U of Michigan joint replacement registry hits 250,000 cases — 7 insights

Ann Arbor-based University of Michigan's Michigan Arthroplasty Registry Collaborative Quality Initiative recently surpassed 250,000 cases.

What you should know:

1. The collective was established in 2012 to collect data on care, treatment and recovery options for hip and knee replacement patients.

2. The registry contains data from 66 Michigan-based hospitals and surgery centers.

3. Michigan Medicine is the registry's coordinating center, while funding is provided through Blue Cross Blue Shield of Michigan/Blue Care Network.

4. Since its launch, Michigan has rolled out two quality improvement programs using registry data. The collaborative is focused on reducing blood transfusions, getting more patients home same-day, simplifying blood clot prevention and reducing surgical complications.

5. Registry Co-director Brian Hallstrom, MD, said, "After observing our data in early 2013, we realized there were large variations among our participating hospitals and surgery centers regarding the percentage of patients having blood transfusions. This was worrisome because unnecessary transfusions present a variety of risks for patients."

6. After presenting the data, the state saw a dramatic drop in the number of transfusions.

7. In 2018, the collaborative announced it would focus on initiatives to decrease opioid use and reduce early revisions.

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