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Review
. 2017 Dec;10(4):567-574.
doi: 10.1007/s12178-017-9451-2.

Outpatient Total Joint Arthroplasty

Jack M Bert  1   2 , Jessica Hooper  3 , Sam Moen  4
Affiliations
Review

Outpatient Total Joint Arthroplasty

Jack M Bert et al. Curr Rev Musculoskelet Med. 2017 Dec.

Abstract

Purpose of review: Outpatient total joint arthroplasty (OTJA) allows for a safe, cost effective pathway for appropriately selected patients. With current pressures on arthroplasty surgeons and their associated institutions to reduce costs per episode of care, it is important to define the steps and challenges associated with establishing an outpatient arthroplasty program.

Recent findings: Several studies have outlined techniques of selecting patients suitable for this type of postoperative pathway. With emerging concerns about patients who undergo outpatient arthroplasty being at increased risk of medical complications, which may lessen projected cost savings, it is important to identify value-based strategies to optimize patient recovery after OTJA. This article reviews digital techniques for patient selection and data collection, operating room efficiency systems, and provides a summary of methods to build and maintain value in outpatient total joint replacement within the framework of bundled payment reimbursement.

Keywords: Episode of care management; Outpatient total joint arthroplasty; Patient stratification.

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Conflict of interest statement

Conflict of Interest

All authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Primary hip and knee replacement growth across settings [2]
Fig. 2
Fig. 2
Organizing the episode of care
Fig. 3
Fig. 3
Data collection and outcome measures
See this image and copyright information in PMC

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