Gain Insight into Improving AJRR Implementation at Today’s User Group Meeting

Registries have become a driving force in health care for quality outcomes and the fulfillment of government initiatives. Aspects of the patient experience can be drilled down and identified at a level that is more precise and illuminating than before, enabling surgeons and healthcare staff to make better decisions when it comes to patient care.

The AAOS recently joined the movement with the launch of its own portfolio of registries. The first of its databases is the American Joint Replacement Registry (AJRR), a national hip and knee registry that was established in 2009. AJRR holds a meeting for its users each year during the AAOS Annual Meeting, and this year’s meeting will be one of the most informative yet. Because technology plays a large role in the use of registries, the AJRR User Group Network (Unet) In-person Meeting always includes a detailed update on what has changed since the last meeting and the new features that are now available.

This year’s Unet open meeting will be held today from 11:30 a.m.–1:30 p.m. at the Hilton New Orleans; lunch will be provided. Registry users who are unable to attend the Unet meeting can dial in. To register, visit

On the agenda

The AJRR has released a new version of its Data Specifications, which will be a major item for discussion at the meeting. The new specifications clarify AJRR’s Post-Op Complications File Layout, a recent addition that lets registry participants submit Level II comorbidities and complications data. Level II data will allow for the AJRR to risk adjust its participants’ data, a process that accounts for overall patient health in relation to surgical outcomes. Thanks to risk adjustment, the data will not harshly penalize surgeons for poor surgical outcomes when they operate on increasingly unhealthy patients. 

The Unet In-Person Meeting will also feature a guest speaker. Kevin Fleming, MBA, vice president, Orthopaedics & Sports Medicine, Clinical Portfolio at Providence Health & Services, will present a case study of how AJRR participation has benefited patient outcomes at his institution. Providence Health & Services uses the clinical findings from the AJRR Annual Report to shape their surgical practices.

Many of AJRR’s participants use a third-party electronic health record (EHR) vendor to submit data to the Registry, as institutions do not always possess the necessary resources. One of the most prominent EHR vendors that participants utilize is Epic. Using Epic is a significantly different experience from other vendors. Therefore, an Epic representative will speak during the Unet Meeting and resolve any confusion surrounding the Epic Bones module and AJRR participants’ other data submission options.

Attendees will have the opportunity to ask questions during the open Q&A session at the end of the meeting.