The FORCE-TJR consortium enrolled more than 50,000 US TJR patients from diverse socioeconomic, racial-ethnic and geographic backgrounds, 75% of them from community practices, forming a nationally representative cohort of TJR patients that support the establishment of national norms (clinical benchmarks) and risk-adjustment models for TJR.

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 outcomes 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 Platt R et al., 2017 Perspectives – Expert Voices in Health & Health Care.


*FORCE TJR was originally supported by grant P50HS018910 from the Agency for Healthcare Research and Quality (AHRQ) to the University of Massachusetts Department of Orthopedics and Physical Rehabilitation.