Avoiding Readmissions-Support Systems Required After Discharge to Continue Rapid Recovery?

被引：33

作者：

Edwards, Paul K. ^{[1
]}

Levine, Matthew ^{[3
]}

Cullinan, Kevin ^{[2
]}

Newbern, Gordon ^{[3
]}

Barnes, C. Lowry ^{[1
]}

机构：

[1] Univ Arkansas Med Sci, HipKnee Arkansas Fdn, Little Rock, AR 72205 USA

[2] St Vincent Infirm, Catholic Hlth Initiat, Little Rock, AR USA

[3] HipKnee Arkansas Fdn, Arkansas Specialty Orthoped, Little Rock, AR USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期

关键词：

readmission; total joint arthroplasty; rapid recovery; length of stay; preoperative education; TOTAL JOINT ARTHROPLASTY; KNEE ARTHROPLASTY; CONSECUTIVE PROCEDURES; CLINICAL PATHWAYS; HEART-FAILURE; TOTAL HIP; REPLACEMENT; RATES;

D O I：

10.1016/j.arth.2014.12.029

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：

Increasing participation in alternative payment models such as episode-of-care has become a driving force to improve outcomes while decreasing cost. Reducing the hospital length of stay and discharging patients to home have been shown to decrease readmissions, thereby achieving these goals. The purpose of this study was to determine if utilization of a patient management support system, TAVHealth (TM) in our clinical pathway would reduce our readmission rates during the episode-of-care. We retrospectively reviewed 1874 total joint arthroplasties, 1281 TJAs in the pre-TAVHealth (TM) group (2009-2012) and 593 TJRs in the post TAVHealth (TM) group (2013-2014). Despite a low length of stay (1.2 days) there was a significant reduction in readmissions from 205 (16.0%) to 54 (9.2%) with incorporation of this patient management support system into our clinical pathway. (C) 2015 Published by Elsevier Inc.

引用

页码：527 / 530

页数：4

共 20 条

[1]

Adib-Hajbaghery Mohsen, 2013, J Caring Sci, V2, P255, DOI 10.5681/jcs.2013.031

[2] Effects of clinical pathways in the joint replacement: a meta-analysis [J].

Barbieri, A. ;

Vanhaecht, K. ;

Van Herck, P. ;

Sermeus, W. ;

Faggiano, F. ;

Marchisio, S. ;

Panella, M. .

BMC MEDICINE, 2009, 7

[3]

Barnes L, 2013, BONE JOINT J B S34, V95-B

[4] Does Discharge Disposition After Primary Total Joint Arthroplasty Affect Readmission Rates? [J].

Bini, Stefano A. ;

Fithian, Donald C. ;

Paxton, Liz W. ;

Khatod, Monti X. ;

Inacio, Maria C. ;

Namba, Robert S. .

JOURNAL OF ARTHROPLASTY, 2010, 25 (01) :114-117

[5] A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial [J].

Black, Jeanne T. ;

Romano, Patrick S. ;

Sadeghi, Banafsheh ;

Auerbach, Andrew D. ;

Ganiats, Theodore G. ;

Greenfield, Sheldon ;

Kaplan, Sherrie H. ;

Ong, Michael K. .

TRIALS, 2014, 15

[6] Decreasing lengths of stay: The cost to the community [J].

Caplan, G ;

Board, N ;

Paten, A ;

Tazelaar-Molinia, J ;

Crowe, P ;

Yap, SJ ;

Brown, A .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1999, 69 (06) :433-437

[7] A Mobile Compression Device for Thrombosis Prevention in Hip and Knee Arthroplasty [J].

Colwell, Clifford W., Jr. ;

Froimson, Mark I. ;

Anseth, Scott D. ;

Giori, Nicholas J. ;

Hamilton, William G. ;

Barrack, Robert L. ;

Buehler, Knute C. ;

Mont, Michael A. ;

Padgett, Douglas E. ;

Pulido, Pamela A. ;

Barnes, C. Lowery .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (03) :177-183

[8]

Dobson A., 2012, Medicare Payment Bundling: Insights from Claims Data and Policy Implications

[9] Reduced short-term complications and mortality following Enhanced Recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures [J].

Khan, Sameer K. ;

Malviya, Ajay ;

Muller, Scott D. ;

Carluke, Ian ;

Partington, Paul F. ;

Emmerson, Kevin P. ;

Reed, Mike R. .

ACTA ORTHOPAEDICA, 2014, 85 (01) :26-31

[10] Effectiveness of clinical pathways for total knee and total hip arthroplasty - Literature review [J].

Kim, S ;

Losina, E ;

Solomon, DH ;

Wright, J ;

Katz, JN .

JOURNAL OF ARTHROPLASTY, 2003, 18 (01) :69-74

← 1 2 →