Lessons Learned from the Mandatory Joint Replacement Bundle
February 22, 2017 — 01:00PM EST - 02:00PM EST
Orange County Convention Center
Continuing Education Credits:
The Centers for Medicare & Medicaid Services (CMS) first mandatory bundled payment affects nearly 20% of hospitals nationwide. The Comprehensive Care for Joint Replacement (CJR) model holds hospitals financially accountable for episodic spending performance on eligible Medicare fee-for-service joint replacements. The CJR is structured in such a way that practically demands coordinated IT support in order to “win” under its terms.
Hospitals are assessed for all episodic spending related to the procedure for a period of 90 days from the admission date (including care at post-acute care settings, if applicable). For example, the costs of care accrued, even at non-hospital settings, influence the hospital’s ability to earn a payment, even for reasons that are outside the hospital’s control.
This presentation describes how Aurora Health Care’s hospitals in the CJR organized an effort to standardize clinical processes, improve discharge efficiency and better coordinate care.