Registry data can help meet 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.
Certifications & Continuing Education
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.
Registries: AJRR, 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.
Registries: AJRR, FTR, MsTR, SER, ASR
Det Norske Veritas (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.
Registries: AJRR, FTR, SER, ASR
The Joint Commission Advanced Certification in Spine Surgery (ACSS): Participation in the ASR is needed to meet the certification’s registry requirement and facilitate the calculation of performance measures. View resources that can support sites with the registry requirement of the certification process here.
Registry: ASR
The Joint Commission Advanced Total Hip and Knee Replacement (THKR) Certification: Effective July 1, 2019, AJRR became the sole pathway for meeting the registry requirement for The Joint Commission Advanced THKR Certification. View the resources we developed to support sites with the registry requirement of the certification process here.
Registry: AJRR
Payer Quality Programs
Aetna Institutes of Quality (IOQ) Orthopaedic Surgery: The Joint Commission provides the IOQ quality review for Aetna’s THKR surgery program. To maintain IOQ designation, sites must achieve The Joint Commission Advanced THKR Certification, for which AJRR is the registry requirement. ASR participants can receive this designation through accreditation from DNV Healthcare.
Registries: AJRR, ASR
Blue Cross Blue Shield Blue Distinction® Specialty Care: Starting with the 2025 Blue Distinction application cycle, AJRR and ASR are pathways for reporting performance measure data to BCBS. Future application cycles will require participation in the respective anatomic registry to be considered for designation.
Registries: AJRR, 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.
Registry: AJRR
Centers for Medicare & Medicaid Services (CMS) Inpatient Quality Reporting (IQR) Patient-reported Outcomes Performance Measure (PRO-PM): Registry participants can track the IQR PRO-PM requirements in the AAOS RegistryInsights IQR report. Participants can also elect to have AJRR report the measure data on their behalf to CMS.
Registry: AJRR
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.
Registries: AJRR, FTR, MsTR, SER, 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).
Registries: AJRR, FTR, MsTR, SER, ASR
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 part of its quality review.
Registry: AJRR
Cohere Prior Authorization Program: Cohere is a digital health company developing a collaboration platform for digital prior authorizations. This collaboration allows AJRR participants to track their performance against key quality metrics and consent to send aggregate measure data to Cohere. Participants will receive the benefit of reduced administrative burden for their prior authorization submissions. Highest performers will benefit from greenlighting (full waiver of their prior authorizations), determined on an annual basis. This program is specific to Humana patients currently, with planned Cohere expansion to other payers in the future.
Registry: AJRR
State-specific Collaborations
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.
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.
Registry: AJRR