July 2016

This quarter, we would like to recognize Dr. John Tongue from Legacy Health System in Oregon, and Ms. Cheryl Dykstra from National Surgical Healthcare, Inc. in Chicago, IL.

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john formalDr. John Tongue is an Adjunct Associate Professor at Oregon Health & Science University in Portland, and is the President of Cascade Orthoaedic Group, a private practice in Tualatin, OR. Dr. Tongue has served as the President of the American Academy of Orthopaedic Surgeons (AAOS), North Pacific Orthopaedic Society, Oregon Association of Orthopaedists, and the Western Orthopaedic Association. He also serves as a trustee for the Orthopaedic Research and Education Foundation (OREF), and is a member of the American Association of Hip and Knee Surgeons (AAHKS). Dr. Tongue writes reviews for three journals, and teaches AAOS Communication Skills Workshops across the country.

 Q: Do you enjoy working with AJRR staff? If yes, why?

A: Yes, I've collaborated with AJRR Medical Director Dr. David Lewallen on many projects over the years. He's a great 'idea guy' and an innovative thinker. Last fall I realized that Legacy Health System's five hospitals still had not joined the Registry. I arranged for Dr. Lewallen to speak at our Oregon state meeting, and then with Legacy's decision-makers in Portland. He did a masterful job, addressing everyone's issues and skepticisms. That session led to our Legacy hospitals finally choosing to sign AJRR contracts.

Q: What do you like most about AJRR?

A: I've been a proponent for all registries for a long time now. I have followed the difficulties posed by our U.S. legal system that initially slowed development of AJRR. Perseverance by our leaders and the lessons learned from registries in England and Australia have had finally given us 'critical mass' to accelerate our registry development. It's essential to have this type of health care data, especially with the Centers for Medicare & Medicaid Services (CMS) and other payers demanding quality initiatives.

Q: What is the best vacation you've been on?

A: The best vacation I've ever been on was Africa with other orthopaedic leaders for meetings, safari camps, and game drives, as well exploring cities like Cape Town. On the first trip our son and his wife were able to join us; that was probably the best trip.

Q: If Hollywood made a movie about your life, who would you like to see cast as you?

A: Whoever my wife Nancy says she likes best. She would probably go for either Robert Redford or Tom Hanks.

Q: Tell us something about yourself that would surprise us.

A: I love water, and live by a beautiful lake near Portland. I've been a flat water canoe racer, white water kayaker, and am an avid fly fisherman. I'm also swimmer, but Nancy swims circles around me. Oregon lakes and streams are some of the perks of living in the Great Northwest.

Q: If you could pass on one piece of information to a new AJRR participant, what would it be?

A: People's initial reaction to change is often skepticism or just plain "no." They find a reason to disagree. If you're sold on the value of the AJRR's research and data, and want your hospital to join, you have to be persistent. This isn't an easy process; it may take 6-8 months or more. Multiple groups within each hospital need to buy in. The benefits are clear, but the choice to actively participate requires a surgeon to step up and be an AJRR champion.

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Cheryl-Dykstra-ProfMs. Cheryl Dykstra is the Director of Information Systems Applications at National Surgical Healthcare, Inc. in Chicago, IL. She coordinates the main electronic records operations in 11 surgical facilities across the country. Ms. Dykstra has a team at the corporate level, but also works with employees at the hospital level. She is responsible for educating, providing resources, giving standards, and laying out a roadmap for these 11 institutions. Her favorite aspect of her job is that she gets to talk to people from all over the United States; she isn't confined to one city or region. She also enjoys her commute; by taking the "L" train to work in the Chicago Loop, she is able to multitask and read or check emails. Ms. Dykstra has been working with National Surgical Healthcare, Inc. for three years.

 Q: Are you still involved with AJRR participation and data submission? If so, what is your role?

A: We're still getting the last facilities at National Surgical Healthcare, Inc. up and running with the Registry, so I've been working with sites and answering any questions they may have about data submission. Some of the work has been taken over by on-site employees, but I still act as a resource to these new AJRR participants.

Q: What do you like most about AJRR?

A: The best part about AJRR is that they are a very thorough company. Everything is written down; there are guides and documents for the major processes, which makes things very easy to follow.

Q: If Hollywood made a movie about your life, who would you like to see cast as you?

A: I would like Sigourney Weaver to be cast as me. She plays smart, strong women, and I would like to think that that's how people see me.

Q: Tell us something about yourself that would surprise us.

A: I play the bass clarinet in two concert bands. I also used to be in a marching band, but I had to give that up.

Q: What is your favorite movie or book?

A: My favorite book series is Outlander. I recently started watching the Outlander TV show as well; I appreciate the Scottish history in the story. If I had to choose a movie, I would go with Victor Victoria, starring Julie Andrews. I like all of her work.

Q: If you could pass on one piece of information to a new AJRR participant, what would it be?

A: Make sure that you read all of the materials that AJRR provides. There may be certain Registry processes that seem unintuitive that are explained in a guide featured on their website.

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The Register

June 2017

June Register 2017

Read Online

#3: 2016 Annual Report

Annual-Report-Cover-2016

Download the Annual Report

AJRR 2016 Annual Report Figures PowerPoint