New performance measure for Advanced Certification for Total Hip and Knee Replacement
Effective July 1, 2021, data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program.
Organizations will now be required to assess not only the patient’s preoperative status but also their postoperative status with the goal of converting this measure to an outcome measure in the future to show improvement after surgery.
The standardized measures for THKR Certification will now be as follows:
- THKR-1: Regional Anesthesia
- THKR-2: Postoperative Ambulation on Day of Surgery
- THKR-3: Discharge to Home
- THKR-4: Preoperative Functional/Health Status Assessment
- THKR-5: Postoperative Functional/Health Status Assessment – New Measure
All currently certified THKR organizations — as well as those seeking initial certification — are required to implement data collection on this additional standardized measure, beginning with discharges on and after July 1, 2021. The new process measure will be collected through the American Academy of Orthopedic Surgeon’s American Joint Replacement Registry (AJRR). Organizations will then enter monthly data points (numerator and denominator values) for the measure and report data quarterly to The Joint Commission via the Certification Measure Information Process (CMIP) extranet.
The inpatient and outpatient THKR measure specifications are detailed in the Specification Manual for Joint Commission National Quality Measures. Questions regarding the measures may be sent via the Performance Measurement Network Q&A Forum at https://manual.jointcommission.org.