Results of Care Redesign for Joint Arthroplasty in the BPCI Program in an Independent Physician-Owned Orthopedic Group
| Autor: | Alan L. Valadie, Mitchell A. Valadie, Arthur L. Valadie, Logan C. Wills, Avinash G. Kumar, David V. Cashen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Joint arthroplasty Cost Joint replacement medicine.medical_treatment BPCI Arthroplasty 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery Elective Home health medicine Orthopedics and Sports Medicine 030212 general & internal medicine health care economics and organizations Average cost Original Research 030222 orthopedics business.industry Care redesign medicine.disease lcsh:RD701-811 Private practice Orthopedic surgery Surgery Medical emergency business Medicaid Value |
| Zdroj: | Arthroplasty Today Arthroplasty Today, Vol 7, Iss, Pp 216-219 (2021) |
| ISSN: | 2352-3441 |
| DOI: | 10.1016/j.artd.2020.12.027 |
| Popis: | Background The Bundled Payment for Care Improvement initiative is a program designed by Center for Medicare and Medicaid Services in an attempt to increase the value of care delivered to Medicare recipients by rewarding providers who can deliver more cost-efficient, high-value care. This article reports the results of a coordinated care redesign program in an independent, medium-sized private-practice orthopedic group. Methods A committee of stakeholders worked to redesign care protocols for patients receiving upper and lower joint replacement procedures. These protocols included preoperative, intraoperative, and postoperative care. Baseline metrics for post-acute care and readmissions were compared to the same metrics after initiating care redesign. Results Incidence of discharge to inpatient facilities decreased as did length of stay at these facilities. Home health utilization and readmission rates were lowered. Average cost of the 90-day episodes decreased to a statistically significant degree. Conclusions These initial results indicate that coordinated care redesign in the private practice setting can yield higher value care with decreased utilization of high-cost care, particularly in the post-acute period. |
| Databáze: | OpenAIRE |
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