Value-based Healthcare: Preoperative Assessment and Global Optimization (PASS-GO): Improving Value in Total Joint Replacement Care

Value-based global optimization

Improving value in primary total joint arthroplasty care pathways: changes in inpatient physical therapy staffing

BACKGROUND An early physical therapy (PT) care pathway was implemented to provide same-day ambulation after total joint arthroplasty by changing PT staffing hours. METHODS After receiving an exemption from our institutional review board, we performed a secondary data analysis on a cohort of patients that underwent primary TJA of the hip or knee 6 months before and 12 months after implementati...

Value-based healthcare.

An elderly man with advanced esophageal cancer arrives in the operating room: his feeding tube has migrated out of his jejunum, spilling debris and bacteria into a previously sterile abdominal cavity. The OR clock fluoresces “2 AM.” With the patient’s immune system ringing alarm bells, his body has mobilized for biological warfare. His pulse races ... breathing hurries ... temperature climbs. A...

Value-based procurement of prostheses for total knee replacement

Cost-effectiveness evaluations concerning devices for total knee arthroplasty (TKA) have little impact on real-life management of these devices. This study explored how pharmacoeconomic models can inform the procurement of TKA devices to improve their value for money. Our study included three phases: i) literature search for data of outcome, cost, and device type in TKA; ii) development of a Ma...

Intensive care monitoring after total joint replacement.

Patient safety is a critical issue in elective total joint replacement surgery. Identifying risk factors that might predict complications and intensive care unit (ICU) admission proves instrumental in reducing morbidity and mortality. The institution's experience with risk stratification and pre-operative ICU triage has resulted in a reduction in unplanned ICU admissions and post-operative comp...