Improved hospital performance on CMS quality metrics positively correlated with TJR volume
Recently published results revealed a positive correlation between total joint replacement volumes and the overall hospital quality and the total joint replacement volumes and the value-based purchasing performance.
Using the New York Statewide Planning and Research Cooperative System database, researchers analyzed data on total New York State hospital discharges for total knee arthroplasty and total hip arthroplasty from 2013 to 2015. Investigators then compared these data to information from Hospital Compare, part of the CMS Health Quality Initiative on hospital-acquired conditions, excess readmissions and value-based purchasing. Overall, 123 hospitals in New York had participated in the three Medicare pay-for-performance programs that had performed total joint replacements.
Findings showed on average 1,136.59 TJAs were performed in New York hospitals from 2013 to 2015. Investigators noted the mean readmission penalty was 0.005909 and the correlation coefficient score was 0.277 between the surgery volume and the combined performance score. Correlations that showed statistical significance included surgery volume and value-based purchasing and surgery volume and combined performance. – by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.