CJRR is pleased to provide you with information and news you can use
pertaining to your participation in the Registry.
 James I. Huddleston, III, MD
CJRR Medical Director
Letter from CJRR's Medical Director

Change is on the horizon for the California Joint Replacement Registry (CJRR). Formal plans for completing the merger of operations with the American Joint Replacement Registry (AJRR) were approved by the AJRR Board of Directors at their Board meeting in Rosemont, IL, on July 15. Shortly after the Board meeting, all CJRR hospitals received written notification outlining the details of the plan. All hospitals will receive phone calls from AJRR Program Coordinator Phil Dwyer over the next two weeks to answer any questions. He will be the day-to-day support now. We will also hold a webinar on September 14 at 10:00 a.m. Pacific Time to address any outstanding issues. If you are unable to attend, a recording will be made available afterwards. To register for the webinar, please visit the AJRR website.
There will be only minor changes to the infrastructure required for data transfer. In the near future, hospitals will have access to their data via real-time dashboards instead of quarterly reports. When the funding from the California Health Care Foundation (CHCF) stops at the end of 2016, hospitals will be asked to pay fees similar to the current fees paid by AJRR's participating institutions; however, all CJRR hospitals will have the configuration fee waived. All AJRR hospitals will eventually be migrated over to the Ortech Systems data platform currently used by CJRR. The normal operations of CJRR will remain essentially unchanged from how they have been since the merger with AJRR was announced on April 1, 2015. This will allow CJRR to continue support its stakeholders in California-specific projects.
Six institutions are actively submitting data to the Center for Outcomes Research and Evaluation (CORE) at Yale University. These six institutions will provide an adequate volume of data to allow for proper analysis of the various factors that may influence changes in patient-reported outcomes (PROs). Thank you to the Hoag Orthopedic Institute, University of California, San Francisco, Stanford Health Care, Eisenhower Medical Center, John Muir Medical Center, Walnut Creek, and John Muir Medical Center, Concord, for their leadership in this important project.
CJRR and the California Orthopaedic Association (COA) continue our discussions with Blue Shield of California regarding obtaining exemptions from their pre-authorization process for surgeons who work at CJRR hospitals. The change to HOOS, JR. and KOOS, JR. has been approved, and will be implemented shortly. We will also offer a three-question tool on shared decision-making in the near future.
Please mark your calendars for our next annual meeting to be held in-person, in conjunction with the annual meeting of the International Society of Arthroplasty Registers (ISAR) on May 20-22, 2017, in San Francisco. We are looking forward to this exciting event!
If you have any questions, please do not hesitate to contact Phil Dwyer at dwyer@ajrr.net or 847-430-5042. AJRR Program Assistant Ms. Monica Moore works in the California region as well, and can be reached at moore@ajrr.net or 847-430-5147.

James I. Huddleston, III, MD
The Finalized AJRR Merging Details
Jeffrey P. Knezovich, CAE

AJRR Executive Director

As Dr. Huddleston mentioned in the letter above, the details of the AJRR and CJRR merger were decided upon by the AJRR Board of Directors. The CJRR will be fully transitioned into the AJRR on January 1, 2017. Although there will be changes to the governance structure, operations, and technology of CJRR, we will be working to make the merge as seamless as possible.
Starting January 1, the governance of the CJRR will be fully integrated into the AJRR in the form of a standing committee by way of the AJRR bylaws. The chairman of the standing committee will be the CJRR Medical Director James I. Huddleston, III, MD. Eight additional committee members will be appointed by the AJRR Board of Directors, not including the AJRR Ex-officio, who will take part in committee operations. The appointments of committee members will be controlled by the AJRR, and all committee operations will be managed according to AJRR policies. Funding for the committee will be provided by the AJRR. As Dr. Huddleston said, the California Health Care Foundation (CHCF) will no longer be donating money in the form of grants for any CJRR operations.
Along with the current AJRR participants being transferred over to the Ortech Systems CJRR platform, AJRR is planning several enhancements and upgrades to support quality initiatives. We will be introducing a more robust dashboard reporting and analytics tool to all licensed Registry participants. It is expected for this work to be completed by January 2017.

If any changes occur in the next few months that impact your operations, we will be sure to let you know. We'll be in touch with you through regular communications, webinars, the new AJRR User Group Forum, and of course, The Golden Register. I look forward to your institution continuing to improve orthopaedic care as a participant in the AJRR.
With kind regards,
Jeff Knezovich, CAE
Executive Director

P.S. If you are a surgeon from a CJRR hospital, you have the ability to volunteer on a committee that focuses on Registry issues in the state of California. If you would like to volunteer for a term or have any input into the future direction of the committee, please contact Dr. Huddleston at jamesh3@stanford.edu. Your input and contributions are greatly appreciated.
Welcome to the CJRR, Stefano Bini, MD

Stefano Bini, MD
Dr. Huddleston would like to formally welcome Stefano Bini, MD, to the CJRR team. Dr. Bini is a Professor of Clinical Orthopaedics at University of California, San Francisco (UCSF). He will serve on the CJRR Central Reporting Committee as well as the California Data Use Group (CDUG).
Although Dr. Bini was born in Italy, he was raised in Australia. He completed a BA at Stanford University and received his MD from Columbia University's College of Physician and Surgeons. After finishing his residency at UCSF, Dr. Bini received another MD at the University of Florence in Italy. He has held many positions of leadership over the years; he is currently on the Board of the Biomedical Engineering Committee for the American Academy of Orthopedic Surgeons (AAOS), and is the Chair of the International Committee for the American Association of Hip and Knee Surgeons (AAHKS). Dr. Bini reviews several major journals in the field of orthopaedics and is the associate editor of Arthroplasty Today, the official journal of the AJRR.
Dr. Bini has received many awards throughout his career, including the San Francisco Orthopedic Residency Program Teaching Award, the National Kaiser Permanent James Vohs Award for Quality, the Permanente Medical Group Award for Outstanding Planning of Physician Education, and the James O. Johnston Award for Excellence in Orthopedic Research, Leadership, and Resident Training. The CJRR and CDUG look forward to working with him in the coming months.
CJRR Annual Report Update

We have completed our data analysis for the next CJRR Annual Report that will be released in November. As of July 1, 2016, 192 surgeons at 32 hospitals have submitted data on 27,116 primary and revision hip and knee replacements. This represents approximately 10-15% of the statewide volume of these procedures. Twelve additional hospitals have expressed interest in joining CJRR and are at various stages of the on-boarding process. Hospitals will be receiving their confidential star ratings for patient-reported outcomes by the end of the month.

2017 ISAR Annual Meeting to be Held in San Francisco

The International Society of Arthroplasty Registries (ISAR) holds an annual meeting each year called the International Congress of Arthroplasty Registries. The 2017 meeting will be held on May 20-22, at the Parc 55 San Francisco - A Hilton Hotel, in San Francisco, CA. This will also be the location of the CJRR Annual Meeting. 

Surgeons and other staff members from CJRR hospitals are encouraged to attend the ISAR annual meeting, as it provides a broader perspective of the orthopaedic registry world. Representatives from both CJRR and AJRR present and bring posters each year.

Visit the ISAR website for more information. Meeting registration will be available in the fall. The AJRR website has links to posters from past meetings.

California Joint Replacement Registry is Affiliated with the American Joint Replacement Registry
www.ajrr.net/cjrr | 847-292-0530

CJRR - Affiliated with the American Joint Replacement Registry | 9400 West Higgins Road | Suite 210 | Rosemont | IL | 60018