- Joint Replacement
Reduce readmissions associated with joint replacement procedures
Recovery, without complications
Ensuring that your joint replacement patients are able to recover from their procedure fully and smoothly is important. Our guide outlines seven common causes for readmission following a joint procedure, as well as best practices and products to help prevent them.
Joint Replacement: By the Numbers
More than 1M patients receive a knee or hip replacement every year in the U.S. 1
4.2%
average rate of readmission after 30 days2
53%
of total joint replacements will be done in outpatient settings by 20303
1.6%
reduced readmission rates with preoperative education and postoperative support
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Surgical Site Infection Prevention
- Professional Disposables
- #X12048
- B. Braun
- #S8004-5264
- 3M Healthcare US Opco LLC
- #8630
Outpatient joint readmissions
Under the Ambulatory Surgical Center Quality Reporting (ASCQR) Program, ASCs report quality of care data for standardized measures to receive their ASC annual payment rate.
Most joint procedures are paid with insurance bundles which include a 90-day post-operation period.
An unplanned hospital visit seven days after an orthopedic procedure in a surgery center can negatively affect insurance coverage.4
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Deep vein thrombosis
Understanding the risks following joint replacement
Proper patient selection criteria are key to improving quality and safety outcomes in an outpatient program. Several modifiable risk factors contribute to poor clinical outcomes following a total joint replacement. Some key selection considerations:
- Obesity
- Diabetes
- Staphylococcus aureus colonization
- Smoking
- History of deep vein thrombosis or pulmonary embolism
- Venous thromboembolic disease
- Cardiovascular disease
- Neurocognitive, psychological and behavioral problems
- Physical deconditioning and comorbidities affecting ambulation
- Medications
- Living conditions
- Friends and family committed to helping with patient recovery
Complications that lead to readmission
- Higher pain scores
- Higher incidence of urinary tract infection
- Higher rate of surgical site infections
- Increased incision-related and cardiopulmonary complications
- Cardiac events and stroke
- Increased risk of falls
- Patients tend to have a length of stay greater than 24 hours, which requires transfer to an acute or rehab facility
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Recovery
- Pacira Pharmaceuticals Inc
- #6525026609
- Endo Laboratories
- #63481062870
- Alimed
- #2970008490
Our experienced clinicians are just a phone call away
Our clinical resource team is ready to help with the challenges you encounter every day, such as training, clinical tools, consultation and product selection.
1. The Journal of Arthroplasty, August 2019, www.ncbi.nlm.nih.gov/pmc/ articles/PMC5485224/
2. Hospital Compare. Data collected July 1, 2014 – June 30, 2017
3. Sg2 Intelligence, Procedure Sites of the Future 2019
4. Hospital Visits After Orthopedic Ambulatory Surgical Center Procedures, 2020-06-22, CMS
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