Bundled Payments: Our Experience at an Academic Medical Center

被引：37

作者：

Bolz, Nicholas J. ^{[1
]}

Iorio, Richard ^{[1
]}

机构：

[1] NYU, Hosp Joint Dis, Dept Orthopaed Surg, Langone Med Ctr, 301 E 17th St, New York, NY 10003 USA

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 05期

关键词：

value-based purchasing; Bundled Payment for Care Improvement; Comprehensive Care for Joint Replacement; Perioperative Orthopaedic Surgery Home model; readmission risk assessment tool; TOTAL JOINT ARTHROPLASTY; KNEE ARTHROPLASTY; COST BURDEN; HIP;

D O I：

10.1016/j.arth.2016.01.055

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：932 / 935

页数：4

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