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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)

 

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, MsTR, and SER

Collaborative Registry: ASR

 

Informing Orthopaedic Practice: AAOS Registry Program sites can compare their data to national benchmarks for every metric of data submitted, 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, MsTR, and SER

Collaborative Registry: ASR

 

Accreditation Association for Ambulatory Health Care (AAAHC) Advanced Orthopaedic Certification: AAAHC requires accredited ambulatory surgery centers (ASCs) to collect and submit performance measures to a nationally recognized specialty registry. Sites can receive advanced certification for total joint or complex spine or pursue a combined certification for both specialties.

AAOS Registry: AJRR

Collaborative Registry: ASR

 

Aetna Institutes of Quality (IOQ) Orthopaedic Surgery: Effective January 1, 2020, The Joint Commission will provide 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 & Germanischer Lloyd (DNV GL).

AAOS Registry: AJRR

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.

Collaborative 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.

AAOS Registries: AJRR, MsTR, and SER

Collaborative Registry: ASR

 

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 GL.

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

 

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

 

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 Qualfied Clinical Data Registry (QCDR), participation counts toward the QPP.

AAOS Registries: AJRR, MsTR, and SER

Collaborative Registry: ASR

 

CMS Bundled Payments for Care Improvement Advanced (BPCI-A): Starting in 2021, registry participation counts as an alternative reporting toward BPCI-A, an Advanced Alternative Payment Model (APM) under MIPS.

AAOS Registries: AJRR, 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

 

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

AAOS Registries: AJRR, MsTR, and SER

Collaborative Registry: ASR

 

Cigna Surgical Treatment Support Program: 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 Surgical Treatment Support Program also participate in and submit data to the AJRR as a quality metric.

AAOS Registry: AJRR

 

DNV GL Orthopaedic Center of Excellence: DNV GL 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 and SER

Collaborative Registry: ASR

 

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

 

The Joint Commission Advanced Certification for THKR: Effective July 1, 2019, AJRR became the sole pathway for meeting the registry requirement for The Joint Commission Advanced Certification for THKR. Visit this link for FAQs.

AAOS Registry: AJRR

 

 

To see the AAOS Orthopaedic Quality Resource Center CMS-approved 2020 QCDR Measure Specifications, click here.