Since 2010, FORCE-TJR has emerged as a leader in PRO collection.

The original FORCE-TJR cohort developed and demonstrated expertise in collecting and reporting TJR quality and patient-reported outcomes (PRO) data. In contrast to others, FORCE-TJR collected post-TJR PRO data from over 85% of patients enrolled, exceeding the international goal of 70% completed (Ayers DC and Franklin PD (2014) Joint Replacement Registries in The United States: A New Paradigm. J Bone Joint Surg Am). The FORCE expertise informed the 2015 Patient Reported Outcomes Summit in Baltimore that generated measurement recommendations to the Centers for Medicare and Medicaid Services (CMS) for the Comprehensive Joint Replacement (CJR) bundled payment program as well as best practices for real-world evidence using registries.

FORCE-TJR is the first US TJR registry to identify and provide risk-adjusted national comparative reports for patient reported outcomes and 30-day readmissions.