Financial Impact of a Capitation Matrix System on Total Knee and Total Hip Arthroplasty

Journal of Arthroplasty

Volumn 24, Issue 5, 2009, Pages 783-788

  Taylor, Benjamin ^a   Fankhauser, Richard A ^a   Fowler, Terry ^a  

^a MOUNT CARMEL HEALTH SYSTEM   (United States)

Author keywords

implant; implant costs; implant standardization; matrix; prosthesis; total hip arthroplasty; total knee arthroplasty

Indexed keywords

ARTICLE; CAPITATION FEE; ECONOMIC ASPECT; ECONOMIC EVALUATION; HEALTH CARE COST; HEALTH CARE SYSTEM; JOINT PROSTHESIS; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT;

ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; CAPITATION FEE; CONTRACT SERVICES; HOSPITAL COSTS; HOSPITALS, COMMUNITY; HUMANS; JOINT DISEASES; JOINT PROSTHESIS; OHIO; PHYSICIAN'S PRACTICE PATTERNS; PROSTHESIS DESIGN;

EID: 67650742540     PISSN: 08835403     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.arth.2008.03.005     Document Type: Article

References (25)

1. Callahan C.M., Drake B.G., Heck D.A., et al. Patient outcomes following tricompartmental total knee replacement: a meta-analysis. JAMA 271 (1994) 1349
2. Laupacis A., Bourne R., Rorabeck C., et al. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg 75-A (1993) 1619
3. Norman-Taylor F.H., Palmer C.R., and Villar R.N. Quality-of-life improvement compared after hip and knee replacement. J Bone Joint Surg 78-B (1996) 74
4. Woolhead G.M. Outcomes of total knee replacement: a qualitative study. Rheumatology 44 (2005) 1032
5. Birrell F., Johnell O., and Silman A. Projecting the need for hip replacement over the next three decades: influence of changing demography and threshold for surgery. Ann Rheum Dis 58 (1999) 569
6. Kozak L.J., Hall M.J., and Owings M.F. National hospital discharge survey: 2000. Annual Summary with detailed diagnosis and procedure data. Vital Health Stat (2002) 1
7. Kozak L.J., Owings M.F., and Hall M.J. National Hospital Discharge Survey: 2002. Annual summary with detailed diagnosis and procedure data. Vital Health Stat (2005) 1
8. Greene J. Will a 'perfect storm' help control rising orthopedic implant costs?. OR Manager 21 (2005) 1
9. Containing the cost of orthopaedic implants (1996), American Academy of Orthopaedic Surgeons, Rosemont, IL. http://www2.aaos.org/aaos/archives/bulletin/jan96/cost.htm Accessed 24 January 2007
10. Healy W.L., Ayers M.E., Iorio R., et al. Impact of a clinical pathway and implant standardization of total hip arthroplasty: a clinical and economic study of short-term patient outcome. J Arthroplasty 13 (1998) 266
11. Ballard D.J. Hips and knees: state of evidence regarding effectiveness of quality improvement interventions in orthopedic surgery. Mayo Clin Proc 71 (1996) 208 [editorial]
12. Healy W.L., Iorio R., Richards J.A., et al. Opportunities for control of hospital costs for total joint arthroplasty after initial cost containment. J Arthroplasty 13 (1998) 504
13. Levine D.B., Cole B.J., and Rodeo S.A. Cost awareness and cost containment at the hospital for special surgery. Strategies and total hip replacement cost centers. Clin Orthop Relat Res 311 (1995) 117
14. Sommers L.S., Schurman D.J., Jamison J.Q., et al. Clinician-directed hospital cost management for total hip arthroplasty patients. Clin Orthop Relat Res 258 (1990) 168
15. Clark C.R. Cost containment: total joint implants. J Bone Joint Surg 76-A (1994) 799
16. Christo A.E., Bargar W.L., and Morris E. Prosthesis cost containment in total joint replacement: a physician-driven free-market approach. Orthopedics 23 (2000) 439
17. Ferdinand M. Reducing orthopedic implant costs. A physician-driven approach at Mt. Sinai Medical Center, Cleveland. J Healthc Mater Manage 12 (1994) 20
18. Healy W.L., Iorio R., Ko J., et al. Impact of cost reduction programs on short-term patient outcome and hospital cost of total knee arthroplasty. J Bone Joint Surg 84-A (2002) 348
19. Johnston D.W.C., Beaupre L.A., Davies D.M., et al. Reducing arthroplasty costs via vendor contracts. Can J Surg 42 (1999) 445
20. Herndon J.H. The Future of Orthopaedics. AAOS Bulletin. American Academy of Orthopaedic Surgeons (2004)
21. Healy W.L., Kirven F.M., Iorio R., et al. Implant standardization for total hip arthroplasty. An implant selection and cost reduction program. J Arthroplasty 10 (1995) 177
22. Goldstein W.M., Wall R., and Brandon J. Surgical team approach improves profitability. Academy News. American Academy of Orthopaedic Surgeons (2001)
23. Bozic K.J., Morshed S., Silverstein M.D., et al. Use of cost effectiveness analysis to evaluate new technologies in orthopaedics. J Bone Joint Surg 88-A (2006) 706
24. Mendenhall S. The high price of technology: factors affecting hip implant costs. Healthc Financ Manage 42 (1988) 42
25. Stern S.H., Singer L.B., and Weissman S.E. Analysis of hospital cost in total knee arthroplasty: does length of stay matter?. Clin Orthop Relat Res 321 (1995) 36