The financial impact of a multidisciplinary preoperative risk stratification program for joint arthroplasty

Duplantier, Neil, Briski, David, Ochsner, John Lockwood, Meyer, Mark, Stanga, Daryl and Chimento, George F. (2015) The financial impact of a multidisciplinary preoperative risk stratification program for joint arthroplasty. Journal of Arthroplasty, 30 9: 1485-1491. doi:10.1016/j.arth.2015.04.014


Author Duplantier, Neil
Briski, David
Ochsner, John Lockwood
Meyer, Mark
Stanga, Daryl
Chimento, George F.
Title The financial impact of a multidisciplinary preoperative risk stratification program for joint arthroplasty
Journal name Journal of Arthroplasty   Check publisher's open access policy
ISSN 1532-8406
0883-5403
Publication date 2015-09-01
Sub-type Article (original research)
DOI 10.1016/j.arth.2015.04.014
Open Access Status Not Open Access
Volume 30
Issue 9
Start page 1485
End page 1491
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Churchill Livingstone
Collection year 2016
Language eng
Formatted abstract
This study’s purpose was to assess the impact of a preoperative risk stratification program on joint arthroplasty outcomes at a single institution. We hypothesized that by using a standardized preoperative risk stratification center we would see better outcomes and decreased costs. The triage cohort (T) included 1498 patients assessed at a standardized risk stratification center, and the non-triage cohort (NT) included 1100 patients who did not utilize the center. The T cohort had significantly higher ASA classification (P<0.0001) and ACCI scores (P=0.028). We found no significant difference in complication rates. The T cohort showed a significant decrease in LOS (P<0.0001) and an increase in average reimbursement (P=0.009). A standardized preoperative risk stratification center can contribute to decreased LOS, increased reimbursement and help prevent complications.
Keyword Arthroplasty
Cost
Efficiency
Hip
Knee
Standardization
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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