Project Design

Eligibility criteria to participate in MARCQI as a hospital site:

  • Perform a minimum of 200 TKA/ THA procedures annually per site.
  • Have an active quality improvement structure and process.
  • Have an onsite orthopaedic surgeon to act as the site’s Clinical Champion (CC).
  • Have an administrative champion to act as the Administrative Lead.
  • Have, or hire, a data abstractor (DA), registered health information technician (RHIT) or clinical reviewer (RN) to abstract cases into the database.
  • Have, or hire, an Information Technology (IT) database management lead associated with your site’s electronic medical record (EMR) IT department.
    • Have, supply or purchase electronic equipment and components to capture data into the web portal for the MARCQI registry.
    • Have the ability to upload an electronic operating room log.

Site expectations for successful participation:

  • Identify all eligible patients presenting to your facility using the following criteria (all consecutive cases will be captured).
  • Data collection begins when the patient is scheduled at the facility to undergo an elective hip/knee replacement procedure.
    • Surgical Event Data
    • Implant Device Information
    • Clinical Laboratory Values
    • Patient Reported Outcome Surveys (PROS)
  • Collaborate with Coordinating Center.
  • Collaborate with other participating sites.

Inclusion Criteria:

  • All elective primary Total Knee Arthroplasty (TKA)/Total Hip Arthroplasty (THA) procedures listed on the ICD-10 and/or CPT® Code Inclusion List .
  • All elective and emergent revision knee and hip arthroplasty cases.

Exclusion Criteria:

  • Non elective primary cases listed on the ICD-10 and CPT® Code Exclusion List – (e.g. A patient admitted to the hospital with acute trauma and has a TKA/THA surgery(s) for that trauma).