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24.10.2017 | Quality and Cost Control in TJA (B Waddell, section editor) | Ausgabe 4/2017

Current Reviews in Musculoskeletal Medicine 4/2017

Outpatient Total Joint Arthroplasty

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 4/2017
Autoren:
Jack M. Bert, Jessica Hooper, Sam Moen
Wichtige Hinweise
This article is part of the Topical Collection on Quality and Cost Control in TJA

Abstract

Purpose of Review

Outpatient total joint arthroplasty (OTJA) allows for a safe, cost effective pathway for appropriately selected patients. With current pressures on arthroplasty surgeons and their associated institutions to reduce costs per episode of care, it is important to define the steps and challenges associated with establishing an outpatient arthroplasty program.

Recent Findings

Several studies have outlined techniques of selecting patients suitable for this type of postoperative pathway. With emerging concerns about patients who undergo outpatient arthroplasty being at increased risk of medical complications, which may lessen projected cost savings, it is important to identify value-based strategies to optimize patient recovery after OTJA.

Summary

This article reviews digital techniques for patient selection and data collection, operating room efficiency systems, and provides a summary of methods to build and maintain value in outpatient total joint replacement within the framework of bundled payment reimbursement.

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