1. Daniel J. Berry MD Chair, AJRR Board of Directors AAHKS Annual Meeting Dallas, Texas November 7, 2015

2. AJRR Progress : As of 11-7-15

3. AJRR: In All 50 States

4. Participating Institution Types Teaching 25% Rural 9% / Research 11%

5. Cumulative Procedural Volume 2008-2015

6. LEVEL I Patient Name Date of Birth Social Security Number Diagnosis (ICD-9/10) Gender Ethnicity Hospital/Entity Surgeon Procedure Type (ICD-9/10) Date of Surgery Laterality Devices LEVEL II Patient Risk Factors/Co-morbidities (ICD-9/10) American Society of Anesthesiologists Score Operative and Post-operative Complications LEVEL III (PROMS) Promis-10 VR-12 HOOS and KOOS WOMAC (Modified via HOOS and KOOS) Oxford Hip and Knee Scores Knee Society Knee Scoring System Harris Hip Score AJRR Data Elements

8. What Can AJRR Do Now? Detailed and Accurate Demographics

9. What Can AJRR Do Now? Detail Causes of Arthroplasty by Diagnosis

10. What Can AJRR Do Now? Detail Surgeon Activities and Case Numbers

11. What Can AJRR Do Now? Characterize US Implant Usage Patterns

12. What Can AJRR Do Now? Characterize US Implant Usage Patterns

13. What Can AJRR Do Now? Characterize US Implant Usage Patterns

14. What Can AJRR Do Now? Characterize Causes of Early Revision THA

15. AJRR as For QCDR Qualified Clinical Data Registry: Satisfies PQRS requirements Will allow you to report PQRS data to CMS Currently a bonus payment In future: Avoid payment penalty

16. AJRR Sign Up! If you and your hospital are already participating—Thank You If not—Sign up!

17. AJRR Sign Up! Contact Information: Jeff Knezovich, CAE Executive Director knezovich@ajrr.net (847) 430-5036 Caryn D. Etkin, PhD, MPH Director of Analytics etkin@ajrr.net (847) 430-5032 Randy Meinzer Director of Information Technology meinzer@ajrr.net (847) 430-5033

18. AJRR is supported by hospitals, health insurers, and the following groups: Support

19. Thank You!