Stop By and See Us at the AJRR Booth at the 2015 AAHKS Annual Meeting
We will be in attendance at the 2015 AAHKS Annual Meeting in Dallas, Texas at the Sheraton Dallas Hotel from November 5-8. Our staff will be on site at booth E to answer all your questions about joining the only National Registry!
At our booth, staff will be providing copies of our "hot off the press" 2014 Annual Report and explaining our new Level III patient-reported outcome measurement system. Staff will be available to meet with you one-on-one to answer any questions you may have. To set up a specific time to meet with a Program Coordinator, please contact Erik Michalesko at
Be sure to stop by if you are attending the meeting!
AJRR Second Annual Report on Hip and Knee Arthroplasty
We are releasing our 2014 Annual Report on Hip and Knee Arthroplasty Data at the 2015 American Association of Hip and Knee Surgeons Annual Meeting on November 6 in Dallas.
The report consists of data from 236 institutions representing 45 states. Procedural results and component metrics are included in the report, along with recent our accomplishments like the release of a pilot program for the submission of Level II patient data. Level II data addresses co-morbidities and complications, and reporting measures for the submission of this information will be improved in the future.
Our goal is to capture over 90 percent of all hip and knee replacement procedures performed in the US. There has been a 164 percent increase in procedures collected by us since the 2013 Annual Report. With the ongoing support of orthopaedic stakeholders, this dream will soon be reached.
Learn more about the 2014 Annual Report and download your free copy beginning on November 6 at the website.
Surgeon Champion Passes Away
Dr. Daniel Adair
We are saddened to hear the news of the unexpected passing of one of our Surgeon Champions, Dr. Daniel Adair, on September 7. He was Medical Director of Orthopedic Services at Memorial Medical Center, Co-Director of the Orthopedic Group at Springfield Clinic, and Co-Medical Director at SportsCare of Illinois. Dr. Adair was an early advocate for our Registry, as Memorial Medical Center was one of the first hospitals to sign up with us, in March of 2012. Dr. Adair encouraged active collaboration with our staff, supporting our Level II pilot program and other initiatives throughout our first few years. He also was the first person to nominate one of his staff, Jennifer Perkins, for Champion of the Quarter. We will miss his enthusiasm for our work, and extend our condolences to his family and colleagues.
Arthroplasty Today Becomes the Official Journal of the AJRR
AJRR Chair Daniel Berry, MD, has announced that starting in December, Arthroplasty Today will become the official journal of the AJRR. Arthroplasty Today is published by AAHKS, and is released every few months. This decision is supported by both sides, and will lead to collaboration in the future. Each year, the December issue of Arthroplasty Today will publish our Annual Report findings, and each June issue is planned to feature an original research article using our data. For more information on Arthroplasty Today, click here.

We Meet Guidelines in Audit, Making Our Data Useable for All Purposes
In the spring of 2015, we contracted with West Virginia Medical Institute (WVMI) to audit a sample of our 2014 data (i.e., N=12 (5%) hospitals that submitted 2014 data to us). Both WMVI and us undertook an effort to obtain 40 procedure files from the 12 randomly selected hospitals (which reflected at least 80% power). The hospitals represented urban, rural, small, and large locations (as classified by the American Hospital Association). The audit reviewed two aspects of data submission: (1) a medical record review - among a random sample of 40 procedures, to ensure that data submitted to us correctly reflected the data in the hospital medical records; and (2) a record completeness assessment - among data submitted to us for a given month, to ensure that we received all procedures performed at that hospital (i.e., review of "cherry picking"). The audit project was completed in early August 2015. 
In summary, the overall audit agreement rate for the medical record review was 91.5%. This compares to and is consistent with the score of 92.3% from the audit of 2013 data. The overall record completeness assessment rate was 85.3%, up from 77.6% last year. In regards to the record completeness assessment rate, there were no similarities or trends observed to suggest a reason for these records not having been submitted to us. Likewise, there were no abnormal observations to suggest any "cherry picking" of records for non-submission on the part of hospitals. Both the overall audit agreement rate and the record completeness assessment rate met WMVI's guidelines for the highest Agreement Category of Acceptable, which means the data may be used for all purposes.

We currently have 579 participating hospitals in all 50 states! Click here for a full list of all participating sites.

The Register is the official newsletter of the American Joint Replacement Registry serving to connect the orthopaedic community. For questions, comments, or concerns, please contact Erik Michalesko, Marketing and Communications Specialist at

The Register editor: Erik Michalesko
Contributing authors: Lori Boukas, September Cahue, MPH, Caryn Etkin, PhD, MPH.

2015. All rights reserved.