THE REGISTERWINTER 2014 ■ www.ajrr.net

Official Newsletter of the American Joint Replacement

Registry

CO

NTE

NTS Happy New Year!

Champions of the QuarterAJRR’s Newest ParticipantsBreaking NewsPublications of InterestRegistry Highlights

p. 3p. 4p. 4p. 5 p. 6p. 7

Upcoming EventsTestimonialsNew StaffLevel 2 | 3 Pilot Project Update AJRR Participating Hospitals

p. 8 p. 8 p. 8p. 9

p. 10

The Water Tower, Chicago, IL

William J. Maloney, MD Chair, AAOS RepresentativeTerence J. Gioe, MD Vice-Chair, Knee Society RepresentativeSteven H. Stern, MD, MBA Secretary|Treasurer, Payer RepresentativeEric Rugo, MBA Industry RepresentativeDaniel J. Berry, MD Hip Society Representative Robert L. Krebbs, BA Payer RepresentativeGregory B. Krivchenia, II, MD AAOS RepresentativeKristen Murtos, MBA American Hospital Association RepresentativeColin Nelson, BA Patient|Public RepresentativePamela L. Plouhar, PhD Industry RepresentativeE. Anthony Rankin, MD AAOS RepresentativeScott M. Sporer, MD AAOS RepresentativeBryan D. Springer, MD AAHKS Representative

AJRR Board of Directors

Jeffrey Knezovich, CAE Executive DirectorDavid G. Lewallen, MD Medical DirectorRandolph Meinzer Director of Information TechnologyCaryn Etkin, PhD, MPH Director of AnalyticsSeptember Cahue, MPH Senior Registry AnalystAhmad Fathi IT Data TechnicianSteve Hamada Senior Software EngineerSusan Hobson, MPH Senior Registry AnalystMatthew Timmers Program Advancement AssociateHannelore Venable Administrative Assistant

AJRR Staff

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2013 ContributorsThe AJRR would like to thank our 2013 contributors for their support.

■ The AJRR has promotional materials for participantsWe have developed a few items which hospitals may use to promote their collaboration with AJRR. We are happy to provide an “AJRR Participant” logo for use on brochures, newsletters, or websites. We also have a template press release which you are free to tailor for your Surgeon Champion and local community. If you did not receive those materials, but would like to use them as your participating hospital, please contact Caryn Etkin at 847-430-5032 or etkin@ajrr.net.

Did You Know?■ The AJRR has a Hospital Reporting and Dashbord Video DemonstrationThe link below provides a demonstration of the AJRR reporting dashboards. The dashboards and reports are intended to provide our participants with quality metrics that can be used for a vari-ety of improvement efforts. The reports and dashboards shown will be continuously improved over time with input from our stakeholders. http://www.youtube.com/watch?v=-TYnEYkVE28

■ The AJRR has a ListservIf you are interested in joining a user group listserv, please con-tact us at info@ajrr.net and we’ll sign you up.

As mentioned in our Fall 2013 edition of The Register, the terms of some of our Board of Directors came to an end on December 31, 2013. We appreciate the support and dedication of Thomas C. Barber, MD; Kevin J. Bozic, MD, MBA; Catherine H. MacLean, MD, PhD; J. Wesley Mesko, MD; and Patience H. White, MD, MA. Starting January 1, 2014, we welcomed five new Board members: Robert L. Krebbs, BA; Gregory B. Krivchenia, II, MD; Colin Nelson, BA; Scott M. Sporer, MD; and Bryan D. Springer, MD.

Nominated by America’s Health Insurance Plans as our second payer representative, Robert Krebbs is Director, Payment Innovation at WellPoint. In his position, he has accountability for the design, development, and rollout of value-based payment initiatives. Mr. Krebbs’ responsib-ilities include the management and oversight of the award winning Quality-In-Sights®: Hospital Incentive Program (Q-HIP®) and the facilitation of WellPoint’s Hospital National Advisory Panel. His work has led to collaboration with multiple clinical registries and the integration of clinical registry data into value-based payment solutions for both physicians and facilities. Most recently, he has been focused on leading the development of medical neighborhood programs at WellPoint aimed at aligning with the American College of Physician’s Patient-Centered Med-ical Home Neighbor (PCMH-N) concept.

As one of our two representatives of the American Academy of Orthopaedic Surgeons (AAOS), Dr. Greg Krivchenia is with First Settlement Orthopaedics, a private practice in the mid-Ohio Valley. He is a graduate of the University of Cincinnati College of Medicine, where he also completed his residency in orthopaedic surgery. He is an active member of both local and state medical societies in Ohio and West Virginia, and is past President of the West Virginia Academy of Medicine. He currently serves as a representative to the AAOS Board of Councilors for the West Virginia Orthopaedic Society.

Colin Nelson, the new Chairman of AJRR’s Public Advisory Board (PAB), is Senior Research Associate at the Informed Medical Decisions Foundation, where he oversees a portfolio of shared decision-making programs in orthopaedics and spine care. His responsibilities include synthesizing medical research and translating it into clear, evidence-based materials for patients so they can make informed decisions about their health. He is a member of the Medicare Evidence Development and Coverage Advisory Committee and associate editor of The BackLetter. Mr. Nelson’s award-winning writing for health care providers and the general public has appeared on sites such as CNN.com, WebMD, MedPage Today, and AOL Health. For ten years, he was editor of the newsletters Bone & Joint and Sports Medicine Digest. He holds a BA from Williams College.

Our other new representative from AAOS is Dr. Scott Sporer. He holds an academic appoint-ment at the rank of Associate Professor of Orthopaedic Surgery at Rush University Medical Center (RUMC) in Chicago and is the Co-Director of the Joint Replacement Institute at Cadence Health. He attended medical school at The University of Iowa before finishing his orthopaedic residency training at Dartmouth-Hitchcock Medical Center. He completed a fellowship in adult reconstruction at RUMC and currently has a clinical practice focusing on primary and revision hip and knee arthroplasty. His strong interest in clinical outcomes research led him to complete a master’s program at Dartmouth College in the evaluative clinical sciences.

by Caryn EtkinHappy New Year!

3

Scott M. Sporer, MD

Colin Nelson, BA

Gregory B. Krivchenia, II, MD

Robert L. Krebbs, BA

Story continued on page 7

Our Champions this quarter are George F. Chimento, MD, Sec-tion Head of Adult Reconstruction and Joint Replacement at Ochsner Health System in New Orleans and Kevin Meek, RN, BA, MHI, Chief Nursing Officer at OASIS Hospital in Phoenix.

Dr. Chimento is the Section Head of Adult Reconstruction and Joint Replacement at Och-sner. Ochsner’s main hospital, Ochnser Medical Center, joined the AJRR in mid-2012 and three additional Ochsner hospitals joined AJRR a year later, all under his guidance. Ochsner also plans to participate in our Level 2/Level 3 pilot program. Their participation will be extremely valuable to us. Dr. Chimento graduated from Georgetown University School of Medicine in 1990, going on to complete his internship and residency at Tulane University Medical Cen-

ter. Following residency, he served four years in the U.S. Air Force at Barksdale Air Force Base. Upon completion of his Air Force com-mitment, Dr. Chimento became a fellow at the Hospital for Special Surgery in New York City. He spent 5 years in private practice in the New Orleans area, and joined Ochsner in 2006.

Kevin Meek, RN-BSN, BA, MHI, is the Chief Nursing Officer at OASIS Hospital in Phoenix, AZ. Kevin led OASIS through a seamless and quick enrollment and data submission process. Given Kevin’s dedication to OASIS’s participation in the registry, he facilitated OASIS’s participa-tion in our Level 2/Level 3 pilot program. Prior to his work at OASIS, Kevin worked on ambulances as an EMT for many years, he continued his career in health care by becoming an RN. His experiences include Trauma ICU, Emergency Room, Trauma Room, and Post-Surgical units. He has been an advoc-ate for patients and their families as a bedside RN, as well as an advoc-ate for his staff as a Charge Nurse, Director, and now Chief Nursing Officer. Kevin completed his Master of Healthcare Innovation degree from Arizona State University, and is one of a small few in the nation to have this degree.

by Susan HobsonChampions of the Quarter

AJRR’s Newest Participants

• Bluffton Regional Medical Center• Centegra Hospital - McHenry

• Centegra Hospital - Woodstock• Central DuPage Hospital

• Delnor Community Hospital• Dukes Memorial Hospital

• Dupont Hospital• EvergreenHealth Medical Center

• FirstHealth Moore Regional Hospital (NC)• Henry Ford Macomb Hospital

• Hospital of the University of Pennsylvania• Kadlec Regional Medical Center• Kosciusko Community Hospital• Lakeview Medical Center (WI)

• Lutheran Hospital (IN)• Memorial Medical Center (WI)• Northwest Medical Center (AZ)

• OASIS Hospital• The Orthopedic Hospital (IN)

• Pali Momi Medical Center• Penn Presbyterian Medical Center

• Penn State Milton S. Hershey Medical Center

• Pennsylvania Hospital• River Oaks Hospital (MS)

• Steward Holy Family Hospital• St. Joseph Hospital (IN)St. Mary’s Hospital (MN)

• Straub Clinic and Hospital• WellSpan Gettysburg Hospital

• WellSpan Surgery and Rehabilitation Hospital

• WellSpan York Hospital• Wilcox Memorial Hospital

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George F. Chimento, MDOchsner Health System

Kevin Meek , RN, BA, MHIOASIS Hospital

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Breaking News!

On November 18-19, 2013, AJRR Executive Director, Jeff Knezovich, attended the United States Bone and Joint Initiative’s (USBJI’s) “Best Practices in Patient-Centered Musculoskeletal Care Summit” in Washington DC. USBJI is a multi-disciplinary ini-tiative targeting the care of people with musculoskeletal conditions – bone and joint disorders. The summit provided an opportunity for stakeholders to collaborate on recommendations on patient care and delivery systems for people with musculoskeletal conditions. A special breakout session brought together the stakeholders who are advancing the idea of a national registry system. The AJRR was able to discuss its beginnings with an attentive audience.

On November 20, 2013, AJRR Executive Director, Jeff Knezovich, and Director of Analytics, Caryn Etkin, attended a meeting of the National Quality Research Network (NQRN). The NQRN, sponsored by the American Medical Association, is a network of private and public registries and other stakeholders interested in advancing registries to measure and improve patient outcomes. The meeting was intended to discuss the NQRN’s registry maturational framework.

Currently in its third year, Operation Walk USA is an independent medical charitable organization that provides free joint replacement surgery to patients who don’t qualify for government assistance and have no insurance. More than 120 volunteer orthopaedic surgeons and 70 participating hospitals in 32 states – from Arkansas to Alaska – conduc-ted over 200 surgeries December 2-7, 2013, a timely way right before the holidays for orthopaedic surgeons to give back to patients and help improve their quality of life. AJRR is pleased to once again assist Operation Walk USA with data collection and analysis on their patients. To find a list of participating orthopaedic surgeons and cities, visit www.opwalkusa.com, or follow Operation Walk USA on Facebook.

On December 3, 2013, The Joint Commission again sponsored a webinar to provide their constituents an update on AJRR’s 2013 progress and 2014 plans. AJRR Board of Directors member E. Anthony Rankin, MD, and AJRR Direct-ors facilitated a discussion for over 500 participants. Last year’s webinar proved to be a huge success for our marketing and outreach efforts, and we expect the recent webinar will be just as beneficial. Special thanks to Jean Range, Execut-ive Director, Certification Strategic Business Unit, Disease-Specific Care Certification and Bridget Chambers, Associ-ate Marketing Manager, Certification, for their support.

In 2013, The American Taxpayer Relief Act (ATRA) (Public Law 112-240) created an additional pathway for physi-cians to participate in the Physician Quality Reporting System (PQRS) and other value-based purchasing programs. Section 601(b) of ATRA recognizes the opportunity to leverage clinical data registries to measure and improve health care through a process whereby physicians participating in a Qualified Clinical Data Registry (QCDR) are “deemed” to have satisfied quality reporting requirements under PQRS and other Medicare quality improvement programs. The QCDR final rule with comment period was published in the Federal Register on December 10, 2013. AJRR, along with other members of the Physician Clinical Registry Coalition, are reviewing the final rule and providing comment to the Centers for Medicare & Medicaid Services (CMS).

On January 17, 2014, AJRR will have a meeting in Washington, DC with CMS representatives. The purpose of the meeting is to gain insight on the type of registry data being sought by CMS. The new ruling is somewhat vague as to how we can protect individual PHI.

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Badawy M, Espehaug B, Indrekvam K, Engesæter LB, Havelin LI, Furnes O. Influence of hospital volume on revision rate after total knee arthroplasty with cement. J Bone Joint Surg Am. September 18, 2013; 95(18):e131 1-6. doi: 10.2106/JBJS.L.00943

Bini SA, Khatod M, Inacio MCS, Paxton EW. Same-day versus staged bilateral total knee arthroplasty poses no increase in complications in 6672 primary procedures. J Arthroplasty. December 20, 2013 [epub ahead of print]. doi:10.1016/j.arth.2012.09.009

Bozic KJ, Ward L, Vail TP, Maze M. Bundled payments in total joint arthroplasty: targeting opportunities for quality improvement and cost reduction. Clin Orthop Relat Res. January 2014; 472(1): 188-193. doi: 10.1007/s11999-013-3034-3

Devane P, Horne G, Gehling DJ. Oxford hip scores at 6 months and 5 years are associated with total hip revi-sion within the subsequent 2 years. Clin Orthop Relat Res. December 2013; 471(12): 3870–3874. doi: 10.1007/s11999-013-2880-3

Hunt LP, Ben-Shlomo Y, Clark EM, Dieppe P, Judge A, MacGregor AJ, Tobias JH, Vernon K, Blom AW. 90-Day mortality after 409 096 total hip replacements for osteoarthritis, from the National Joint Registry for England and Wales: A retrospective analysis. Lancet. September 28, 2013; 382(9898): 1097-1104.

Jameson SS, Mason J, Baker P, Gregg PJ, McMurtry IA, Deehan DJ, Reed MR. A comparison of surgical ap-proaches for primary hip replacement: A cohort study of patient reported outcome measures (PROMs) and early revision using linked national databases. J Ar-throplasty. December 6, 2013 [epub ahead of print]. doi: 10.1016/j.arth.2013.11.027

Jayatilaka MLT, Perry D, Cope MR. Accuracy of the na-tional joint registry data at a surgeon level: A compari-son of three years of data entry between the national joint registry and an individual surgeons e logbook. Bone Joint J. 2013; 95B(s27): 14.

Niemeläinen M, Skyttä ET, Remes V, Mäkelä K, Eske-linen A. Total knee arthroplasty with an uncemented trabecular metal tibial component: A registry-based analysis. J Arthroplasty. January 2014; 29(1): 57-60. doi: 10.1016/j.arth.2013.04.014

Niinimäki T, Eskelinen A, Ohtonen P, Puhto A-P, Mann BS, Leppilahti J. Total knee arthroplasty after high tibial osteotomy: A registry-based case–control study of 1,036 knees. Arch Orthop Trauma Surg. January 2014; 134 (1): 73-77. doi: 10.1007/s00402-013-1897-0

Peltola M, Malmivaara A, Paavola M. Learning curve for new technology?: A nationwide register-based study of 46,363 total knee arthroplasties. J Bone Joint Surg Am. December 4, 2013; 95(23):2097-2103. doi: 10.2106/JBJS.L.01296

Sadoghi P, Liebensteiner M, Agreiter M, Leithner A, Böhler N, Labek G. Revision surgery after total joint arthroplasty: A complication-based analysis us-ing worldwide arthroplasty registers. J Arthroplasty. September 2013; 28(8): 1329-1332. doi:10.1016/j.arth.2013.01.012

Sadoghi P, Leithner A, Labek G. Overcoming bound-aries of worldwide joint arthroplasty registers: The european arthroplasty register minimal dataset. J Arth-roplasty. September 2013; 28(8): 1327-1328. doi: 10.1016/j.arth.2013.02.023

Sarraf KM, Konan S, Pastides PS, Haddad FS, Oussedik S. Bone loss during revision of unicompartmental to total knee arthroplasty: An analysis of implanted poly-ethylene thickness from the National Joint Registry data. J Arthroplasty. October 2013; 28(9): 1571-1574. doi: 10.1016/j.arth.2013.02.003

Publications of Interest

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Does your hospital want Blue Distinction Recognition? Join the AJRR!The Blue Cross Blue Shield© Blue Distinction Centers® are part of a national designation program that recognizes

hospitals demonstrating expertise in delivering quality specialty care safely and effectively. There are six main specialty areas, including Blue Distinction Centers for Knee and Hip Replacement®. In order for a hospital to receive Blue Distinc-tion recognition, they have to meet a wide range of criteria concerning three major categories: cost, quality, and access. There are many standards and protocols which have to be implemented at the hospital in order to receive this recognition. These criteria can vary from being affiliated with accredited institutions, obtaining Health Information Technology (HIT) certification, Intensive Care Unit (ICU) Communication, to most importantly, submitting knee and hip replacement data to at least one national or multi-center registries or databases, such as the AJRR.

For more information on how a hospital can receive this recognition, please visit the Blue Cross Blue Shield Blue Dis-tinction link at http://www.bcbs.com/why-bcbs/blue-distinction/.

ArthroplastyWatchLaunched on February 1, 2013, ArthroplastyWatch is a unique, online

venue for information on joint implants. ArthroplastyWatch, located in Lund, Sweden, was developed throughout 2011-2012 as an information project with the purpose of collecting data on arthroplasty safety issues from a wide range of information sources on the Internet, and subsequently, disseminating information in one single, publicly accessible, channel. Via specially developed search engines, data is collected around the clock and then examined in several steps of medical and statistical expertise. Two levels of notification are used when there is the potential for a safety issue to occur and there is still uncertainty. The two levels are characterized as 1) caution is warranted, and 2) warning is declared when a safety issue is imminent or already occurring. The initiative includes a large number of inter-national arthroplasty experts, many of whom, such as AJRR Medical Director David Lewallen, MD, serve on the Arthro-plastyWatch scientific advisory board.

ArthroplastyWatch is supported by a grant from the Medical Faculty of Lund University, Sweden. Visit their site at http://www.arthroplastywatch.com.

Registry Highlightsby Caryn Etkin

Bryan D. Springer, MD

Happy New Year! Continued from page 3

Finally, Dr. Springer is our new representative from the American Association of Hip and Knee Surgeons (AAHKS). He completed his residency in orthopaedic surgery at the Mayo Clinic and his Fellowship in Adult Reconstruction of the Hip and Knee at the Harvard School of Medicine/Brigham and Women’s Hospital. He is currently an attending Orthopaedic Sur-geon at the OrthoCarolina Hip and Knee Center in Charlotte, NC, where he serves as Fellow-ship Director and helped to establish its electronic web-based total joint registry/database, which now includes data on over 20,000 total joint arthroplasties. In 2008, he was a John Insall Travelling Fellow. In 2013, Dr. Springer was selected as a member of the Knee Society and also was named by DePuy Synthes Joint Reconstruction and Orthopaedics Today as a member of Leaders in Total Joint Replacement: Generation Next.

We are excited to begin working with these new Board members and look forward to their valuable input and collaboration.

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Upcoming Events 2014

CALL FOR ABSTRACTS 3rd International Congress of

Arthroplasty RegistriesBoston, MA May 31-June 2, 2014

The submission of abstracts for the 3rd International Congress of Arthroplasty Re-gistries is now open. Deadline for abstracts: February 28, 2014.

The form for the submission of abstracts for podium/poster presentations and gen-eral information regarding the abstracts, conference registration, travel, and hotel arrangements can be found on the ISAR website — www.isarhome.org.

Don’t forget to take advantage of the early bird registration fee.

Testimonials

“Virginia Mason Medical Center has been participating in the AJRR since September 2012. The application pro-cess was easy, and the AJRR administrative and technical support staff were very helpful as we navigated through the contract and data submission requirements. We believe that participation in the AJRR is important in developing and maintaining a high-quality Joint Replacement program. We look forward to continu-ing to work with the AJRR on reporting quality metrics and outcome data.” — Sandy Ziegler, MBA, Director – Orthopaedic Surgery, Sports Medicine, Rheumatology, Virginia Mason Medical Center

“The current medical envir-onment in conjunction with the large increase in total joint arthroplasty in this country necessitates a na-tional joint registry, and we are proud to have become a member of the AJRR.” — Brock A. Lindsey, MD, Director, Musculoskeletal Research Laboratory, WVU Healthcare

In December, AJRR added our 9th staff member. Matthew Timmers is a

Program Advancement Associate, and the first staff member in our new Pro-

gram Advancement division. These staff will bear primary responsibility for recruitment and enroll-

ment of hospitals as our analytics team moves out of recruitment mode and in to the analysis and reporting of Registry data.

Matthew is a native of Harwood Heights, IL. He is a 2012 graduate of the University of Illinois at Urbana-Champaign, where he earned a BS in Health Planning and Ad-ministration. While at the University of Illinois, he worked with the Director of Wellness and Sports Medicine at Carle Hospital. From 2012-2013, he worked as a Scheduling and Clinical Specialist with Mobile Doctors.

New Staff!

Matthew TimmersProgram Advancement Associate

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In our previous newsletter, we discussed plans to initiate a pilot project of our Level 2 and Level 3 data systems. Throughout 2013, AJRR staff prioritized the expansion of reporting capabilit-ies and the development of a system to capture Patient-Reported Outcome Measures (PROMs). In November, the pilot study of 15 participating hospitals was launched to: a) assess a hospital’s ability to utilize their Electronic Health Record (EHR) to extract and submit Level 2 data elements; and b) test workflow models for

completing PROMs tools with patients. Some of the early lessons learned include the need to capture some Level 2 data, such as post-operative complications, in the surgeon practice setting, rather than in the hospital. We also are learning that in many instances both pre- and post-op PROMs will be collected by practices. As such, we have begun discussions to develop contracts to enroll surgeon practices in the AJRR so that we can capture Level 2 and Level 3 data from all of our participants in all settings. Fortunately, pilot project hospitals represent a broad spectrum of EHR capabilities; a combina-tion of hospital-employed and private practice-employed surgeons; and both large/small hospitals and health systems. We expect that the lessons learned during the pilot study will help AJRR staff to correct deficiencies in the electronic system and data submission process and provide valuable information to better assist hospitals in minimizing submission bur-den. This effort will be valuable to all participating sites as they move toward submission of these additional levels.

Level 2 | Level 3 Pilot Project Updateby Caryn Etkin

Today we have

238

Participating Hospitals and counting

In 2011, there were

11Hospitals

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AJRR ParticipatingHospitalsAdvocate Christ Medical CenterAllegheny General HospitalAllen Memorial HospitalAspirus Wausau HospitalAurora Health Care

• Aurora Medical Center Grafton• Aurora Medical Center Washington County• Aurora Sinai Medical Center• Aurora St. Luke’s Medical Center

Ball Memorial HospitalBayhealth Medical Center

• Bayhealth Kent General• Bayhealth Milford Memorial

Benefis HospitalBeth Israel Deaconess Medical CenterBlessing Health SystemBronson Methodist HospitalCabell Huntington HospitalCadence Health

• Central DuPage Hospital• Delnor Community Hospital

Carolinas Healthcare• Carolinas Medical Center• Carolinas Medical Center–Lincoln

Catholic Health • Kenmore Mercy Hospital• Mercy Hospital of Buffalo• Sisters of Charity Hospital• Sisters of Charity Hospital–St. Joseph Campus

Centegra Health System• Centegra Hospital - McHenry• Centegra Hospital - Woodstock

Central Peninsula General HospitalCheyenne Regional Medical CenterCJW Medical CenterCleveland ClinicConcord HospitalConway Medical CenterCuyuna Regional Medical CenterDenver Health and Hospital AuthorityDoylestown HospitalEisenhower Medical CenterEvergreenHealth Medical CenterFirstHealth Moore Regional

Hospital (NC)Fletcher Allen Health CareFranciscan St. Francis HealthGeorge Washington University HospitalGrant Medical CenterHancock Regional Hospital

Hanover HospitalHawaii Pacific Health

• Pali Momi Medical Center• Straub Clinic and Hospital• Wilcox Memorial Hospital

HealthEast Care System • St. John’s Hospital• St. Joseph Hospital• Woodwinds Hospital

Henry Ford Macomb HospitalHospital of Central ConnecticutHouston Medical CenterIndiana Orthopaedic HospitalInova Mount Vernon HospitalJordan HospitalKadlec Regional Medical CenterLakeland Regional Health SystemLakeview Medical Center (WI)Lancaster General HospitalLutheran Health Network (IN)

• Bluffton Regional Medical Center• Dukes Memorial Hospital• Dupont Hospital• Kosciusko Community Hospital• Lutheran Hospital• The Orthopedic Hospital• St. Joseph Hospital

Maine Medical CenterMarquette General HospitalMassachusetts General HospitalMcLaren Health Care

• McLaren-Greater Lansing• McLaren Orthopedic Hospital

MedStar Union Memorial HospitalMemorial Hermann Health System

• Memorial Hermann Memorial City Medical Center• Memorial Hermann Southwest Hospital

Memorial Medical Center (IL)Memorial Medical Center (MI)Memorial Medical Center (WI)Mercy Health System

• Mercy Fitzgerald Hospital• Mercy Philadelphia Hospital• Mercy Suburban Hospital• Nazareth Hospital

Methodist Hospital (KY)Mission Hospital (NC)Morristown Medical CenterMount Carmel New AlbanyMountain States Health Alliance

• Indian Path Medical Center Hospital• Johnson City Medical Center Hospital• Johnston Memorial Hospital

MountainView Regional Medical CenterNix Health

North Mississippi Medical CenterNorthBay HealthCare

• NorthBay Medical Center• NorthBay VacaValley Hospital

Northern Hospital of Surry CountyNorthShore University HealthSystem

• Evanston Hospital• Glenbrook Hospital• Highland Park Hospital• Skokie Hospital

Northwest Medical Center (AZ)Northwestern Memorial HospitalNovant Health

• Novant Health Brunswick Medical Center• Novant Health Charlotte Orthopaedic Hospital• Novant Health Forsyth Medical Center• Novant Health Franklin Medical Center• Novant Health Gaffney Medical Center• Novant Health Huntersville Medical Center• Novant Health Kernersville Medical Center• Novant Health Matthews Medical Center• Novant Health Prince William Medical Center• Novant Health Rowan Medical Center• Novant Health Thomasville Medical Center

NYU Hospital for Joint DiseasesOASIS HospitalOchsner Clinic Foundation

• Ochsner Baptist• Ochsner Medical Center• Ochsner Medical Center–Kenner• Ochsner Medical Center–West Bank

OrthoCarolina Research InstituteOrthoColorado HospitalOrthopaedic Hospital of WisconsinOSS Orthopaedic HospitalPalmetto Health

• Baptist Easley Hospital• Palmetto Health Baptist• Palmetto Health Richland

Park Ridge HealthPenn State Milton S. Hershey Medical

CenterPinnacleHealth Hospitals

• Community General Osteopathic Hospital• Harrisburg Hospital

Pomona Valley Hospital MedicalCenter

Providence Health & Services

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• Providence Holy Cross Medical Center• Providence Hood River Memorial Hospital• Providence Little Company of Mary San Pedro• Providence Little Company of Mary Torrance• Providence Medford Medical Center• Providence Milwaukie Hospital• Providence Newberg Hospital• Providence Portland Medical Center• Providence Saint Joseph Medical Center• Providence Seaside Hospital• Providence St. Peter Hospital• Providence St. Vincent Medical Center• Providence Tarzana Medical Center• Providence Willamette Falls Medical Center

Quincy Medical CenterReading HospitalRedmond Regional Medical CenterRenown Regional Medical CenterRiver Oaks Hospital (MS)Roper St. Francis Healthcare

• Bon Secours St. Francis Hospital• Roper Hospital• Roper St. Francis Mount Pleasant Hospital

Rush University Medical CenterSaint Alphonsus Health System

• Saint Alphonsus Medical Center– Baker City• Saint Alphonsus Regional Medical Center• Saint Alphonsus Medical Center– Nampa• Saint Alphonsus Medical Center–Ontario

Saint Mary’s Regional MedicalCenter (NV)

San Antonio Community HospitalSanford Health

• Sanford Medical Center–Fargo• Sanford USD Medical Center

Schneck Medical CenterScott & White Memorial HospitalSentara Healthcare

• Martha Jefferson Hospital• Rockingham Memorial Hospital• Sentara CarePlex Hospital• Sentara Leigh Hospital• Sentara Norfolk Hospital• Sentara Northern Virginia Medical

Center• Sentara Obici Hospital• Sentara Princess Anne Hospital• Sentara Virginia Beach General Hospital• Sentara Williamsburg Regional Medical Center

Sharp Healthcare• Sharp Chula Vista Medical Center• Sharp Coronado Hospital• Sharp Grossmont Hospital• Sharp Memorial Hospital

Sibley Memorial HospitalSoutheast Georgia Health SystemSparrow HospitalSpencer HospitalSt. Dominic Hospital (MS)St. Elizabeth Regional Medical

Center (NE)St. Francis Hospital & Medical

Center (CT)St. Helena Hospital (CA)St. John’s Medical Center (WY)St. Luke’s Hospital (MO)St. Mary’s Hospital (MN)St. Mary’s Hospital and Regional

Medical Center (CO)St. Peter’s Hospital (NY)St. Vincent’s HealthCare (FL)

• St. Vincent’s Medical Center Riverside• St. Vincent’s Medical Center Southside• St. Vincent’s Clay County

St. Vincent Infirmary Medical Center (AR)

St. Vincent’s Medical Center (CT)Stanford Hospital & ClinicsSteward Holy Family HospitalSwedish Health Services

• Ballard Campus• First Hill Campus• Issaquah Campus

Texas Health Presbyterian Hospital–Plano

Texas Spine and Joint HospitalThedaCare

• Appleton Medical Center• New London Family Medical Center• Riverside Medical Center• Shawano Medical Center• Theda Clark Medical Center

The Ohio State University–WexnerMedical Center

The Valley HospitalThomas Jefferson University Hospitals

Torrance Memorial Medical CenterUnity HospitalUniversity of California, Los Angeles

Medical Center• Ronald Reagan UCLA Medical Center• University of California Medical Center, Santa Monica

University of California San Francisco Medical Center

University of Iowa Hospitals andClinics

University of Michigan Health SystemUniversity of Pennsylvania Health

System• Hospital of the University of Pennsylvania• Penn Presbyterian Medical Center• Pennsylvania Hospital

University of Texas SouthwesternMedical Center

University of Utah HospitalUniversity of Wisconsin Hospitals

and ClinicsValley Medical CenterVirginia Hospital CenterVirginia Mason Medical CenterWellSpan Health

• WellSpan Gettysburg Hospital• WellSpan Surgery and RehabilitationHospital• WellSpan York Hospital

WellStar Health System• WellStar Cobb Hospital• WellStar Douglas Hospital• WellStar Kennestone Hospital• WellStar Paulding Hospital

Wesley Medical CenterWestern Maryland Health SystemWilliam Beaumont HospitalWinthrop-University HospitalWVU Healthcare Ruby Memorial

Hospital

American Joint Replacement Registry6300 N. River Road, Ste. 603, Rosemont, IL 60018

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