Can I Start a PRO Program at my ASC
Currently, AJRR enrolls mainly hospitals into the Registry because total joint arthroplasties are primarily performed in hospital settings, and therefore data regarding the procedure is collected and warehoused in the hospital’s EHR system or other hospital systems (e.g., operating room or service line). As total joint arthroplasty procedures are increasingly performed in other settings, such as ambulatory surgical centers (ASCs), the Registry has begun to enroll ASCs. AJRR also enrolls private practice groups, which will provide opportunities to capture pre- and post-op data elements not contained in hospitals’ EHRs. AJRR assumes that most PRO data collection will happen at the clinic level, which could be owned by the hospital or a private practice group. Hence, it will be important for practice groups and hospitals or ASCs to have dialogue regarding this type of initiative and how they may collaborate on this effort.
This dialogue is critical to successful implementation of the CJR bundled payment initiative as well. All providers (i.e., hospitals, ASCs, and surgeons) who participate in the Registry will have access to their own specific outcome data and de-identified, aggregate national benchmarks.