AJRR was developed by leaders in the orthopaedic community – from renowned surgeons, to organizations involved in setting policy and manufacturers of implant components. AJRR’s Board of Directors is comprised of surgeons; medical device, payer, and hospital leaders; and patient/public representation.
In December 2015, the American Association of Hip and Knee Surgeons (AAHKS) designated us as their official Registry.
And, the hospitals, surgeons, and administrators who make up the AJRR community
Together, we are improving orthopaedic care through data!
The Joint Commission is pleased to continue to work with the American Joint Replacement Registry (AJRR) to support its multiple goals, especially the aim to establish a locus of information that can be used for quality improvement and to increase patient safety related to total hip and knee replacement surgery. The Joint Commission has served on AJRR's Public Advisory Board for a number of years and has appreciated the opportunity to be part of AJRR's efforts to increase the relevancy of the registry to patients and to providers. AJRR has exhibited a very thoughtful approach to ensuring that it builds a credible data collection infrastructure and to ensuring the usability of the registry to those focused on reducing morbidity and mortality.
This quarter, we would like to recognize Ms. Christine Brown, MSPT, from Dignity Health in Sacramento, CA.
Q: How long have you been working at Dignity Health?
A: I started at one hospital 18 years ago as a physical therapist, since that's what I'm trained in. I was a supervisor of the outpatient clinic. Over time, I worked my way up to become the director of rehabilitation at that hospital and started working with the orthopaedics program. A few years ago, I assumed a regional position in Sacramento, which is where I am now.
Q: How long have you been working with AJRR, and what is your role in the data submission process?
A: My introduction to the AJRR was through the merging of the California Joint Replacement Registry (CJRR) in 2015. I began working with CJRR a few years before that. The transition has been very smooth thanks to AJRR staff being so responsive and enthusiastic.
My initial data submission role was to onboard hospitals to CJRR and develop an electronic method of submitting their data. Since my institutions perform almost 2,000 joint replacements a year, paper submission was not an option. It took a while to find an interface to manage the process, but we were able to get it up and running. I currently meet regularly with other Dignity staff to see if the process is running smoothly. I hope to get every Dignity Health hospital to participate in not only AJRR, but more registries of many specialties.
Q: What made you want to be a member representative of the California State Registry Committee?
A: When I was approached by the committee to be a member representative, I was honored. Many of the other representatives are surgeons, so I'm able to give a different perspective on situations and decisions. I've been involved with bringing facilities onboard and know the different challenges that Registry participants face, so I think that it's great that I was given the option to offer my point of view to the committee and make a positive impact.
Q: What do you think is the most valuable aspect of Registry participation?
A: I think that the most valuable aspect is the ability to receive valid evidence of how your joint replacement program is functioning. You're able to see how your surgeons perform compared to national benchmarks, and you can find the different measures that they excel at or need work on. The Registry informs you on what areas to discuss with surgeons without just saying that you have anecdotal evidence.
Q: What do you like to do in your free time? Do you have any hobbies?
A: I like to compete in triathlons in my free time, and I've participated in a couple half-Ironman triathlons in the past. I competitively play tennis, and enjoy gardening as well. I own a greenhouse with over 300 orchids growing inside. It's an interesting way for my 11-year-old daughter to study biology and explore.
Q: If you could pass on one piece of information to a new AJRR participant, what would it be?
A: I would say that while submitting data is important, it's also incredibly important to utilize the data as it comes back to you in the dashboards. Take the time to learn what it's saying about your program, and show what you've found to your surgeons and patients. People get so caught up in the submission process that they don't think to use the data, and they're really not getting the full benefits of their Registry participation.
“AJRR has taken on a monumental task, and I believe they even surprise themselves when it comes to how successful they have been. It speaks to a well-conceived plan that is being effectively executed.”
Judy Casper, Clinical Data/Research Coordinator, Midwest Orthopedic Specialty Hospital (MOSH)
“Monitoring and recording joint replacement outcomes has become essential to our internal quality improvement efforts and will soon become an expectation of the regulatory bodies, rating agencies, and payers. Our orthopaedic surgeons recognized this and encouraged us to join the AJRR, which turned out to be a surprisingly easy process. We look forward to using AJRR data to continually improve our internal processes and to demonstrate to outside agencies the quality of our joint replacement program.”
John Quinlivan, FACHE, President, Redmond Regional Health System;
Chief Executive Officer, Redmond Regional Medical Center
“The AJRR is an extremely valuable initiative for the American arthroplasty community in that, when fully functional and widely adopted, the data generated will provide timely information on national trends of implant specific utilization and outcome. At Northwestern Memorial Hospital, we hope to use AJRR institution-specific data, along with other in-house and national databanks, to benchmark our performance against national trends. Such data provides us the opportunity to increasingly crystallize our own quality initiatives. Furthermore, it is our hope that data generated from a fully functional national database may better inform health policy makers as we navigate the difficult waters of value-based decision making in arthroplasty care.”
David W. Manning, MD, Director of Arthroplasty Service at Northwestern Memorial Hospital Chicago, Ill.
“We joined the AJRR at the request of one of our physicians. He took the time to explain the potential benefit to our patients. Once we understood the value, we didn't hesitate. The process was very straight forward as far as understanding the AJRR requirements. The vast majority of the required fields are easily exported from our EMR, so the ongoing effort will be simple to maintain.”
R. Craig Lindsey, RN, MBA, MHA, CENP, Vice President of Clinical Services/Chief Nursing Officer Park Ridge Health
“By being a pilot facility for Level II and Level III data submission, I have had the ability to see firsthand the benefits of the Registry. The Registry not only provides a database for implant tracking, but will have the ability for facilities to collect quality measures throughout the continuum for benchmarking.”
Cheryl Talamo, Director of the Orthopaedic Institute
“AJRR has provided the orthopaedic community with a versatile and invaluable tool. With the option to enter data electronically, manually, or a combination of both, it is well suited for use with electronic health record systems of varying capability.”
Gwen Gratto-Cox, Clinical Research Coordinator
Southeast Georgia Health System
“AJRR’s data has been invaluable in our pursuit to better care for our joint replacement patients.”
Amanda James, CEO
Swedish Covenant Hospital
“The current medical environment in conjunction with the large increase in total joint arthroplasty in this country necessitates a national joint registry, and we are proud to have become a member of the AJRR.”
Brock A. Lindsey, MD, Director, Musculoskeletal Research Laboratory
WVU Healthcare Ruby Memorial Healthcare