The California State Registry Committee is pleased to provide you with  information 
and news  you can use  pertaining to your participation in the AJRR.
The Golden Register | California Users Newsletter | February 2017
Letter  from the Chair
California State Registry 
Committee Chair
James I. Huddleston, III, MD

I am delighted to report that the formal acquisition of the California Joint Replacement Registry (CJRR) by the American Joint Replacement Registry (AJRR) was successfully completed on December 31, 2017. The CJRR is now the "California State Registry Committee" within the corporate structure of the AJRR. 

I will chair the committee and will be joined by Stefano Bini, MD (University of California at San Francisco), Bradley Graw, MD, MBA (Palo Alto Medical Foundation), Jay Patel, MD (Hoag Orthopaedic Institute), Nelson SooHoo, MD (University of California at Los Angeles), and Christine Brown, MS, PT (Methodist Hospital, Sacramento, CA). I would like to thank the California Health Care Foundation for enabling a smooth transition, as well as Walter Sujansky, MD, PhD and Zhongmin Li, PhD for their years of service to the CJRR.
On the reporting front, all California hospitals have had access to their data via real-time dashboards as of February 13. These dashboards replaced the quarterly reports that had been issued previously (the last quarterly report will be released in February on Q4 data). I would like to recognize Paul Haisman, chief technology officer of AJRR, for bringing this to fruition in such a short period of time. Please give us your feedback!
We are also making good progress in our collaboration with Blue Shield of California on obtaining exemptions to their preauthorization process for hip and knee arthroplasty for members of the AJRR California State Registry Committee. We are aiming to have this program "go live" in the next 30 days.
Lastly, we submitted three abstracts for presentation at the 6th Annual International Society for Arthroplasty Registers Congress to be held in San Francisco May 20-22, 2017. We will hold our California State Registry Committee Annual Meeting midday on May 20. It should be an excellent meeting. I hope to see you all there.
James I. Huddleston, III, MD                      
WIRB Users, a New Protocol Document is On the Way

An item related to the AJRR and CJRR merger is the local Institutional Review Board process. For the 10 California hospitals that utilize Western Institutional Review Board (WIRB), a new, revised protocol document is under development. The new protocol will address the transition to AJRR, the new patient-reported outcome (PRO) forms being used, and will otherwise be fully updated to 2017 standards. The updated protocol will be sent to these 10 hospitals with full instructions for the Change in Protocol process that will need to be completed by each of those hospitals and subsequently submitted to WIRB. The document will be completed in late February. If you have any questions, please contact AJRR Director of Analytics Dr. Caryn Etkin at
Blue Shield Offers Insurance Preauthorization

Blue Shield of California providers that are also AJRR participants will soon be able to automatically receive authorization for their patients' hip or knee replacement procedures. This will allow for patients and providers to focus on what's most important: a patient's 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. 

Insurance preauthorization will be available by the end of the first quarter, so be on the lookout for this great benefit.
Registry Technology Update
Our new Level III PRO Dashboards

Because of the CJRR transition into AJRR, there have been a few changes to the Registry platform. The biggest difference is that you now have access to the AJRR dashboards, where you can view your data compared to national benchmarks on demand. There are also revised data mart queries. The final Quarterly Report and Case Inspector Updates will be published in February 2017 for Q4, 2016 data. There are also minor differences when creating patient/case records.

There are some changes that may also affect how you administer your PRO program. The WOMAC Assessment Instrument has been retired, along with the option to use paper or fax in forms. However, the new additions far outweigh the features that have been removed, and an upgraded clinic kiosk module and system roles created to support PRO program workflows make the entire collection and reporting process simpler. We've also included the CollaboRATE questions for Blue Shield of California program participation.

All of these changes went into effect on February 13. A webinar that explained what former-CJRR hospitals could expect was held on February 8. Please contact AJRR Program Coordinator Phil Dwyer at if you would like a copy of the webinar slides.
ISAR and California State Registry Committee Annual Meetings to Be Held in San Francisco

Parc 55 San Francisco, 
a Hilton Hotel
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, California. The conference will be held at the Parc 55 San  Francisco, a Hilton Hotel. Register here.

Each year, the AJRR and the  California State Registry Committee 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 on optional Napa Valley wine tours on May 19. 

The California State Registry Committee Annual Meeting will be held in San Francisco during this time as well on Saturday, May 20. The meeting will be a luncheon that gives California hospitals the opportunity to discuss current issues affecting the collection of data, the expansion of data collection, and reporting methods. An agenda item of particular interest will be the new AJRR dashboards that are available to all hospitals. The exact time and location of the meeting, along with registration details will be e-mailed to each hospital soon.
AJRR Executive Director to Speak at COA Annual Meeting/QME Course
Omni La Costa Resort
The California Orthopaedic Association (COA) will hold its 2017 Annual Meeting/QME Course  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 .
Check Out the AJRR User Group Network
One of the benefits of being an AJRR participant is  access to the network of other Registry  users. The AJRR User Group Network (Unet) was created to provide all of AJRR's users and participants with the opportunity to share ideas and best practices with each other about  the collection of hip and knee arthroplasty data. We also have a User Group Forum on our website where users can easily communicate with one another. If you're going to the American Academy of Orthopaedic Surgeons (AAOS) 2017 Annual Meeting in San Diego, you'll have the chance to attend our annual in-person Unet Meeting. This year's Unet Meeting will be a luncheon held on March 15 at 11:30 a.m. Pacific Time at the Marriott Marquis San Diego Marina. Register for the meeting here. The finalized agenda will be distributed later this month. There will be a dial-in option for those that can't make it in-person.
California State Registry Committee is a sub-committee of the American Joint Replacement Registry | (847) 292-0530