to the booth. We'll be handing out hard copies of the AJRR 2016 Annual Report and will answer any questions you may have about our new data specifications.
Our booth will be located at the  Ballroom 6 Lobby, Level 2 in the San Diego Convention Center in San Diego, CA. We hope to see you all there! Now is a great time to follow our social media pages - you can get the latest news from the Annual Meeting floor on our  Facebook Twitter , and  LinkedIn  accounts. 

Register for the March Unet Meeting Today
We see the AAOS Annual Meeting as the perfect opportunity to bring orthopaedic staff together, so we are holding our annual in-person User Group Network (Unet)  in conjunction with it. The Unet meeting will be a 2-hour luncheon held at the Marriott Marquis San Diego Marina in the Catalina Room on March 15 from 11:30 a.m. - 1:30 p.m. Pacific Time. 
A few of the topics that will be covered during the Unet meeting include our latest technology enhancements, using Registry participation for quality initiatives, and institutional review board (IRB) issues. The Program Manager of Information & Research at Providence Health & Services, Cecily Froemke, will be giving a User Case Study to the group about her experience collecting patient-reported outcomes (PROs) with external collaborators and iPads for non-employed physicians.
The Unet meeting will wrap up with Q & A table sessions where users in the audience will collaborate and determine the high-priority topics that they would like discussed in future meetings. If you would like to attend this unique opportunity to connect with other Registry users, register here . Staff from all institutions are welcome - you don't have to be an AJRR participant already! A dial-in option will be provided for those that can't make it in-person. You can download the meeting agenda here.

Nearing the One Millionth Procedure

As mentioned in the article above, we are nearing one million hip and knee arthroplasty procedures contained our Registry.  This increased volume of data will lead to a more comprehensive look at joint replacement surgeries in America, and will aid hospital staff and patients in making better health care decisions. We would like to thank all of our participating hospitals, ambulatory surgery centers, and private practice groups, because we wouldn't be able to accomplish this milestone without their help. Although this is a monumental achievement, it's just the beginning, and AJRR will continue to progress to further improve orthopaedic care.

New Data Specifications Alert
We've updated our data specifications and will officially be announcing their release at the AAOS Annual Meeting. The changes you'll see in the new specs include:

  • Level II patient risk factors, comorbidities, and complications data elements
  • Expanded Level I procedural data measures
  • Modified Level III patient-reported outcome measures (PROMs) elements that provide a template for the Centers for Medicare & Medicaid Services' (CMS') Comprehensive Care for Joint Replacement (CJR) model
You can view the new specifications in detail in the AJRR Unet Forum. If you do not already have a forum account, you can create one here.
We understand that adopting new data specs can be a challenging process. While 
we're encouraging participants to use these specs immediately, we're offering a grace period to all current AJRR participants until December 31, 2017, when it will become required. Every new institution that joins the AJRR after May 5, 2017 will also be required to submit data following the new specifications.

Don't worry if you run into any issues during the data spec adoption process. We'll be providing resources like webinars and data submission open forums for you to access for help. New Data Specification Informational Webinars will be held on both March 22 and April 12 at 12:00 p.m. Central Time. Our data submission open forums will have a Q & A format, and sessions will be held on every Thursday in May from 1 - 2 p.m. Central Time.  
If you have any questions, please do not hesitate to contact AJRR Support at  or visit us at the Ballroom 6 Lobby, Level 2 at the AAOS Annual Meeting.
Visit our Authorized Vendors at AAOS Too

We have agreements with several EHR/technology vendors to assist with the data submission process. These agreements entail extracting certain levels of client data or sending data on behalf of clients. Some of our Authorized Vendors will have booths at the AAOS Annual Meeting. Their company name and booth number are listed below.
  • Consensus Medical Systems, Inc. - Booth 755
  • Invivolink, Inc. - Booth 1008
  • Ortech, Inc. - Booth 1447
  • OrthoSensor, Inc. - Booth 5823
  • Surgical Outcomes System (Arthrex) - Booth 2533
  • URS-Oberd, Inc. - Booth 1809
Champion of the Quarter
Each quarter, we highlight individuals from participating institutions who have championed AJRR enrollment and have demonstrated outstanding cooperation and professionalism while helping to implement the Registry into their institutions. Selections for Champions of the Quarter are made based on nominations and are voted on by our staff. To view our past Champions, visit our Champions of the Quarter section of our website. To nominate someone from your institution, please contact AJRR Marketing and Communications Specialist Erik Michalesko at
This quarter, we would like to recognize Ms. Christine Brown, MSPT, from Dignity Health in Sacramento, CA.
Ms. Christine Brown, MSPT
Dignity Health
Ms. Christine Brown, MSPT, is the Regional Service Area Director, Rehabilitation Service s and Orthopedic Programs at Dignity Health. She oversees six hospitals in the Sacramento area, four of which are currently participating in the AJRR. In addition to joint replacement programs, Ms. Brown oversees speech therapy, occupational therapy, physical therapy, and neuropsychology programs. She follows joint replacement patients throughout their entire episode of care, from when the patient is considering surgery to long after the surgery is completed. Her favorite part of her job is the people that she works with. Each of her colleagues possess a variety of skills and work in many different departments, but they all have the same mentality to give great patient care. They don't see themselves as an individual stepping stone, but as a part of the bigger picture. Ms. Brown is a member representative of the newly formed AJRR California State Registry Committee.
Q: How long have you been working at Dignity Health?
A: I started at one hospital 18 years ago as a physical therapist, since that's what I'm trained in. I was a supervisor of the outpatient clinic. Over time, I worked my way up to become the director of rehabilitation at that hospital and started working with the orthopaedics program. A few years ago, I assumed a regional position in Sacramento, which is where I am now.
Q: How long have you been working with AJRR, and what is your role in the data submission process?
A: My introduction to the AJRR was through the merging of the California Joint Replacement Registry (CJRR) in 2015. I began working with CJRR a few years before that. The transition has been very smooth thanks to AJRR staff being so responsive and enthusiastic.
My initial data submission role was to onboard hospitals to CJRR and develop an electronic method of submitting their data. Since my institutions perform almost 2,000 joint replacements a year, paper submission was not an option. It took a while to find an interface to manage the process, but we were able to get it up and running. I currently meet regularly with other Dignity staff to see if the process is running smoothly. I hope to get every Dignity Health hospital to participate in not only AJRR, but more registries of many specialties.
Q: What made you want to be a member representative of the California State Registry Committee?
A: When I was approached by the committee to be a member representative, I was honored. Many of the other representatives are surgeons, so I'm able to give a different perspective on situations and decisions. I've been involved with bringing facilities onboard and know the different challenges that Registry participants face, so I think that it's great that I was given the option to offer my point of view to the committee and make a positive impact.
Q: What do you think is the most valuable aspect of Registry participation?
A: I think that the most valuable aspect is the ability to receive valid evidence of how your joint replacement program is functioning. You're able to see how your surgeons perform compared to national benchmarks, and you can find the different measures that they excel at or need work on. The Registry informs you on what areas to discuss with surgeons without just saying that you have anecdotal evidence.
Q: What do you like to do in your free time? Do you have any hobbies?
A: I like to compete in triathlons in my free time, and I've participated in a couple half-Ironman triathlons in the past. I competitively play tennis, and enjoy gardening as well. I own a greenhouse with over 300 orchids growing inside. It's an interesting way for my 11-year-old daughter to study biology and explore.
Q: If you could pass on one piece of information to a new AJRR participant, what would it be?
A: I would say that while submitting data is important, it's also incredibly important to utilize the data as it comes back to you in the dashboards. Take the time to learn what it's saying about your program, and show what you've found to your surgeons and patients. People get so caught up in the submission process that they don't think to use the data, and they're really not getting the full benefits of their Registry participation.
Welcome to the AJRR, Stacy Stone
AJRR Manager of Data Services Implementation and Support
Ms. Stacy Stone
We would like to welcome Ms. Stacy Stone to the AJRR staff. She started in the newly created position of Manager of Data Services Implementation and Support last month.
Ms. Stone received her B.S. in Social Work at Illinois State University and went on to get her M.A. in Social Service Administration at the University of Chicago. Throughout her career she has worked as Business Analysts and Electronic Health Record (EHR) Implementation Managers in both the East Coast and the Chicagoland area. Ms. Stone most recently worked at the YMCA of the YUSA where she managed the build out and ongoing administration of the PM and EHR application for over 2,000 users, lead meetings with business stakeholders to facilitate business requirements documentation for system configuration as well as workflow mapping, and oversaw the helpdesk to support all levels of end users.
We look forward to working with Ms. Stone and utilizing her years of experience in project management and user support.
Authorized Vendor Profile
Company Name: AmkaiSolutionsā„¢
Company Website:  
AJRR Vendor Since: August 2016
General Description: AmkaiSolutions is a trusted industry leader, offering innovative software solutions and services to the full spectrum of outpatient surgery providers - ambulatory surgery centers, surgical hospitals, and associated practices and clinics. Their solutions help outpatient surgery facilities increase administrative and clinical efficiency and profitability, allowing them to focus on patient satisfaction. Amkai's growing product line includes AmkaiCharts, the leading electronic medical record (EMR) in the outpatient industry and AmkaiOffice, a next-generation management software solution designed to replace and enhance the "legacy" systems in use today. The AmkaiSolutions team's extensive experience in the outpatient surgery industry positions them well to bring substantial new streamlining and added benefits to the market. AmkaiSolutions is a subsidiary of Surgical Information Systems.
Features Offered: Amkai's product suite has multiple modules that work independently but achieve maximum benefits for ASCs when deployed together as an enterprise solution. Key features include: financial management; scheduling; inventory and supply chain management; document management; human resources management; reporting and near real-time analytics; and nursing, physician, and anesthesia documentation.
Integration with AJRR: The ASC management module, AmkaiOffice, includes a report that ASCs can run to easily report total joint replacement data to AJRR for benchmarking purposes.
Fun Fact: AmkaiSolutions was founded in Waterbury, CT, is now headquartered in Alpharetta, GA, and has development offices in Budapest, Hungary, and Hyderabad, India.
A full list of AJRR's technology partners can be found here.
Data Corner
Our  2016 Annual Report   contains a wealth of information on procedural and component data. Patellar replacement remains the predominant practice in North America in contrast to Scandinavia and Australia. This is evident in our sample data, with over 84% of patients receiving a patellar component each year, while resurfacing occurred in 59% of primary arthroplasty in Australia and only 2% of the procedures performed in Sweden.

Slides with all the tables and figures from the AJRR 2016 Annual Report can be found on our website. Feel free to use them in any talks, presentations, or lectures that you may have.
Additional Upcoming Events
We will be attending many more events in 2017 than in past years. The Additional Upcoming Events section will be an on-going list of annual meetings and trade shows that AJRR will participate in. If you have any questions about a particular event, contact us at or visit the Events & User Group section of our website.
Amkai Solutions User Group Meeting

AJRR Authorized Vendor Amkai Solutions is hosting their User Group 
Meeting from March 19-21, 2017 in Atlanta, GA. AJRR Executive Director Jeffrey P. Knezovich is speaking there at 1:15 p.m. on Monday, March 20 about the benefits of Registry participation.
For more information, click here.
2017 Spring Musculoskeletal Leadership Summit

Our Executive Director Jeffrey P. Knezovich will be presenting at AJRR Authorized Vendor Wellbe's 2017 Spring Musculoskeletal Leadership Summit on Thursday, March 30, 2017 at 8:00 a.m. - Friday, March 31, 2017 at 12:30 p.m. Eastern Time in Orlando, FL.
AJRR is providing a discount for its participants. Just use code "AJRR100" at time of registration.
More details can be found  here.

Ambulatory Surgery Center Association (ASCA) 2017 Annual Meeting

The ASCA 2017 Annual Meeting will take place May 3-6 in Washnington, DC. The meeting will include several educational sessions with expert speakers and expansive networking opportunities. AJRR will have a booth at the meeting exhibit hall. 

For more information, click here.

California Orthopaedic Association (COA) Annual Meeting

The  California Orthopaedic Association (COA)  will hold its 2017 Annual Meeting/QMECourse from May 18-21, 2017 at the Omni La Costa Resort in Carlsbad, CA. Hundreds of orthopaedic surgeons, residents, and practice managers are expected to attend. The California Bones Society (C-Bones) Annual Meeting will be taking place at the resort at the same time too.

Several organizations including the AJRR will be exhibiting with booths during the meeting. Be sure to stop by the symposium "Data Collection and Reporting: How to Earn 70 QPP Points or More and be Rewarded" on Friday, May 19. AJRR Executive Director Jeffrey P. Knezovich will be speaking at 11:20 a.m. about qualified clinical data registries (QCDRs) and the additional benefits of registry reporting. You'll also receive CME hours in the double digits by attending the meeting.

Register for the COA Annual Meeting 
here .
International Society of Arthroplasty Registries (ISAR) Annual Meeting

The 6th Annual International Society of Arthroplasty Registers Congress, the Annual Meeting of the
International Society of Arthroplasty Registries (ISAR) , will be held from May 20-22, 2017, in San Francisco, CA. The conference will be held at the Parc 55 San Francisco, a Hilton Hotel. 
Each year, the AJRR and the California State Registry Committee send representatives to present research and display posters. The California State Registry Committee Annual Meeting will be held in San Francisco during this time as well.
Visit the ISAR website  for more information. You can register for the ISAR Annual Meeting  here . Visit the AJRR website  for links to posters from past ISAR meetings. Registration for the California State Registry Committee Annual Meeting will be forthcoming.

Upcoming Webinars and Calls
Introductory Webinars
AJRR staff hosts monthly introductory webinars for those who are interested in joining the Registry and would like a basic overview of what we offer. If your institution resides in one of the CJR metropolitan statistical areas, this webinar should be of special interest to you! A demonstration of the new dashboards will be provided. Introductory webinars will be held at the following times this year:
To register for a session, click here.

Previous Webinars
AJRR Introductory Webinar for Ambulatory Surgery Centers
If you were unable to attend the AJRR Introductory Webinar for Ambulatory Surgery Centers, a webinar hosted by AJRR in partnership with the Ambulatory Surgery Center Association (ASCA), we have a recording that you can view. Click here to view the recording.

AJRR Orthopaedic Quality Resource Center: What You Need to Know  
If you were unable to attend AJRR Orthopaedic Quality Resource Center: What You Need to Know, a webinar we hosted with CECity, a Premier Inc. Company, we have a recording that you can view. Click  here  to view the recording.

Registry Participation 101: A Simple Step-by-Step Guide to Understanding What You Really Need to Know from AJRR 
If you were unable to attend Registry Participation 101: A Simple Step-by-Step Guide to Understanding What You Really Need to Know from AJRR, a Wellbe, Inc. sponsored webinar, we have a recording that you can view. Click  here to view the recording.

Recordings and slides from all other previously held webinars can be found on our  website .
Our Newest Hospitals

We've welcomed these participants into the Registry since the last volume of the The Register:

#870 - Bridgeport Hospital in Bridgeport, CT
#871 - Greenwich Hospital in Greenwich, CT
#872 - Yale New Haven Hospital in New Haven, CT
#873 - Lawrence + Memorial Hospital in New London, CT
#874 - Westerly Hospital in Westerly, RI
#875 - St. Francis Hospital in Roslyn, NY
#876 - St. Charles Hospital in Port Jefferson, NY
#877 - Longmont United Hospital in Longmont, CO
#878 - Bob Wilson Memorial Grant County Hospital in Ulysses, KS
#879 - Turkey Creek Medical Center in Knoxville, TN
#880 - Iowa Specialty Hospital in Clarion, IA
#881 - Surgical Center of Greensboro in Greensboro, NC
#882 - Florida Hospital Waterman in Tavares, FL
#883 - Mount Sinai Hospital in New York NY
#884 - Mount Sinai West in New York, NY
#885 - Mount Sinai Queens in Long Island City, NY
#886 - Mount Sinai St. Luke's in New York, NY
#887 - Mount Sinai Brooklyn in Brooklyn, NY
#888 - St. Vincent's Birmingham in Birmingham, AL
#889 - Oregon Health & Science University in Portland, OR

AJRR currently has 889 participating hospitals in all 50 states and the District of Columbia! Click here for a full list of all participating sites.

AJRR in the News

We continue to receive coverage on the release of the AJRR 2016 Annual Report:

Our upcoming involvement in the AAOS Annual Meeting was also written about:

AJRR participant Genesis HealthCare System promoted their participation in the Registry:

Times Recorder (Part of the USA Today Network)  - Genesis part of orthopedic data registry

The Registry's Board Members are experts in the field, and are often used as references in local articles:

Special Thanks to Each of Our Supporters!

The Register is the official newsletter of the American
Joint Replacement Registry serving to connect the 
orthopaedic community. For questions, comments, 
or concerns, please contact Erik Michalesko, Marketing 
and Communications Specialist at

The Register editor: Erik Michalesko
Ā©2017. All rights reserved.