Mark Huslig – Joint Replacements + Bundled Payments: What Every Therapist & Nurse Needs to Know for Optimal Treatment and Reimbursement

Outline

NAVIGATING LOWER EXTREMITY ARTHOPLASTY AND COMPLEX CARE NAVIGATING LOWER EXTREMITY ARTHOPLASTY AND COMPLEX CARE

KNEE ARTHROPLASTY: WHY NOT ALL TOTAL KNEES ARE SURGICLALY BALANCEDKNEE ARTHROPLASTY: WHY NOT ALL TOTAL KNEES ARE SURGICLALY BALANCED

• Manage extensor mechanism complicationManage extensor mechanism complication
• Manage the stiff kneeManage the stiff knee
• Etiology of post-op extension and flexion deficitsEtiology of post-op extension and flexion deficits
• Unicompartmental knee arthroplasty (UKA) outcomesUnicompartmental knee arthroplasty (UKA) outcomes
• Long fixation components for valgus stress knee replacementsLong fixation components for valgus stress knee replacements
• Muscle activation patterns during walking and associations with TKA tibial implant migrationMuscle activation patterns during walking and associations with TKA tibial implant migration
• CPM (Continuous Passive Motion) and implications under bundled paymentsCPM (Continuous Passive Motion) and implications under bundled payments
• Use of cryoneurolysis in multimodal pain management protocolUse of cryoneurolysis in multimodal pain management protocol
• Psychological comorbidity factors associated with non-compliancePsychological comorbidity factors associated with non-compliance
• Restriction for return to sportRestriction for return to sport

HIP ARTHROPLASTY: HOW TO AOVID DEFICITS AFTER THA HIP ARTHROPLASTY: HOW TO AOVID DEFICITS AFTER THA

• Direct anterior approach’s effect on readmissions ratesDirect anterior approach’s effect on readmissions rates
• Reversible thalamic atrophyReversible thalamic atrophy
• Avoid hip instability and limb length discrepancyAvoid hip instability and limb length discrepancy
• Gait asymmetryGait asymmetry
• Spinal instrumentation and impact on hip dislocation Spinal instrumentation and impact on hip dislocation
  • THA patients with fixed spinopelvic alignment from standing to sitting at higher riskTHA patients with fixed spinopelvic alignment from standing to sitting at higher risk
  • Lumbar fusion involving the sacrum increases dislocation risk 8-foldLumbar fusion involving the sacrum increases dislocation risk 8-fold
• Effects of piriformis tendon repair failureEffects of piriformis tendon repair failure
• Electormyographic analysis implications Electormyographic analysis implications
  • Effects on gluteus medius and gluteus maximusEffects on gluteus medius and gluteus maximus
• Restriction for return to sportRestriction for return to sport

EVERYTHING YOU NEED TO KNOW ABOUT BUNDLE PAYMENTS EVERYTHING YOU NEED TO KNOW ABOUT BUNDLE PAYMENTS

• Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)
• Breaking down Medicare’s role in value-based reimbursement Breaking down Medicare’s role in value-based reimbursement
  • Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?
  • How your regional location affects the cost variation in Medicare spending for total joint replacements?How your regional location affects the cost variation in Medicare spending for total joint replacements?
• Impact on post-acute care practice settingsImpact on post-acute care practice settings

POTENTIAL PAYOFF FROM BUNDLINGPOTENTIAL PAYOFF FROM BUNDLING

• How to case cost analysis in bundled payments How to case cost analysis in bundled payments
  • What’s the relationship of implant cost to total surgical case cost?What’s the relationship of implant cost to total surgical case cost?
• Latest on performance benchmarkingLatest on performance benchmarking
• Why hospital quality scores matterWhy hospital quality scores matter
• How to create orthopedic physician report cardsHow to create orthopedic physician report cards
• What is allowed by Medicare in gain-sharing with hospitalsWhat is allowed by Medicare in gain-sharing with hospitals
• Minimize narcotic use with patientsMinimize narcotic use with patients
• The latest news in how CMS will pay for post-acute rehab servicesThe latest news in how CMS will pay for post-acute rehab services
• The role of tele-rehab in total joint casesThe role of tele-rehab in total joint cases

KEYS TO IMPROVE PATIENT OUTCOMES KEYS TO IMPROVE PATIENT OUTCOMES

• Tools used in risk stratifying patients prior to surgeryTools used in risk stratifying patients prior to surgery
• Quality tools and templatesQuality tools and templates
• What outcome reporting does Medicare requireWhat outcome reporting does Medicare require
• The American Joint Replacement Registry data to improve outcomesThe American Joint Replacement Registry data to improve outcomes
• How to influence hospitals into collaborating and gain-sharingHow to influence hospitals into collaborating and gain-sharing
• Medicare waivers under the bundled payment programsMedicare waivers under the bundled payment programs
• Beneficiary rightsBeneficiary rights