AAOS Registry Program Blog

AAOS' RegistryInsights Platform Delivers Surgeon Dashboards

May 8, 2019 2:59:11 PM

Surgeons Can Now Compare Their Own Procedure Data Against National Registry Benchmarks

The mission of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program is to improve orthopaedic care through the collection, analysis, and reporting of actionable data contributed by hospitals, ambulatory surgical centers, and orthopaedic practices across the United States. With the recent introduction of Surgeon Dashboards, the Registry Program has added a new quality improvement resource available to individual AAOS surgeon members.

This new member benefit allows surgeons, whose sites participate in an AAOS Registry, to compare their individual data against national de-identified information and benchmarks. The Surgeon Dashboards, enabled by an enhancement to the AAOS RegistryInsights® platform, can display procedural, post-operative, and patient-reported outcomes (PRO) data. Surgeon Dashboards are available at no additional cost to participating sites’ surgeons who are AAOS members.

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Topics: Registry Participation

Registry Round-up: A Look Back at a Very Good Year

Dec 12, 2018 1:16:38 PM

The American Academy of Orthopaedic Surgeons (AAOS) RegistryInsights provides users with an overview of their submitted procedures and of the registry as a whole. From the homepage, users can navigate to the American Joint Replacement Registry (AJRR) and new Shoulder & Elbow Registry, the musculoskeletal tumor pilot, and other offerings as they become available.


This article was originally published in the December 2018 issue of AAOS Now, the AAOS' monthly news magazine.

It’s been a year of milestones and trailblazing accomplishments for the AAOS Registry Program. In its 2018 Annual Report, having completed its reintegration within AAOS, the AJRR tallied 1,186,955 procedures from 1,067 institutions from 2012 to 2017, establishing the AJRR as the largest orthopaedic registry by annual procedure count.

"Registries are tools to help the medical profession collect data, report, and benchmark to define patient-centered quality care to identify potential procedural or implant problems before they become widespread public health issues," said AAOS President David A. Halsey, MD. "Other national joint replacement registries such as the Swedish Hip Arthroplasty Register have proven that monitoring survivorship can reduce revision rates. That translates into reducing direct medical costs and, more importantly, improving patient care and quality of life."

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Topics: Registry Participation

Guest Blog: ASCA, AJRR, and the Orthopaedic Surgery Market

Aug 30, 2018 11:45:44 AM

August is National Ambulatory Surgery Center (ASC) Month and the American Joint Replacement Registry (AJRR) has invited Alex Taira, Policy Analyst, Ambulatory Surgery Center Association (ASCA), to contribute a guest blog on the evolution and diversity of today’s orthopaedic surgery sites. It has always been the American Academy of Orthopaedic Surgeons’ (AAOS) belief that choosing the appropriate orthopaedic surgery setting is a decision that the patient and the surgeon make together based on a series of factors that lead to the best patient experience and outcome. Today’s patient options include hospitals, hospital-sponsored ASCs, and independent ASCs.

Over 1,000 U.S. hospitals and 68 ASCs participate in AJRR. Based on the number of procedures submitted monthly, AJRR is the largest orthopaedic registry in the world. The AJRR database holds 1.3 million hip and knee arthroplasty procedures from over 8,000 surgeons practicing in one or more types of clinical settings. As more total joint arthroplasties (TJAs) are performed in ASCs, reducing variation and demonstrating quality of care delivered can be accomplished through Registry participation.

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Topics: Registry Participation

The Virginia Joint Registry Collaborates With AAOS and AJRR

Aug 23, 2018 3:26:42 PM

The American Academy of Orthopaedic Surgeons (AAOS) and the Virginia Joint Registry (VJR) have entered into a collaborative relationship enabling VJR participants to continue their registry quality initiatives through the American Joint Replacement Registry (AJRR). Virginia Joint Registry board member William Jiranek, MD, said, “The VJR believes that the expanded scope and resources of AJRR will lead to conclusions that will benefit patients beyond the analysis and findings of a single state registry. For example, it will add new capabilities such as national benchmarking.”

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Topics: Registry Participation

AJRR Collaborates With State Registries in a Variety of Ways

Jul 27, 2018 11:40:49 AM

The number of hip and knee replacement procedures by state in the American Joint Replacement Registry.


David G. Lewallen, MD, Medical Director, American Joint Replacement Registry (AJRR), was a featured speaker at the University of Michigan's (UM) "Larry S. Matthews, MD, Adult Lower Extremity Joint Reconstruction Lectureship" on May 18, 2018. He shared portions of AJRR’s development roadmap with his audience, including collaborative possibilities between AJRR and state-based registries.

“As a national registry, AJRR already has a strong presence among its international counterparts. At home, it has successfully collaborated with several state registries under different models. Now, as a part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program, with access to additional resources, AJRR’s ability to reach out to the states has increased. We are open to exploring opportunities with state registries that share the AJRR mission to improve orthopaedic care through the collection, analysis, and reporting of actionable data,” Dr. Lewallen stated.

This week’s blog shares two examples of AJRR and state registry cooperation. We conclude with a more comprehensive summary of other current AJRR opportunities mentioned in Dr. Lewallen’s UM presentation.

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Topics: Registry Participation

About the AAOS Registry Program

Jul 20, 2018 8:46:08 AM

Many of our readers and American Joint Replacement Registry (AJRR) participants have asked for more information about the American Academy of Orthopaedic Surgeons (AAOS) Registry Program to better understand future options available to their organizations. Today’s blog shares information from a June 20, 2018 webinar entitled, “AAOS Registry Program: Opportunities for Engagement and Insights.” Presenters Nathan Glusenkamp, MA, AAOS director of registries, and Kristina M. Finney, MPH, senior manager of AAOS Registry Program and Deliverables, shared a strategic overview of the new program, its mission/vision, the AJRR model, new anatomic program areas, and the value of registry data. Highlights from the webinar are below.

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Topics: Registry Participation

EHR and Registry Interoperability

Jun 20, 2018 3:53:00 PM

As the Electronic Health Record (EHR) becomes the primary interface for physicians and other health care workers, the American Joint Replacement Registry (AJRR) must increasingly work through EHRs for greater interoperability to be achieved.


Providers’ EHR Challenges

Today many hospitals, ambulatory surgery centers, and clinicians’ offices use more than one data capture system. In other words, more than one EHR within a single provider system may be utilized to support registries like AJRR. As a result, data capture can be awkward and time consuming for clinicians and their staff. While some of this can be overcome without interoperable systems, for example by uploads from these systems to AJRR of specific standard file formats, AJRR continues to pursue improvements aligned with the overall industry effort.

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Topics: Registry Participation

June Is National Safety Month, Registries Maintain Continuous Safety Focus

Jun 14, 2018 10:10:07 AM

June is National Safety Month. For the American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program, every month is safety month. Many registries around the world began with a mission of monitoring patient safety factors, including medical devices. Over the years, their missions have expanded to include broader data-driven, quality improvement efforts.

William J. Robb III, MD, AAOS TeamSTEPPS mentor, said, “Without safety, there is no quality or value; safety is the kernel around which all else is built.”

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Topics: Registry Participation

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

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

A Message for Our Readers

This blog was created by the American Academy of Orthopaedic Surgeons (AAOS) Registry Program as part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. Whether you are a participating site in one or more AAOS Registry or thinking about joining the Registry Program, this blog will provide current and ongoing Registry updates and decision support.

The more interactive you are, the greater the value shared. Visit us at www.aaos.org/registries or speak with a Registry Engagement Associate at 847-292-0530.


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AAOS Registry Program Staff Writers

AAOS Registry Program Blog posts are researched and created by Registry Program staff writers. If you would like to contact the writing staff, email us at RegistryInfo@aaos.org


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 AAOS findings and practices.

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