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Comprehensive Facility-Wide Approach Improves Outcomes after Lower Extremity Surgical Arthroplasty in an Acute Care Hospital

Talatzko, Shannon; Deprey, Sara M.; Hager, Nancy

The Journal for Healthcare Quality (JHQ): May-June 2014 - Volume 36 - Issue 3 - p 17–27
doi: 10.1111/jhq.12000
Original Articles

Abstract: The number of total knee and hip arthroplasty is predicted to rise 174% and 673%, respectively, over the next 20 years due to the expected rise in the baby boomer population. Along with increased numbers or procedures performed is the rise in cost and potential medical complications from hospitalizations. The purpose of this study is to describe one rural hospital's facility-wide procedure to streamline processes and standardize care without compromising patient medical needs prior to, and during, the acute phase of total knee and hip arthroplasty. Data were compared before and after the facility-wide procedure was implemented. Results found shorter length of hospital stay and significantly more discharges directly home all without increasing medical complications after the facility-wide procedure was implemented.

For more information on this article, contact Sara M. Deprey

Shannon Talatzko, DPT, is a physical therapist and is currently working in an outpatient setting.

Sara M. Deprey, PT, DPT, MS, GCS, is a clinical associate professor at Carroll University whose research interest includes clinical outcomes.

Nancy Hager, RN, is a registered nurse and Joint Care Coordinator at Lakeview Medical Center, Wisconsin where this study took place. She has worked at Lakeview Medical Center, Rice Lake Wisconsin since 1981.

© 2014 National Association for Healthcare Quality
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