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: How to Beat Burnout and Create Joy in Work.
WIHI: Tuning up Health System Boards for Patient Safety
WIHI: Pursuing Health Equity With Curiosity: Notes from New Initiatives
WIHI: Workplace Violence in Health Care Can't Be the Norm
WIHI: Greater Satisfaction, Outcomes, and Savings With Self-Administered Care
WIHI: How to Fail Forward (Quickly) on the Road to Population Health
WIHI: How to Beat the Boring Aspects of QI
WIHI: The Digital Transformation: How Technology Is Helping (and Hurting) Health Care
WIHI: Seven Popular Improvement Tools: How (and When) to Use Them
WIHI: The High Stakes of Health Care Policy
WIHI: Creating Age-Friendly Health Systems
WIHI: Who's Your Health Care Proxy?
WIHI: What We're Learning about Patients with Complex Needs
WIHI: The Right Care, Right Setting, and Right Time of Hospital Flow
WIHI: Claiming the Edge with Quality Improvement in Communities
WIHI: Practicing Respect and Preventing Harm
WIHI: The Next Wave of Patient Safety
WIHI: Improving the Rate of Recommended Care: Looking Back and Looking Ahead
WIHI: Moving Upstream to Address the Quadruple Aim
WIHI: Measures That Matter: Whole System Measures 2.0
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