The A merican Joint Replacement Registry's The Register
'Tis the Season to Capitalize on Registry Participation
The AJRR 2016 Annual Report includes data on over 
427,000 procedures

We're entering our busiest time of year. Our Annual Report has just been released, we're evolving our Registry with new dashboard improvements, and we're releasing our Level II data specs to provide the ability to risk adjust the data. We also hit the half million mark in number of procedures contained in the Registry. Due to this unprecedented growth, we expect 2017 to be our busiest year yet.
We understand that this might also be a hectic time for you, but we want to let you know that wherever you are in the AJRR process, there's still time in 2016 to capitalize on participation in the Registry.

Haven't joined yet? 
  • If you get your contracts in before the end of the year, your institution will be included in the next Annual Report, along with being granted preferred preference for scheduling the On-boarding and Data Submission Meeting. Our staff is authorized to incentivize your enrollment. Reach out to your region's Program Coordinator for more details.
Participating but not submitting?
  • We've seen significant growth in the past year, but it doesn't need to stop there. Help us in our efforts to compile more comprehensive data on a national scale. Your data can help surgeons and other hospital staff make informed decisions for patients. Plus, there are quality initiatives that can save your institution money that ask for Registry data submission.
Is your institution participating but not subscribing to the dashboards? 
  • We're offering end of year discounts to participants that purchase subscriptions by December 22. If you gain access to our improved dashboards, you can look forward to enhanced performance, redesigned navigation and data visualizations, over half a million procedures to analyze, filters with a bookmark function, and getting access to your data within 48 hours of submission.
Our improved dashboards have faster login and analysis performance speeds
And we have additional resources for everyone. Our 2016 Annual Report is the most comprehensive representation of data from an American orthopaedic Registry to date. Also, our User Group Network (Unet) Forum provides the opportunity to engage and communicate with other users to share Registry best practices and provide insight. We'll be holding our next quarterly Unet conference call on December 15, so be sure to register and take full advantage of your AJRR participation.  

We wish all of our supporters happy holidays, and look forward to entering into the New Year together to create the most powerful national hip and knee Replacement Registry in the United States.
Blue Shield of California Leads Charge on Insurance Preauthorization

We're pleased to announce that effective the first quarter of 2017, it is expected that Blue Shield of California providers that are AJRR participants will automatically receive authorization for their patients' hip or knee replacement procedures.  Insurance preauthorization gives patients and providers one less thing to worry about so they can focus on their health and recovery.
Blue Shield of California is a big proponent of utilizing quality initiatives to provide better care to patients. They're saving time and money by making it easier for surgeons to not duplicate quality initiative efforts; and giving peace of mind to patients. It is expected that other states may follow their lead on this.
The AJRR and California Joint Replacement Registry (CJRR, an AJRR subsidiary) offer assistance with several federal quality initiatives, insurer's distinction programs, and state collaboratives. For more information about how AJRR can help, click here.
AAHKS Meeting Breaks Attendance Records and More
AJRR Senior Registry Analyst
September Cahue demonstrated the new
dashboards at the booth

The American Association of Hip and Knee Surgeons (AAHKS) held their 26th Annual  Meeting on the weekend of November 10, 2016. The meeting had record-breaking attendanc e, as over 2,800 people participated at the Hilton Anatole Hotel in Dallas, TX. Sessions were held throughout the weekend, and studies were presented covering topics such as hip and knee arthroplasty research, health policy, and infection.

Among the great speakers who gave presentations was AJRR Board of Directors Chair Daniel J. Berry, MD, who discussed findings from the AJRR 2016 Annual Report. The Annual Report was released earlier that weekend at the meeting, and can be found online here. NFL Hall of Fame quarterback and broadcaster Terry Bradshaw spoke with the surgeon who performed his knee replacement during AAHKS' keynote program. AAHKS also held the "Orthos on the Move" 5K Fun Run & 1 Mile Walk for the first time, helping to raise money for the Foundation for Arthroplasty Research and Education.  Our staff had a booth at the meeting where they were able to provide demonstrations of our new dashboards and answer questions about joining the Registry. 
Arthroplasty Today Publishes Executive Summary on AJRR Annual Report
Arthroplasty Today, the official journal of the AJRR, publishes articles about our data twice  a year. The December 2016 issue of Arthroplasty Today featur es an executive summary of our 2016 Annual Report. Statistics like the increased number of joint replacement procedures, submitting hospitals, and surgeons were mentioned, along with findings like the comparison of the mean age of primary and revision procedures. Several other procedural and component findings were highlighted. 

The summary acknowledged that the 2016 Annual Report only reflects a snapshot of hip and knee arthroplasty in America. However, our Registry continues to see incredible growth, and we are on our way to being the most relevant source of data for arthroplasty in the country.

To read the executive summary in Arthroplasty Today, click here.
Orthopaedic Surgeon Nominated for Trump's Cabinet

Congressman Tom Price, MD
Chairman of the House  Budget Committee
President-elect Donald Trump has nominated Congressman Tom Price, MD, R-Ga., for secretary of the U.S. Department of Health & Human Services (HHS). Congressman Price has nearly 20 years of experience as an orthopaedic surgeon specializing in hip and knee procedures, and is the chairman of the House Budget Committee. He was an assistant professor at Emory University School of M edicine, where he finished his residency, and has held a leadership position at Grady Memorial Hospital's orthopedic clinic. Congressman Price received his medical degree from the University of Michigan in Ann Arbor. 

We are interested to see the work that he does if confirmed as Secretary of HHS, as he would be the first physician to fill the role since George H.W. Bush's presidency.
Authorized Vendor Profile

Company Name: Ratchet Health

Company Website:
AJRR Vendor Since: July 2016
General Description: Ratchet Health is a
patient-engagement platform designed for value-based care. Their system is designed to be simple for clinicians to operate and yet engaging for patients. Many orthopaedic practices across the country use their platform to track patients' outcomes and navigate them across the full episode of care.

Features Offered: Ratchet Health offers digital patient-reported outcomes (PRO) measurement by engaging patients via their digital channels outside of the clinical settings. Within the clinic, Ratchet Health also offers a tablet-based measurement tool that is extremely easy for the clinicians to hand off to the patients while waiting for their appointment. If clinicians are not ready to introduce another digital tool, they can also start with paper PRO forms in the clinic, and Ratchet Health digitizes patients' responses for reporting and submission to AJRR.
Integration with AJRR: Ratchet Health can collect standardized PROs such as PROMIS-10 Global Health, HOOS, JR., and KOOS, JR. etc. and submit them to AJRR based on the Level III specifications defined.
Fun Fact: The name "Ratchet" is inspired by the chief medic of the Autobot Transformers. It pays tribute to their team's game development background.
A full list of AJRR's technology partners can be found here .
Data Corner

Our 2016 Annual Report has a wealth of information on procedural and component data. Data represented in this version of the Annual Report reflect 427,181 primary and revision procedures performed between 2012 and 2015. The patients included had a mean age of 66.5 years (Standard Deviation=11.3), including 40.8% males and 59.2% females. Females make up 61.1% of the total knee arthroplasty (TKA) population and slightly less (56.5%) of the total hip arthroplasty (THA) population. Total knee procedures continue to predominate in AJRR, with all primary and revision TKAs representing 60.4% of the volume compared to 39.6% for THAs, numbers that have remained consistent year-to-year. The data in Figure 9 above show the distribution of the major procedures in AJRR's database.
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.
Upcoming Webinars and Calls
AJRR User Group Network Quarterly Conference Call
The AJRR User Group Network (Unet) holds quarterly calls to discuss Registry best practices and topics of interest for its members. The next call will be held on:
  • December 15, 2016 at 12:00 p.m. Central Time
Register for the call here. A finalized call agenda will be posted to the AJRR website soon.

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:
  • December 14, 2016 at 12:00 p.m. Central Time
  • January 18, 2017 at 12:00 p.m. Central Time
To register for a session, click here.

Previous Webinars
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.

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.

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 Register:

#828 -  Community Hospital Anderson in Anderson, IN
#829 -  South Baldwin Regional Medical Center in Foley, AL 
#830 - Sentara Albemarle Medical Center in Elizabeth City, NC
#831 -  Valley Ambulatory Surgery Center in St. Charles, IL

AJRR currently has  831  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

A few different publications covered the release of our 2016 Annual Report:

Outpatient Surgery Magazine - Joint Replacement Numbers to Know

Healio/Orthopedics Today published an article about how Blue Shield of California will allow the patients of AJRR participants to receive insurance preauthorization for hip and knee replacement surgery:

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

©2016. All rights reserved.