History of the FORCE-TJR original cohort of total joint replacement surgeries.
FORCE-TJR was originally supported by grant P50HS018910 from the Agency for Healthcare Research and Quality (AHRQ) awarded in 2010 to the University of Massachusetts Chan Medical School, Department of Orthopedics and Physical Rehabilitation.
To create this database, FORCE-TJR developed a national network of more than 230 surgeons practicing in 28 states and diverse settings (e.g., academic vs. community, high vs. low volume, urban vs. rural). FORCE-TJR has worked extensively with clinicians, hospitals, and patients to advance the incorporation of patient-reported outcome measures (PROMs) into the clinic to enhance the delivery and outcomes of care. In 2017, the FORCE-TJR network was highlighted as exemplary in its implementation of learning health system principles in a National Academy of Medicine publication: Perspectives – Expert Voices in Health & Health Care.
The original FORCE-TJR cohort developed and demonstrated expertise in collecting and reporting Total Joint Replacement (TJR) quality and patient-reported outcome measure (PROM) data. In contrast to others, FORCE-TJR collected post-TJR PROM data from over 85% of patients enrolled, exceeding the international goal of 70% completed.
