Health Insurance (Quality Assurance Activity – Australian Orthopaedic Association National Joint Replacement Registry) Declaration 2022

Dated       7 July 2022

Professor Paul Kelly

Chief Medical Officer

Contents

Part 1—        Preliminary                                                                                            1

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Repeal ...................................................................................................................................... 1

5  Schedule................................................................................................................................... 1

Schedule 1— Description of quality assurance activity                                             2

1  Name of activity ...................................................................................................................... 2

2  Description of activity.............................................................................................................. 2

Part 1— Preliminary

1  Name

This instrument is the Health Insurance (Quality Assurance Activity – Australian Orthopaedic Association National Joint Replacement Registry) Declaration 2022.

2  Commencement

(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Note:    This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3  Authority

This instrument is made under subsection 124X(1) of the Health Insurance Act 1973.

4  Repeal

This instrument is repealed when it ceases to be in force in accordance with subsection 124X(4) of the Health Insurance Act 1973.

5  Schedule

The quality assurance activity described in the Schedule to this declaration is, to the extent that the quality assurance activity relates to health services provided in Australia, declared to be a quality assurance activity to which Part VC of the Health Insurance Act 1973 applies.

Schedule 1— Description of quality assurance activity

1  Name of activity

Australian Orthopaedic Association National Joint Replacement Registry.

2  Description of activity

This declaration applies to the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR).

The AOANJRR collects national data on patients undergoing hip, knee, shoulder, elbow, wrist, ankle, hand, foot and spinal disc replacement and includes data on knee osteotomy procedures where this information is collected in hospitals undertaking these types of surgery.

The AOANJRR includes Patient Reported Outcome Measures (PROMs) which include responses to survey questions completed by patients pre- and post-surgery regarding outcomes of surgery. PROMs survey questions address the extent of the patient’s pain and disability prior to surgery, as well as the extent and timing of recovery and the presence of complications.

Data collected from clinical outcomes and PROMs is analysed to identify factors that result in improved standards in prostheses and surgical techniques that improve the benefits and cost effectiveness of those procedures as they relate to patient health status. PROMs data also assists in the design, delivery and funding of health services by aligning clinical outcomes and patient satisfaction with cost-effective and efficient best practice care .

Annual and supplementary reports detailing the results of these findings are published on the AOANJRR website. Patients, surgeons, hospitals and other stakeholders have access real-time data specific to them via secure online portals.

The AOANJRR is operated by the Australian Orthopaedic Association, and data management is contracted to the South Australian Health and Medical Research Institute.