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Reducing Length of Stay, Direct Cost, and Readmissions in Total Joint Arthroplasty Patients With an Outcomes Manager-Led Interprofessional Team

Arana, Melissa; Harper, Licia; Qin, Huanying; Mabrey, Jay

doi: 10.1097/NOR.0000000000000366
Original Articles

The purpose of this quality improvement project was to determine whether an outcomes manager-led interprofessional team could reduce length of stay and direct cost without increasing 30-day readmission rates in the total joint arthroplasty patient population. The goal was to promote interprofessional relationships combined with collaborative practice to promote coordinated care with improved outcomes. Results from this project showed that length of stay (total hip arthroplasty [THA] reduced by 0.4 days and total knee arthroplasty [TKA] reduced by 0.6 days) and direct cost (THA reduced by $1,020 per case and TKA reduced by $539 per case) were significantly decreased whereas 30-day readmission rates of both populations were not significantly increased.

Melissa Arana, MSN, RN, CMSRN, Orthopedic Outcomes Manager, Orthopedics, Baylor University Medical Center of Dallas, Dallas, TX.

Licia Harper, MPT, Supervisor of Rehabilitation, Orthopedics, Baylor University Medical Center of Dallas, Dallas, TX.

Huanying Qin, MS, Statistician, Quantitative Services, Baylor Health Care System, Dallas, TX.

Jay Mabrey, MD, MBA, CPE, Chief, Orthopedics, Baylor University Medical Center of Dallas, Dallas, TX.

Melissa Arana received salary funding during the project by the Deerbrook Charitable Trust Foundation. The other authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

© 2017 National Association of Orthopaedic Nurses