The AAOS Shoulder & Elbow Registry

The AAOS Shoulder & Elbow Registry (SER) was launched in 2018 to collect shoulder, rotator cuff, and elbow procedural data in the U.S. in order to establish survivorship curves, track revisions, and improve the quality of care for all patients. 

AAOS expanded its registry offerings to include the option to submit data to the SER powered by PatientIQ. Learn more about SER powered by PatientIQ here.

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SER Participation Benefits

Participating in SER allows a site or surgeon to demonstrate their commitment to quality. The SER provides access to sitewide, systemwide, and nationwide data. Reuse of Registry data has value to certifying bodies, quality reporting, device surveillance, reimbursement, and quality measurement efforts.

A few top benefits of SER participation include:

  • Access to national benchmarks
  • Standard reports and personalized dashboards for procedural, post-operative, and PROMs data
  • Surgeon dashboards that can help attain up to 10 Self-Assessment Exam credits for the American Board of Orthopaedic Surgeons Maintenance of Certification program

Learn more about SER participation benefits here.

Learn more about the quality initiatives that SER can help meet here.

Enrolling in the SER is Easy

Your site can join the SER in 5 simple steps. Learn about the enrollment process here or watch the short video below of Gerald R. Williams Jr., MD, FAAOS, SER Steering Committee Chair, as he walks through the process of how surgeons can get involved in the SER and become champions for their site's participation.


Visit the AAOS Registry Program FAQs page for more details about Registry Program participation. If you have additional questions about joining the SER, please email RegistryEngagement@aaos.org or call (847) 292-0530.

SER Data Elements Collected

The SER collects shoulder arthroplasty, elbow arthroplasty, and rotator cuff repair procedures in three data types:

  • Procedural data is patient-related, hospital/practice-related, surgeon-related, and procedure-related data that includes information about comorbidities, length of stay, and operative complications.
  • Post-operative data includes 90-day readmission data and post-operative complications data.
  • Patient-reported outcome measures (PROMs) capture a patient’s self-assessment regarding their health status and may include questions related to physical function, mental attitude, mobility, social function, and bodily pain.

Procedural

Patient

  • Name (Last, First)
  • Date of Birth
  • Social Security Number
  • Diagnosis (ICD-10, CPT)
  • Gender
  • Race/Ethnicity
  • Height + Weight/Body Mass Index
  • Payer Status

Site of Service

  • Name and Address (TIN, NPI)

Surgeon

  • Name (NPI)

Procedure

  • Type (ICD-10, CPT)
  • Date of Surgery
  • Length of Stay
  • Surgical Approach
  • Surgical Technique
  • Laterality
  • Implants (Manufacturer, Lot #)
  • Anesthesia

Module-specific Procedural Elements:

  • Shoulder Arthroplasty Module: Includes codes for replacements, revisions, and fractures
  • Elbow Arthroplasty Module: Ulnar Nerve Management
  • Rotator Cuff Repair Module: Expanded ICD-10 and CPT options for shoulder, including muscle, tendon, and arthroscopy codes

Comorbidities and Complications

  • Comorbidities (ICD-10, CPT)
  • Height + Weight/Body Mass Index
  • Length of Stay
  • American Society of Anesthesiologists Score
  • Charlson Index
  • Operative and Post-operative Complications

Patient-reported Outcomes

  • PROMIS-10 Global or VR-12
  • ASES
  • SANE

Also Accepted:

  • PROMIS Upper Extremity
  • PROMIS-29
  • PROMIS Anxiety
  • PROMIS Depression
  • PROMIS Pain Interference
  • PROMIS-CAT (only accepting summary scores)

Interested in viewing the Data Specifications or Data Dictionary for SER? These documents are proprietary and can be accessed in the Tools & Resources tab on AAOS RegistryInsights®. For more information, please contact AAOS Registry Program staff at RegistryInfo@aaos.org

SER Data Submission

SER Powered by PatientIQ

The SER powered by PatientIQ reduces the administrative and technological burden traditionally associated with enrollment. With this new data submission offering, PatientIQ can integrate its cloud-based platform directly with SER participants' electronic health record (EHR) to extract the necessary health information. Additionally, PatientIQ can format the data collected to meet Registry specifications and submit the data on the participating organization's behalf.

View the PatientIQ FAQs page.

 

Traditional Submission Options

While participation through PatientIQ is encouraged, participating sites may also submit data utilizing an AAOS Registry Program Authorized Vendor.

 

Submission Best Practices

Data submission best practices include:

  • Submitting data monthly
  • Consulting with your site’s IT team to set up automated reports
  • Monitoring data submission uploads and addressing errors

For more information about SER data submission, click here.

Read about the data submitted to the SER in the SER Annual Report.

SER Supporters

View information about SER's supporters here.

SER Leadership

The SER Steering Committee is comprised of stakeholders from various specialty societies that are all vested in improving orthopaedic care. The SER Steering Committee members and the organizations they represent include:

  • Grant E. Garrigues, MD, FAAOS, Chair
    Midwest Orthopaedics at Rush
  • Carolyn M. Hettrich, MD, MPH, FAAOS, Vice Chair
    North County Orthopaedics
  • Oke A. Anakwenze, MD, MBA, FAAOS
    Duke University Hospital
  • Peter N. Chalmers, MD, FAAOS
    University of Utah
  • Mark T. Dillon, MD, FAAOS
    Indiana University Health
  • Claude Jarrett, MD, FAAOS
    Wilmington Health Orthopaedics and Sports Medicine
  • John E. Kuhn, MD, FAAOS
    Vanderbilt University Medical Center
  • Mariano Menendez, MD
    UC Davis 
  • Joaquin Sanchez-Sotelo, MD, FAAOS
    Mayo Clinic
  • Samuel A. Taylor, MD, FAAOS
    Hospital for Special Surgery
  • Stephen C. Weber, MD, FAAOS
    The Johns Hopkins School of Medicine