Early Results of Medicare's Bundled Payment Initiative for a 90-Day Total Joint Arthroplasty Episode of Care
作者: Richard IorioAndrew J. ClairIfeoma A. InnehJames D. SloverJoseph A. BoscoJoseph D. Zuckerman
作者单位: 1Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York
刊名: The Journal of Arthroplasty, 2016, Vol.31 (2), pp.343-350
来源数据库: Elsevier Journal
DOI: 10.1016/j.arth.2015.09.004
关键词: total knee arthroplastytotal hip arthroplastyhealth care economicshealth care policypractice management
原始语种摘要: Abstract(#br)Background(#br)In 2011 Medicare initiated a Bundled Payment for Care Improvement (BPCI) program with the goal of introducing a payment model that would “lead to higher quality, more coordinated care at a lower cost to Medicare.”(#br)Methods(#br)A Model 2 bundled payment initiative for Total Joint Replacement (TJR) was implemented at a large, tertiary, urban academic medical center. The episode of care includes all costs through 90 days following discharge. After one year, data on 721 Medicare primary TJR patients were available for analysis.(#br)Results(#br)Average length of stay (LOS) was decreased from 4.27 days to 3.58 days (Median LOS 3 days). Discharges to inpatient facilities decreased from 71% to 44%. Readmissions occurred in 80 patients (11%), which is slightly lower...
全文获取路径: Elsevier  (合作)
影响因子:2.11 (2012)

  • economics 经济学
  • decision 决定
  • savings 储蓄
  • total 总和
  • management 管理
  • arthroplasty 关节成形术
  • introducing 引进
  • costs 费用
  • practice 实践
  • center 中心