WIHI: Better Care and Better Value for Hip and Knee Replacement

Date: October 23, 2014
 
Featuring:

• Robert S. Kaplan, MS, PhD, Senior Fellow and Marvin Bower Professor of Leadership Development, Emeritus, Harvard Business School
• Katharine Luther, RN, MPM, Vice President, Institute for Healthcare Improvement
• Catherine Abbott, MSN, RN, Administrator, Performance Improvement, Hackensack University Medical Center
• Jenny Rosengrant, RN, BSN, Orthopedic Nurse Navigator, Moses Taylor Hospital

Hips and knees are replaced in record numbers these days and these frequent procedures have comparatively low rates of harm and complications, bringing new scrutiny of performance and opportunities for improvement.

Public and private payers have begun targeting joint replacement for bundled payments and reimbursement tied to the quality of care, looking to include patient-reported outcomes. Health care providers who perform a lot of joint replacements have already been preparing to meet these new challenges. They’ve realized that there are multiple ways to improve the care experience for patients and save everyone money. For instance, reducing the amount of time patients spend in the hospital and setting up good supports for rehab at home can have a big impact on costs and how quickly people recover.

We covered some terrific innovations and “aha” discoveries on this WIHI. Robert Kaplan from the Harvard Business School explains the Time-Driven Activity-Based Costing (TDABC), a powerful way to capture and analyze every step and cost of the joint replacement process. IHI has been working with some 32 hip and knee replacement providers over the past year on TDABC and subsequent improvements as part of the IHI Joint Replacement Learning Community. We learn about them and their exciting work on this episode of WIHI.