Calif. Joint Replacement Database Leverages Patient-Reported Data

March 24, 2015 in News

New data from a California registry for orthopedic surgeries take into account patient-reported outcomes in an effort to improve quality transparency, Modern Healthcare reports.

Details of Registry

The California Joint Replacement Registry was created in 2010. Rather than analyzing complication rates and readmission rates after surgery, the registry’s data are taken from patient surveys before and after musculoskeletal surgeries.

According to the Agency for Healthcare Research and Quality, there are five different types of musculoskeletal procedures, which together, account for about 17% of all operating room procedures.

Fourteen California hospitals have adopted the program, according to Modern Healthcare.

Details of New Data

The newly released data, which covers April 2011 to November 2014, include results from six hospitals.

Patients were asked 24 questions related to the status of the joint that needed care. Patients were then polled again a year later, and researchers examined responses for surgical outcomes.

According to the data:

  • 88% of patients who underwent surgery at UC-San Francisco Medical Center said they experienced “clinically meaningful” improvements;
  • 87% of patients at Stanford University Medical Center reported improvements;
  • 86.6% of patients at Hoag Orthopedic Institute and St. Joseph Hospital of Orange reported improvements;
  • 86.3% of patients at John Muir Medical Center reported improvements; and
  • 83.4% of patients at Cedars-Sinai Medical Center reported improvements (Rice, Modern Healthcare, 3/20).
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