A collaborative of leading health systems finds wide variations in total knee replacement delivery and takes steps to improve value

Ivan M. Tomek, Allison L. Sabel, Mark I. Froimson, George Muschler, David S. Jevsevar, Karl M. Koenig, David G. Lewallen, James M Naessens, Lucy A. Savitz, James L. Westrich, William B. Weeks, James N. Weinstein

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Members of a consortium of leading US health care systems, known as the High Value Healthcare Collaborative, used administrative data to examine differences in their delivery of primary total knee replacement. The goal was to identify opportunities to improve health care value by increasing the quality and reducing the cost of that procedure. The study showed substantial variations across the participating health care organizations in surgery times, hospital lengths-of-stay, discharge dispositions, and in-hospital complication rates. The study also revealed that higher surgeon caseloads were associated with shorter lengths-of-stay and operating time, as well as fewer in-hospital complications. These findings led the consortium to test more coordinated management for medically complex patients, more use of dedicated teams, and a process to improve the management of patients' expectations. These innovations are now being tried by the consortium's members to evaluate whether they increase health care value.

Original languageEnglish (US)
Pages (from-to)1329-1338
Number of pages10
JournalHealth Affairs
Volume31
Issue number6
DOIs
StatePublished - Jun 2012

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ASJC Scopus subject areas

  • Health Policy

Cite this

Tomek, I. M., Sabel, A. L., Froimson, M. I., Muschler, G., Jevsevar, D. S., Koenig, K. M., Lewallen, D. G., Naessens, J. M., Savitz, L. A., Westrich, J. L., Weeks, W. B., & Weinstein, J. N. (2012). A collaborative of leading health systems finds wide variations in total knee replacement delivery and takes steps to improve value. Health Affairs, 31(6), 1329-1338. https://doi.org/10.1377/hlthaff.2011.0935