Erschienen in:
24.08.2017 | Value-based Healthcare
Value-based Healthcare: A Novel Transitional Care Service Strives to Improve Patient Experience and Outcomes
verfasst von:
Thomas R. Vetter, MD, MPH, Lauren M. Uhler, MPH, Kevin J. Bozic, MD, MBA
Erschienen in:
Clinical Orthopaedics and Related Research®
|
Ausgabe 11/2017
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Excerpt
Process improvement efforts across the entire continuum of surgical care are accelerating due to the continued shift from traditional fee-for-service to episode-based payment. Notably for orthopaedics, the Centers for Medicare & Medicaid Services (CMS) recently implemented the Comprehensive Care for Joint Replacement (CJR) model in 67 metropolitan areas in the United States [
3]. The CJR model involves reimbursement over the entire episode of care—from the decision to operate, to the acute perioperative phase, and throughout postdischarge recovery. The goal of this CMS pilot is to improve the value of care delivered (defined as outcomes that matter to patients per healthcare dollar spent) for its beneficiaries undergoing primary total hip or knee replacement [
8]. Hospitals participating in CJR are accountable for patient outcomes and costs over the entire episode of surgical care, starting at the time of the anchor hospital admission and ending 90 days after the initial hospital discharge. …
