Nicholas J Bolz1, Richard Iorio1. 1. Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York University Langone Medical Center, New York, New York.
Abstract
BACKGROUND: The landscape of health care is transitioning from a fee-for-service model to value-based purchasing. METHODS: We developed evidence-based clinical pathways and risk stratification measures to effectively implement the Bundled Payments for Care Improvement model of value-based purchasing. RESULTS: We decreased patients' length of stay, discharge to inpatient facilities, and cost of an episode of patient care. CONCLUSION: The bundled care payment initiative has been successfully implemented for Diagnosis Related Groups 469 and 470, delivering high-quality patient care at a reduced price.
BACKGROUND: The landscape of health care is transitioning from a fee-for-service model to value-based purchasing. METHODS: We developed evidence-based clinical pathways and risk stratification measures to effectively implement the Bundled Payments for Care Improvement model of value-based purchasing. RESULTS: We decreased patients' length of stay, discharge to inpatient facilities, and cost of an episode of patient care. CONCLUSION: The bundled care payment initiative has been successfully implemented for Diagnosis Related Groups 469 and 470, delivering high-quality patient care at a reduced price.
Keywords:
Bundled Payment for Care Improvement; Comprehensive Care for Joint Replacement; Perioperative Orthopaedic Surgery Home model; readmission risk assessment tool; value-based purchasing
Authors: B Gage Griswold; L Fielding Callaway; Matthew R I Meng; Cameron S Murphy; Daniel W Paré; Jessica Amero; Michael J Steflik; Frank D Lewis; Lynn A Crosby; Stephen A Parada Journal: Eur J Orthop Surg Traumatol Date: 2021-09-24
Authors: Andrew James Kerwin; Alexandra Mercel; David J Skarupa; Joseph J Tepas; Jin H Ra; David Ebler; Albert Hsu; Joseph Shiber; Marie L Crandall Journal: Trauma Surg Acute Care Open Date: 2018-06-06