Registry Platform Drives Quality with Patient Risk Factor Data

AJRR participants can now submit Level II data

Rosemont, Ill. - March 14, 2017 - The American Joint Replacement Registry (AJRR), the Registry for the collection of hip and knee replacement data, has released new data specifications that allow for health care institutions to collect and report on patient risk factors, comorbidities, and complications data. This data is known as Level II, and is either required or recommended by several federal and state quality initiatives. The addition of Level II completes our dataset, and gives Registry participants risk adjusted data that they can use to determine survivorship curves.

"The ability to analyze patient risk factors is essential to the AJRR's mission to improve orthopaedic care," said Daniel J. Berry, MD, AJRR board of directors chair. "Level II data introduces many variables that health care providers may consider when planning for surgery. Surgeons will be able to utilize this new data to better inform their decisions, and our ability to risk adjust will allow for their findings to not be misconstrued."

Risk adjustment controls for diseases, conditions, and other patient characteristics that vary from hospital to hospital and may cause surgical outcomes to vary. There may be circumstances beyond the provider's and hospital's control that may impact the patient's surgical results and how hospitals are viewed when taking care of complex cases. Risk adjustment allows for a "leveling" of the playing field across all patients regardless of comorbidities, or the existence of two conditions or diseases in a patient.

The new specifications also include expanded Level I procedural data elements and modified Level III patient-reported outcomes data elements that provide a template for the Centers for Medicare & Medicaid Services' (CMS') Comprehensive Care for Joint Replacement (CJR) model. AJRR is now able to help with both the patient-reported outcome and risk assessment elements of CJR. CJR and many other quality initiatives offer payment incentives to providers based on a composite score, so increasing an institution's score is significant to the institution and their patients.

"As orthopaedics continues to stress the importance of quality, the AJRR continues to evolve to meet our participants' needs," continued Dr. Berry. "Initiatives and bundled payments are one of many factors that influence the actions that health care providers engage in. Our Registry platform provides an avenue for surgeons and other hosptial staff to meet these programs' requirements while also giving a deeper, more exact view of patient outcomes."

For more information on the AJRR's new data specifications, click here.