Hot Off the Press - Get Your Free Annual Report at Booth I
We will be in attendance at the 2016 American Association of Hip and Knee Surgeons
(AAHKS) Annual Meeting in Dallas, TX, from November 11-12 at the Hilton Anatole Hotel. Come by Booth I, where AJRR staff will be on site to answer all of your questions about joining the National Registry.
If you are already participating, there are benefits to stopping by too. We'll be providing free copies of the AJRR 2016 Annual Report to all of our visitors. If you're curious about our new dashboard and patient-reported outcome (PRO) capabilities, AJRR staff will be happy to give a demonstration. We are the official registry of AAHKS, and look forward to seeing all of their members at the meeting.
AJRR and CJRR 2016 Annual Reports Available Friday
The AJRR 2016 Annual Report will be available on November 11, 2016 at the AAHKS Annual Meeting. If you are unable to attend the Annual Meeting, the Annual Report can be downloaded on our website here.
The AJRR 2016 Annual Report includes more than double the procedures of last year's report.
The third AJRR Annual Report is the most comprehensive representation of data from an American orthopaedic Registry to date. Here are a few quick statistics demonstrating AJRR's growth since last year's report:
  • AJRR's third Annual Report includes data from 416 hospitals in 50 states compared to last year's 236.
  • There are 427,181 hip and knee replacement procedures analyzed in the report. This is more than double the procedures in the second Annual Report.
  • The data comes from 3,710 surgeons as opposed to last year's 2,200.
The California Joint Replacement Registry (CJRR) 2016 Annual Report will also be released on November 11.  AJRR and CJRR merged in March of 2015, and the CJRR 2016 Annual Report features patient-reported outcome completion rates for the first time, in addition to addressing the length of stay, comorbidities and adverse events, and other patient factors influencing the results of hip and knee replacement surgeries for the state of California . There are over 23,600 procedures contained in the report. A downloadable copy will be made available here.
NQRN's Registry Participant Resources

PCPI is a membership organization focused on improving patient health and safety through the advancement of measurement science, quality improvement, and clinical registries. One of PCPI's key programs is the National Quality Registry Network (NQRN). The NQRN is a voluntary network of organizations that are using information from registries to improve patient outcomes, operating or planning registries, or supporting the registry community through technology and infrastructure. AJRR is a member of this organization. 

We collaborated with the NQRN to create resources and publications for Registry participants. If your colleagues would like general information about participating in a clinical registry, check out NQRN's guide here. NQRN also created a brochure for institutions to give to patients to inform them about the clinical registries their data is being transferred to.
Champions of the Quarter

Each quarter, we highlight individuals from participating hospitals 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  Champion of the Quarter   section on our website. To nominate someone from your hospital, please contact Erik Michalesko at .
This quarter, we would like to recognize Ms. Reyna Diaz, MPH, from   Keck Medicine of University of Southern California (USC) in Los Angeles, CA, and Mr. Jim Cronk, MSA, RN, from Trinity Health in Livonia, MI.

Ms. Reyna Diaz, MPH
Keck Medicine of USC
Ms. Reyna Diaz, MPH , is the Clinical Project Manager of the Department of Orthopaedic Surgery at Keck Medicine of USC in Los Angeles, CA. Some of her job responsibilities include dealing with the Institutional Review Board (IRB) and collecting patient-reported outcome (PRO) surveys. She oversees all research projects in her department. Ms. Diaz has been working at Keck Medicine of USC for 11 years, and three years in the Department of Orthopaedic Surgery. Her current role in AJRR participation is validating data with the Keck Medicine of USC IT department before submission.
Q: Do you enjoy working with AJRR staff?

A: Absolutely. I call my region's Data Analyst very frequently. She's super responsive and always just a call away. It can sometimes be difficult to convey your entire message through email, so the AJRR staff's flexibility is beneficial.
Q: What are three things to describe the Keck School of Medicine of USC?

A: I'm a University of Southern California alumni, so I may be biased in answering this question. A USC Trojan is scholarly, skillful, and ambitious. I think that those three traits also represent the Keck Medicine of USC faculty's commitment to drive quality and provide the best patient care.
Q: What is the best vacation you've been on?

A: The best vacation is anything with a beach. I recently went to Cabo San Lucas. It was great because it was a short flight and was so relaxing.
Q: What is your favorite movie and book?

A: My favorite novel is The Alchemist by Paulo Coelho. It's a very motivational book about a shepherd boy that overcomes his trials. As far as movies go, I would say the Wizard of Oz. I must have watched it a million times.
Q: If you could pass on one piece of information to a new AJRR participant, what would it be?

A: Don't be afraid to use AJRR resources to maximize Registry participation. They have several guides and informational documents on their website, so be sure to look around to see that you haven't missed anything.
Mr. Jim Cronk, MSA, RN
Trinity Health
Mr. Jim Cronk, MSA, RN,  has been working at Trinity Health in Livonia, MI, since April  2016. As a Director of Clinical Transformation in Trinity Health's Unified Clinical Organization, Mr. Cronk leads a team helping the not-for-profit Catholic hospital system coordinate orthopedic services, such as total joint replacement, throughout the 93-hospital, 22-state health system. Working with medical leaders across the country, Mr. Cronk and his team members facilitate processes and data interpretation for the purpose of continuous improvement as Trinity Health works to build a people-centered health system. In these roles, the team a lso encourages networking and best-practice sharing between Trinity Health's 93 hospitals and its System Office. His favorite part of his job is his admiration for his peers and colleagues - the leaders, clinicians, physicians, and others who share a deep commitment to the quality and safety of the care delivered to patients. Trinity Health just recently started submitting to AJRR in order to benchmark itself nationally in the care and service to its patients undergoing total joint replacement in a Trinity Health facility.

Q: What are three things to describe Trinity Health?

A: When you work at Trinity Health, you see examples of people and behaviors that demonstrate an undeniable devotion to the people who rely on us. These people ensure our Catholic health care ministry is compassionate, transformative, and healing.
Q: What is the best vacation you've been on?

A: My favorite vacation was a family trip to Colorado Springs. It was great being exposed to all of the natural beauty.
Q: If you could interview one person (dead or alive) who would it be?

A: I would interview the evangelist Billy Graham. He's been an icon of faith for our country. I would like to ask him how he stayed so committed to his mission.
Q: If you could pass on one piece of information to a new AJRR participant, what would it be?

A: AJRR staff is very helpful and available. In these days of fast-paced change in health care, the more that we can learn about external services like registries, the better, and AJRR staff makes it easy to learn more. It's important to collaborate with outside organizations so that we can all improve the quality of patient care. 
AJRR at the 2017 ISAR Annual Meeting in CA

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 hotel. 

Each year, the AJRR and the CJRR send representatives to present research and display  posters . The 2017 featured meeting topics include: cost effectiveness/health care economics, translating research into clinical practice, innovations in registry statistics/methodologies, electronic health records and big data analytics transforming the future, and the most up-to-date clinical findings from international orthopaedic registries. Also, attendees that arrive early are able to go to a Napa Valley wine tasting on May 19. The CJRR 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 CJRR Annual Meeting will be forthcoming.
Authorized Vendor Profile

Company Name: ValidCare
Company Website:
AJRR Vendor Since: October 2016
General Description: ValidCare is a technology-enabled, patient engagement software platform focused on helping providers maximize their reimbursement in value-based surgical care. The platform is configured to a specific patient's needs for the collection and reporting of patient satisfaction, surgical outcomes, and overall quality. ValidCare partners with providers and payers to develop and implement intuitive, mobile technology to automate the patient-caregiver workflows, communications, and alerts to reduce clinical risk and costs while improving care.
Features Offered: ValidCare connects patients, caregivers, and payers throughout the surgical episode of care. They leverage mobile and web-based technology for data collection, engaging care guidance with evidence-based, near real-time, visibility to a patient's condition and experience outside the clinical environment. ValidCare provides several levels of service ranging from base-level pre- and post-operative baseline and outcomes surveys to real-time care coordination inclusive of patient tasks, clinical alerts, and care-navigation. In addition, they offer consulting services for the design and implementation of innovative payment models.
Integration with AJRR: ValidCare collects the standard AJRR data elements required for submission of current and future Centers for Medicare & Medicaid Services (CMS) payment models and commercial bundles. Data collected by ValidCare can be downloaded by the user and/or shared electronically with AJRR in a HIPAA compliant manner. ValidCare de-identifies protected health information (PHI) data, affording clients the capability to compare outcomes internally or across the entire ValidCare network.
Fun Fact: ValidCare was founded on a chairlift at Breckenridge Ski Resort in Breckenridge, Colorado!
A full list of AJRR's technology partners can be found here .
Upcoming Webinars
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 held at the following times:
  • November 16, 2016 at 12:00 p.m. Central Time
  • 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.

2016 AJRR Orthopaedic Quality Resource Center: What You Need To Know
Join the AJRR and CECity, a Premier Inc. Company, for an overview of the features and benefits of the 2016 AJRR Orthopaedic Quality Resource Center. In addition, this webcast will provide you with a review of the reporting requirements for those participating in PQRS or Meaningful Use Specialized Registry reporting through the Orthopaedic Quality Resource Center in 2016 and highlights of proposed future updates. We will also dip into the new confirmed CMS rules for 2017. A live question and answer session will be conducted by AJRR and CECity at the conclusion of the presentation to address your questions regarding participation in the Quality Resource Center for Quality Reporting and Performance Improvement purposes.

This webinar will be held on Tuesday, November 15, 2016 at 12:00 p.m. Central Time.

Register here.

Previous Webinars
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:

#819 - Texas Institute for Surgery in Dallas, TX
#820 - Vernon Memorial Hospital in Viroqua, WI
#821 - Beaver Dam Community Hospitals in Beaver Dam, WI
#822 - Columbus Community Hospital in Columbus, WI
#823 - Emory University Orthopaedics & Spine in Tucker, GA
#824 - Providence Park Hospital in Novi, MI
#825 - Providence Hospital and Medical Center in Southfield, MI
#826 - Saint Joseph Hospital in Lexington, KY
#827 - Arkansas Surgical Hospital in North Little Rock, AR
AJRR currently has 827 participating hospitals in all 50 states! Click here for a full list of all participating sites.

AJRR in the News

AAOS Now published an article about our new features and future plans for the Registry:

AAOS Now - AJRR Update

The California Orthopaedic Association published an article about the AJRR and CJRR transition in their Fall 2016 report:

To view our press releases, click here.
Special Thanks to All of Our Contributors!

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.