NAON Incorporates Registry Education at Their 38th Annual Congress

May 16, 2018 12:00:00 PM

Orthopaedic nurses are important stakeholders in the mission and success of registries. Like other health care practitioners, they improve orthopaedic care through the collection, analysis, and reporting of actionable registry data that contributes to better patient outcomes.

The National Association of Orthopaedic Nurses (NAON) was formed after a meeting convened by Nancy Hesselbach, RN, and Barbara Fiehler, RN, with fellow orthopaedic nurses at the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting on March 8, 1980 and incorporated April 14, 1980 in Missouri. NAON's mission promotes orthopaedic research, education, and nursing practice. At their 38th Annual Congress on May 19-22, 2018 in Albuquerque, New Mexico, educational offerings about registries will include presentations from both AJRR and the American Orthopaedic Association (AOA). Today's blog provides a preview of presentation content that helps fulfill NAON's mission, along with making a difference to hospital, physician practice, and nursing quality improvement.

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Topics: Annual Meetings

AAOS Brings You the ISAR Symposium

May 9, 2018 12:58:26 PM

Watch and Learn From 12 International Registry Presentations

The American Academy of Orthopaedic Surgeons (AAOS) is committed to encourage and provide lifelong learning opportunities to its members and that is exactly what it did at the International Society of Arthroplasty Registries (ISAR) Symposium at its 2018 Annual Meeting. "What Can a Registry Do for Me?" showcased a dozen real-world data outcome uses from registries around the world and presented data and insights gained through these registry efforts.

ISAR members have a shared purpose of improving outcomes for individuals receiving joint replacement surgery worldwide. The focus of the society is to utilize the strength of cooperation and sharing of information and further enhance the capacity of individual registries to meet their own aims and objectives. 

A recording and slide presentation of "What Can a Registry Do for Me?" is organized under four subject areas:

  • Part 1 - Health Care Quality and Payment
  • Part 2 - Identify Clinical Best Practices and Improve Patient Care
  • Part 3 - How to Use Your Own Data
  • Part 4 - Implant Selection and New Technology

Today's blog provides a "front-row seat" for you to listen and view the complete symposium content. Symposium highlights are also below.

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Topics: Registry Findings

AJRR Data Collection: New Specs Release, Annual Reset, Ongoing Goals

May 2, 2018 12:00:00 PM

This week's blog will guide AJRR participants in updating their 2018 Registry workflows, data submission capabilities, and case analysis efforts. After listening to and incorporating participant feedback, AJRR Data Specifications 07.13.2017 Revision 1 and AJRR Data Dictionary Version 2 were released on April 30, 2018. These Registry upgrades added new data elements and deleted, merged, and renamed data fields to create a more user-friendly and comprehensive Post-Operative Complication (Post-Op Comp) File Layout. AJRR has three layouts that it asks participants to submit: the Procedural Layout, Patient-Reported Outcome Measures (PROMs) Layout, and Post-Op Comp Layout.

The new Post-Op Comp Layout contains important Level II measures that will, for the first time, allow for risk-adjusted case analysis.

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Topics: Registry Participation

Early Linked THA and TKA Revisions Tied to Higher Infection Risks

Apr 25, 2018 12:00:00 PM

In the American Joint Replacement Registry (AJRR) 2017 Annual Report, infection was identified as a leading cause of total knee arthroplasty (TKA) and total hip arthroplasty (THA) revisions from 2012 to 2016. The majority of early (<3 months) linked TKA revisions are for infection. The majority of early (<3 months) linked THA revisions are for dislocation, infection, and periprosthetic fracture. With an increasing number of TKA and THA procedures being performed in the United States, the rate of failure has also increased. In 2017, AJRR compared and analyzed data for infection-related revision surgeries from six arthroplasty registries including AJRR. The authors presented their poster at the International Society of Arthroplasty Registries (ISAR) 6th International Congress (May 2017). The results showed that for both hip and knee arthroplasty, each registry with six-year data showed an increase in infection burden over the period of the survey.

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Topics: Registry Findings

National Trends in the Treatment of Femoral Neck Fracture

Apr 18, 2018 12:00:00 PM


The demographics and treatment of femoral neck fracture (FNF) patients have evolved over time. Today's blog uses data from multiple sources to provide orthopaedic surgeons with insights and decision support regarding changing trends in FNF clinical practice. Our primary source is the American Joint Replacement Registry's (AJRR) 2017 presentation at the International Society of Arthroplasty Registries (ISAR) Annual Meeting*. Since the presentation, AJRR has continued to analyze new FNF Registry data and will again share findings at ISAR's 2018 meeting. Our second notable source is a published study in The Journal of Bone and Joint Surgery: "Nationwide Analysis of Femoral Neck Fractures in Elderly Patients" (Volume 99-A, Number 22, November 15, 2017)**.

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Topics: Registry Findings

What It Takes to Onboard With AJRR in <60 Days

Apr 13, 2018 8:28:17 AM

You've chosen the American Joint Replacement Registry (AJRR) for your registry needs and the contract is signed! Now, as an AJRR participating institution, it is time to make RegistryInsights™ work for your hospital(s), surgeons, and patients. How fast and easy is implementation? This week's blog walks you through the timeline, tools, relationships, and resources that will make your AJRR participation thrive. If you are an existing participant, here's how you could maximize your support offerings. If you are just getting started with your Registry efforts, consider this a roadmap of first steps.

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Topics: Registry Participation

AJRR Study Yields Insights Into Tracking TJR Revisions

Apr 4, 2018 12:00:00 PM

The American Joint Replacement Registry (AJRR), the largest hip and knee replacement registry worldwide, conducted a study analyzing the correlation between hospital size, the reason for revision (or re-do) surgery, and the hospital where the total joint arthroplasty (TJA) revision surgery is performed. The link between these three factors has not been studied extensively until now. A poster on the study's findings was presented at the 2018 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting in March. The poster, titled, "Is There a Correlation Between Hospital Size and Revision Indication and Where TJA Revision Surgery is Performed?" can be seen above.

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Topics: Registry Findings

AJRR Unet Value Equation: Benchmarks, Shared Experience, Best Practice

Mar 22, 2018 8:42:27 AM

Plus Highlights From the Annual In-person Unet Meeting

In 2017, and again in 2018, the AJRR User Group Network (Unet) more than doubled its registered members over the prior year*. Since its inception, the Unet value equation has been defined by benchmarking, shared experience, and best practice learning opportunities. Quarterly calls/webinars and the annual in-person meeting help forge collaborative user relationships and provide exposure to guest experts in the registry field. For real-time answers to immediate challenges, participation in the Unet Forum is available. Speak with someone who has already been there, and done that! Find minutes and slides from previous Unet calls and in-person meetings in the Unet Forum. Engagement is free and the rapidly growing number of registrants speaks to the value Unet delivers.

*February 2016, February 2017, February 2018

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Topics: Annual Meetings

Are My Patients Sicker Than Yours?

Mar 15, 2018 8:12:00 AM

Risk-Adjusted Orthopaedic Outcomes Enable Fair Comparisons

In the current era of health care reform, cost containment, and the growing focus on the value of care provided, high quality data on the results of orthopaedic care will be critically important (and may soon be demanded) down to the level of the individual institution and even surgeon.

According to David G. Lewallen, MD, Professor of Orthopaedic Surgery, Consultant in the Department of Orthopaedic Surgery, Mayo Clinic, and American Joint Replacement Registry (AJRR) Medical Director: "The availability of risk-adjusted national benchmark data will be increasingly important in fairly interpreting such information and is best developed from large representative datasets that span all age groups and demographics like the AJRR."

Donald Fry, MD, MPA Healthcare Solutions, said, "Many surgeons and quality officers point to their perception that they have the sickest patients to explain suboptimal results or bolster good performance." He added, "There is no question that an accurate interpretation of outcomes and costs cannot be made without an objective measurement of risk adjustment. It is the science of separating the effect of patient characteristics from the effect of care delivered on cost or clinical outcomes."

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Topics: Risk Adjustment

Qualified Clinical Data Registries: Helping Orthopaedic Surgeons Document Payment Adjustments Under MIPS

Mar 7, 2018 12:00:00 PM

The American Joint Replacement Registry (AJRR) became part of the American Academy of Orthopaedic Surgeons (AAOS) on October 17, 2017. As AAOS embarks on registry expansion and integration with the AJRR, they remain dedicated to improving the quality of musculoskeletal care that orthopaedic surgeons can deliver. Within this mission, the AJRR, the national hip and knee registry, has maintained a U.S. Centers for Medicare & Medicaid Services (CMS)-approved qualified clinical data registry (QCDR) since 2014. Now known as the AAOS Orthopaedic Quality Resource Center, this unit has been designated by CMS as a QCDR for 2018.

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Topics: Quality Initiatives

A Message for Our Readers

This blog was created by the American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program. The blog is part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable hip and knee arthroplasty data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for weekly news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. It will be information you can use each week!

The more interactive you are, the greater the value shared. Visit us at, speak with a Registry Engagement Associate at 847-292-0530, or follow us on Twitter.

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AJRR Staff Writers

AJRR Blog posts are researched and created by AJRR staff writers: Karen Metropulos, Erik Michalesko, and Lori Boukas. If you would like to contact the writing staff, email us at


This blog shares health care information from a variety of independent expert sources. Some sources offer opinions that may be of interest to other professionals facing similar challenges. Our approach helps ensure diverse, well-rounded presentation of important, often complex health care content. Shared content does not necessarily represent AJRR or AAOS findings and practices.