Total Knee Arthroplasty in the Ambulatory Surgery Center Setting: Best Practices for Cost Containment and Clinical Care Delivery.
Journal
Orthopedic nursing
ISSN: 1542-538X
Titre abrégé: Orthop Nurs
Pays: United States
ID NLM: 8409486
Informations de publication
Date de publication:
Historique:
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
28
7
2021
Statut:
ppublish
Résumé
As the current population continues to increase in age, so does the degeneration of the musculoskeletal system and the development of knee osteoarthritis. Total knee arthroplasty (TKA) will be the treatment of choice when it comes to improving physical function and decreasing pain associated with osteoarthritis of the knee. The global push for more cost-effective healthcare services has led to new models of care and payment delivery methods such as performing TKA in the ambulatory surgery center (ASC) setting. With deeply invasive surgical procedures such as TKA being done in the ASC setting, orthopaedic nurses must be mindful of best practices that will promote quality and safety while considering the importance of using current evidence to guide nursing practice when promoting appropriate patient selection and effective patient education of self-management of postoperative care pertaining to TKA being performed in the ASC setting. This is critical to consider during a time when financial profits in the ASC setting may take a front seat to the delivery of high-quality and safe patient care.
Identifiants
pubmed: 33492903
doi: 10.1097/NOR.0000000000000725
pii: 00006416-202101000-00004
doi:
Types de publication
Journal Article
Langues
eng
Pagination
7-13Informations de copyright
Copyright © 2021 by National Association of Orthopaedic Nurses.
Références
Agency for Healthcare Research and Quality. (2016). HCUP nationwide inpatient sample. https://www.hcup-us.ahrq.gov/databases.jsp
American Association of Hip and Knee Surgeons. (2019). Total joint replacement: A breakdown of costs. https://hipknee.aahks.org/wp-content/uploads/2019/10/total-joint-replacement-costs_final.pdf
American Society of Anesthesiologists. (2020). ASA physical status classification system. https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system
Berger R., Kusuma S., Sanders S. (2009). The feasibility and perioperative complications of outpatient knee arthroplasty. Clinical Orthopaedics Related Research, 467(6), 1443–1449.
Boyce L., Prasad A., Barrett M., Dawson-Bowling S., Millington S., Hanna S., Achan P. (2019). The outcomes of total knee arthroplasty in morbidly obese patients: A systematic review of the literature. Archives of Orthopaedic Trauma Surgery, 139(4), 553–560.
Centers for Medicare & Medicaid Services. (2016). Quality payment program: Delivery system reform, Medicare payment reform, & MACRA. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html
Centers for Medicare & Medicaid Services. (2019). CY 2020 hospital outpatient PPS policy changes and payment rates and ambulatory surgical center payment system policy changes and payment rates CMS-1717-P. https://www.federalregister.gov/documents/2019/11/12/2019-24138/medicare-program-changes-to-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center
Courtney P., Froimson M., Meneghini M., Gwo-Chin L., Della Valle C. (2018). Can total knee arthroplasty be performed safely as an outpatient in the Medicare population? The Journal of Arthroplasty, 33(7), S28–S31.
Giardina J., Embrey K., Morris K., Taggart H. (2020). The impact of preoperative education on patients undergoing elective total knee hip and knee arthroplasty: The relationship between patient education and psychosocial factors. Orthopaedic Nursing, 39(4), 218–224.
Hootman J., Helmick C., Barbour K., Theis K., Boring M. (2016). Updated projected prevalence of self-reported doctor-diagnosed arthritis and arthritis-attributable activity limitation among US adults, 2015-2040. Arthritis & Rheumatology, 68(7), 1582–1587.
Joshi G., Ankichetty S., Gan T., Chung F. (2012). Society for Ambulatory Anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery. Anesthesia & Analgesia, 115(5), 1060–1068.
Krause A., Sayeed Z., El-Orthmani M., Pallekonda V., Mihalko W., Saleh K. (2018). Outpatient total knee arthroplasty: Are we there yet? (Part 1). Orthopedic Clinics of North America, 49(1), 1–6.
Mordecai L., Leung F., Carvalho C., Reddi D., Lees M., Cone S., Brandner B. (2016). Self-managing postoperative pain with the use of a novel, interactive device: A proof of concept study. Pain Research and Management, 2016, 6. https://doi.org/10.1155/2016/9704185
doi: 10.1155/2016/9704185
Nussenbaum F., Rodriguez-Quintana D., Fish S., Green D., Cahill C. (2018). Implementation of preoperative screening criteria lowers infection and complication rates following elective total hip arthroplasty and total knee arthroplasty in a veteran population. The Journal of Arthroplasty, 33(1), 10–13.
Pelt C., Gililland J., Erickson J., Trimble D., Anderson M., Peters C. (2018). Improving value in total joint arthroplasty: A comprehensive patient education and management program decreases discharge to post-acute care facilities and post-operative complications. The Journal of Arthroplasty, 33(1), 14–18.
Samuels J., Woodward R. (2015). Opportunities to improve pain management outcomes in total knee replacements: Patient-centered care across the continuum. Orthopaedic Nursing, 34, 4–9.
Smith M., Walsh C., Levin B., Eaten K., Yager M. (2017). Orthopaedics snafus: When adverse events happen in orthopaedics. Orthopaedic Nursing Journal, 36(2), 98–109.
Steiner C., Andrews R., Barrett M., Weiss A. (2012). HCUP projections: Mobility/orthopedic procedures 2003 to 2012, Report# 2012-03. U.S. Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/reports/projections/2012-03.pdf
U.S. Department of Health and Human Services. (2016). Strategic goal 1: Strengthen health care. http://www.hhs.gov/about/strategic-plan/strategic-goal-1/
Wittig-Wells D., Johnson I., Samms-McPherson J., Thankachan S., Titus B., Jacob A., Higgins M. (2015). Does the use of a brief cryotherapy intervention with analgesic administration improve pain management after total knee arthroplasty? Orthopaedic Nursing, 34, 148–153.
Wilson R., Watt-Watson J., Hodnett E., Tranmer J. (2016). A randomized controlled trial of an individualized preoperative education intervention for symptom management after total knee arthroplasty. Orthopaedic Nursing, 35, 20–29.