Data Reuse Opportunities


Registry data and analysis enable AAOS Registry Program participating sites to practice evidence-based medicine. As a result, they can measure quality improvement and achieve better patient outcomes. Measurement is central, not only to their internal quality initiatives, but to successful engagement in a variety of external quality collaborations.

Registry data can help meet a participating site’s requirements for collaborative programs like quality certification programs, federal quality initiatives, insurer’s distinction programs, and state collaboratives. Review more than a dozen programs below that prove your registry data matters.

AAOS Registries: American Joint Replacement Registry (AJRR), Musculoskeletal Tumor Registry (MsTR), and Shoulder & Elbow Registry (SER)

Collaborative Registry: American Spine Registry (ASR)

 

American Board of Orthopaedic Surgery (ABOS) Maintenance of Certification (MOC) Program: Participating surgeons can attain up to 10 Self-Assessment Exam credits for ABOS MOC Part II by using the AAOS RegistryInsights® Surgeon Dashboards. Learn more here.

AAOS Registries: AJRR, FTR, MsTR, and SER

Collaborative Registry: ASR

 

AAOS RegistryInsights® Platform: Participants can access standard reports and personalized dashboards across all anatomical registries at the site and surgeon level that cover procedural, post-operative, and patient-reported outcome (PRO) data. Also available is access to custom reports created by our Analytics team to help understand and package site data. These custom reports can include site-specific metrics and shape the continuous improvements to the standard reports provided.  

AAOS Registries: AJRR, FTR, MsTR, and SER

Collaborative Registry: ASR

 

Informing Orthopaedic Practice: AAOS Registry Program sites can compare their data to national benchmarks, contribute to orthopaedic advocacy, have their data featured in annual reports, and inform Clinical Practice Guidelines (CPGs), Practice Management (PM), and Appropriate Use Criteria (AUC). 

AAOS Registries: AJRR, FTR, MsTR, and SER

Collaborative Registry: ASR

 

American Board of Neurological Surgery (ABNS) Continuous Certification (CC): Surgeons participating in ASR can satisfy Part IV of ABNS CC. Part IV focuses on meaningful participation in a Morbidity and Mortality (M&M) Conference. Surgeons who do not have access or cannot attend a M&M Conference can attest that they participate in ASR to satisfy this requirement. Learn more here.

Collaborative Registry: ASR

 

The Joint Commission Advanced Certification for Total Hip and Knee Replacement (THKR): Effective July 1, 2019, AJRR became the sole pathway for meeting the registry requirement for The Joint Commission Advanced Certification for THKR. View the resources we developed to support sites with the registry requirement of the certification process here.

AAOS Registry: AJRR

 

The Joint Commission Advanced Certification in Spine Surgery (ACSS): Effective July 1, 2021, The Joint Commission offers the ACSS. Participation in the ASR, a collaborative effort of AANS and AAOS, is needed to meet the certification’s registry requirement and facilitate the calculation of performance measures. View the resources we developed to support sites with the registry requirement of the certification process here.

Collaborative Registry: ASR

 

Aetna Institutes of Quality (IOQ) Orthopaedic Surgery: Effective January 1, 2020, The Joint Commission provides the IOQ quality review for Aetna’s total hip and knee replacement (THKR) surgery program. To maintain IOQ designation after January 1, 2022, sites must achieve The Joint Commission Advanced Certification for THKR, for which AJRR is the registry requirement. ASR participants can receive this designation through accreditation from Det Norske Veritas (DNV) Healthcare. Sites also have performance measure data submitted from the Registry using the AJRR Grouped Performance Metrics.

AAOS Registry: AJRR

Collaborative Registry: ASR

 

DNV Healthcare Orthopaedic Center of Excellence: DNV Healthcare provides health care sites worldwide with accreditation, certification, and training. To qualify for this certification, sites are required to use comparative outcome data from a national registry as part of a quality management system strategy toward performance improvement. 

AAOS Registries: AJRR, FTR, and SER

Collaborative Registry: ASR

 

Accreditation Association for Ambulatory Health Care (AAAHC) Advanced Orthopaedic Certification: AAAHC requires accredited ambulatory surgery centers (ASCs) seeking advanced certification for total joint and/or complex spine to participate in a nationally recognized specialty registry.

AAOS Registry: AJRR

Collaborative Registry: ASR

 

Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) Quality Payment Program (QPP): Participation in the Registry Program supports the reuse of data for payer incentive programs such as CMS MIPS. As a Qualified Clinical Data Registry (QCDR), the Registry can report applicable measures to CMS on behalf of our participants. View the AAOS 2023 QCDR measures here and the AAOS 2024 QCDR measures here.

AAOS Registries: AJRR, FTR, MsTR, and SER

Collaborative Registry: ASR

 

CMS MIPS Promoting Interoperability (PI): The AAOS Registry Program is a CMS-designated QCDR. Participation in the Registry Program can qualify for the MIPS PI category (previously known as Meaningful Use).

AAOS Registries: AJRR, FTR, MsTR, and SER

Collaborative Registry: ASR

 

CMS Comprehensive Care for Joint Replacement (CJR) Model: Registry participation can assist with CJR participants’ composite quality scores by collecting PROs and limited risk variables in the AAOS RegistryInsights CJR template.  

AAOS Registry: AJRR

 

BlueCross BlueShield Blue Distinction Specialty Care: Through Blue Distinction Specialty Care, ASCs may be required to have advanced certification from The Joint Commission, AAAHC, or DNV Healthcare. The Registry Program can satisfy the registry requirement for these programs.  

AAOS Registry: AJRR

Collaborative Registry: ASR

 

Blue Shield of California: Under this initiative, providers that are AJRR participants will receive a waiver of prior authorization for their patients’ hip or knee replacement procedures.  

AAOS Registry: AJRR

 

Cigna Pathwell Bone & JointSM: As part of its ongoing goal to provide quality care and improve the health and well-being of its customers, Cigna requires that providers who take part in its condition-specific care program also participate in and submit data to the AJRR as a quality metric.

AAOS Registry: AJRR

 

Bree Collaborative: This Washington state-based collaborative requires all implants to be registered using the AJRR within its Repair of the Osteoarthritic Joint section of the TKR/THR Bundle.  

AAOS Registry: AJRR

 

The Alliance QualityPath: To receive this designation for knee and total hip replacement from The Alliance, hospitals and surgeons in Illinois, Wisconsin, and Iowa are required to be AJRR participants.

AAOS Registry: AJRR