Page 14 - Hoag Orthopedic Institute 2015 Outcomes Report

CLINICAL OUTCOMES AND INFECTION PREVENTION
A national movement toward more accountable care has led to the standardization of key performance measures. In our ever-evolving health care delivery system, providers are held accountable for the cost and quality outcomes of the services provided. Incentives are structured to reward best practices and discourage complications.
READMISSION RATES
CMS considers unplanned, 30-day hospital readmission an avoidable event for total hip/ total knee replacement (arthroplasty) procedures. Through Medicare, CMS assesses readmission payment penalties based on Medicare patient readmission rates. These readmission rates are benchmarked against the national average. In December 2013, CMS added public reporting of hospitals’ risk-adjusted readmission rate
for total hip arthroplasty (THA) and total knee arthroplasty (TKA).
An early adopter of health care reform, HOI has tracked outcomes since opening its doors in November 2010. This publication reports the data tracked and compares it to state and national benchmarks. HOI has invested in a rigorous outcome tracking and reporting system to sustain quality achievements, foster excellence in care, and identify opportunities for improvement that will ultimately improve population health.
This data reflects the readmission rate for Medicare patients as well as all other patients hospitalized at HOI for hip and knee replacement and arthroplasty procedures.
THA/TKA 30-Day Readmission Rates
(Percent - Lower is Better)
6 4 2
5.4%
4.2%
1.4%
Source: Hoag Orthopedic Institute; Health Services Advisory Group for Q1 2013 through Q4 2013
0
Average for all reporting hospitals in the United States
Average for all reporting hospitals in California
Hoag Orthopedic Institute
30-Day THA/TKA Readmission Rates (Percent - Lower is Better) 6
4
2 0
Q2 2011 Q3 2011 Source: Health Services Advisory Group
Q4 2011
Q1 2012
Q2 2012
Q3 2012
Q4 2012
Q1 2013
Q2 2013
Q3 2013
Q4 2013
Average for all reporting hospitals in the United States
Average for all reporting hospitals in California
Hoag Orthopedic Institute
14 | HOAG ORTHOPEDIC INSTITUTE