The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)

被引：38

作者：

Kiridly, Daniel N. ^{[1
]}

Karkenny, Alexa J. ^{[1
]}

Hutzler, Lorraine H. ^{[1
]}

Slover, James D. ^{[1
]}

Iorio, Richard ^{[1
]}

Bosco, Joseph A., III ^{[1
]}

机构：

[1] NYU, Hosp Joint Dis, New York, NY 10003 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 08期

关键词：

severity of disease; cost burden; 30 day readmissions; total joint arthroplasty; IMPACT;

D O I：

10.1016/j.arth.2014.03.035

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90 days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. Weidentified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1545 / 1547

页数：3

共 19 条

[1]

3M HIS, APR DRG CLASS SOFTW

[2]

Bosco JA, 2013, J ARTHROPLASTY

[3]

Bundled Payments in Total Joint Arthroplasty: Targeting Opportunities for Quality Improvement and Cost Reduction [J].