WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: October 23, 2014
Featuring:
Hips and knees are replaced in record numbers these days and these frequent procedures have comparatively low rates of harm and complications, bringing new scrutiny of performance and opportunities for improvement.
Public and private payers have begun targeting joint replacement for bundled payments and reimbursement tied to the quality of care, looking to include patient-reported outcomes. Health care providers who perform a lot of joint replacements have already been preparing to meet these new challenges. They’ve realized that there are multiple ways to improve the care experience for patients and save everyone money. For instance, reducing the amount of time patients spend in the hospital and setting up good supports for rehab at home can have a big impact on costs and how quickly people recover.
We covered some terrific innovations and “aha” discoveries on this WIHI. Robert Kaplan from the Harvard Business School explains the Time-Driven Activity-Based Costing (TDABC), a powerful way to capture and analyze every step and cost of the joint replacement process. IHI has been working with some 32 hip and knee replacement providers over the past year on TDABC and subsequent improvements as part of the IHI Joint Replacement Learning Community. We learn about them and their exciting work on this episode of WIHI.
WIHI: Reports from the Frontlines of Effective Crisis Management
WIHI: Primary Care's (New) Pressures and Possibilities
WIHI: Health Care’s Newest Improvers: Patient and Family Advisors
WIHI: The Newest Innovator on the Block: Center for Medicare and Medicaid Innovation
WIHI: A Legible Prescription for Health Care
WIHI: Alert to Change: New Models for Residency Work Hours
WIHI: The Power of Specialty Care – and the Necessity to Use It Wisely
WIHI: The Patient Activist
WIHI: Finding the Will to Bend the Cost Curve
WIHI: Nursing’s New Roadmap: Education, the Workforce, and Health Care Quality
WIHI: The Leaders Needed for the Changes Health Care Needs
WIHI: The Power to Detect and Reduce Harm: IHI’s Global Trigger Tool and Adverse Events in the US
WIHI: Reducing Readmissions, Restoring Revenues: Making Good Care Count
WIHI: The Buzz about Medical Training: It’s (Slowly) Changing
WIHI: Leaders Never Stop Learning
WIHI: Against All Odds: Maternal Survival in Ghana and the US
WIHI: Unprofessional Behavior Not Permitted Here
WIHI: The Image of Better (Radiation) Imaging Practices
WIHI: Learning by Data and by Doing: Low-Cost, High-Quality Health Care in America
WIHI: Coaching’s the Thing for Primary Care Practice
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