“Managing outcomes and utilization in your TJR bundle: Lessons from FORCE-TJR”
Speakers: Patricia Franklin MD MBA MPH and David Ayers MD
Cost: Complimentary, sponsored by Wellbe
Watch the recording or download the slides.
On April 1, Centers for Medicare & Medicaid Services (CMS) is launching its first mandatory bundled-payment initiative. For the first time CMS will link payment to quality and patient satisfaction measures in addition to the cost of the episode.
Under the new Comprehensive Care for Joint Replacement (CJR) program, providers will need the knowledge and resources to track quality and prove value in patient care and will be accountable for the cost of episodes of TJR from the time of surgery through 90 days after discharge. CMS will tie each hospital’s incentive or penalty to a composite quality score based on three measures:
- Complications within 90 days
- The Hospital Consumer Assessment of Healthcare Providers and Systems survey (HCAHPS)
- A patient-reported outcome measure (PRO)
The composite quality score will take into account significant performance improvement in perioperative complications and patient reported outcomes measures which together could amount to some 60% of the total quality score.
This session will focus on lessons learned from the more than 250 surgeons and 25,000 TJR patients, who have used FORCE-TJR over the past four years for successful TJR episode management, including:
- PROs provide actionable data to help guide clinical decision-making.
- Identifying key risk factors before, during and after TJR can go a long way toward managing the entire 90-day episode of care and successfully participating in value-based contract gain sharing.
- Incomplete data submission can lead to loss of income and poor provider rankings.
- Making PRO data collection easy for both patient and surgeon’s office is critical to success.
- Post-TJR PRO measures can be a valuable patient satisfaction and engagement tool.
About the Speakers
Patricia Franklin, MD, MBA, MPH, serves as Professor of Orthopedics and Physical Rehabilitation and Executive Director of Research, Musculoskeletal Center of Excellence, at University of Massachusetts Medical School in Worcester, MA. Following a residency in Preventive Medicine, she completed a fellowship in Health Services Research emphasizing large database design and analysis and inter-disciplinary chronic care models. This training laid the foundation for a career in quality improvement (Medical Director for Quality) and outcomes research. She is the Principal Investigator for the FORCE-TJR research registry and has served as PI of research funded by NIH (NIAMS, NLM), AHRQ, RWJF, and other foundations.
Dr. David C. Ayers is Arthur M. Pappas Professor of Orthopaedics, Chair of the Department of Orthopedics and Physical Rehabilitation, and Medical Director of the Musculoskeletal Center of Excellence at University of Massachusetts Medical School, as well as Orthopedist-in-Chief at University of Massachusetts Memorial Health Care System in Worcester, MA. In addition, Ayers is chair of the Steering Committee of FORCE TJR and the lead orthopedic surgeon with the group. With Dr. Franklin, he led the development of several department-based clinical registries that uniquely include patient-reported outcomes in TJR, spine, and hand and upper extremity.