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Session Details

The Transition to Outpatient in Medicare Total Knee Replacement Patients: A Clinical Care Pathway

Track: Podium: Clinical Practice

Session Number: S402
Date: Tue, Jun 2nd, 2020
Time: 10:15 AM - 11:15 AM

Description:

Background and Relevance
o Healthcare organizations across the nation face demands to improve efficiency and maximize use of healthcare funding without compromising outcome quality. Recent changes to reimbursement models for Total Knee Replacement (TKR) surgeries provide organizations with opportunities to explore a more patient centric approach. In January 2018, Centers for Medicare and Medicaid (CMS) removed requirements for TKR to be conducted as an “inpatient only” procedure. The orthopedic team at Eisenhower Health embraced the concept as it would provide an opportunity to enhance the patient’s experience through successful surgical treatment as an outpatient. An interdisciplinary team developed a clinical care pathway comprised of a risk stratification process and a comprehensive patient-centered approach that begins in the physician’s office, mapping treatment through the entire continuum of care as an outpatient. This unique approach allows the team to engage in extensive preoperative preparation for those patients who are appropriate for outpatient TKR and contrasts a “one size fits all” approach that schedules all TKR cases as outpatients. Eisenhower Health noted program success through sustained positive outcomes, patient satisfaction, and fiscal responsibility resulting in planned expansion of use of the clinical care pathway to other outpatient surgical procedures.

Outpatient Total Knee Replacement Clinical Care Pathway
o Inpatient versus outpatient risk stratification
o Preoperative optimization and education
o Treatment and recovery
o Care coordination utilizing a nurse navigator

Results
o To include data and graphs
Sub-Categorization: Total Joint - Hip/Knee innovations
Session Type: Podium

Learner Outcome: The participant will apply the information received to the practice setting and make applicable practice changes that can improve patient outcomes
Category: A
Sub-Categorization: Total Joint - Hip/Knee innovations
Session Type: Podium

Learner Outcome: The participant will apply the information received to the practice setting and make applicable practice changes that can improve patient outcomes
Category: A

Speakers

Lead Presenter
Carolann Stanek, MBA, MSN, RN
Eisenhower Health
Presenter 2
Tiffany Caranci

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