A study released by Wellbe Inc. has identified a majority of orthopedic nurses surveyed believe patients who undergo joint replacement surgery are unprepared for pain management, and most hospital executives surveyed said they already have or plan to establish bundled payment plans in 2014.
“Orthopedic service line managers are entering a new era of unpredictability with health care reform, reimbursement pressures, increased payer scrutiny and higher patient demands,” James Dias, chief executive officer of Wellbe Inc., stated in a press release. “We hope this survey will offer orthopedic directors new exclusive insights to help them set the stage of their department going in to 2014.”
The study consists of two surveys, one of 650 members of the National Association of Orthopedic Nurses and another of 100 U.S. hospital executives. In the first survey, 43% of orthopedic nurses surveyed said patients undergoing joint replacement are unprepared for pain management. In addition, 17% said patients are unprepared for home preparation, 16% are unprepared for mobility, 13% are unprepared to deal with insurance and 10% are unprepared for discharge.
Of the nurses surveyed, 40% said they would consider a “program that helps patients feel more prepared ... by delivering educational resources in small doses through email” to be very valuable, 55% believe it would be valuable, and 5% believed it would not be valuable. The nurses also answered that 82% of hospitals used classes, 56% used binders, 37% used phone calls and 14% used online education to help joint replacement patients feel more prepared before surgery.
In the second survey, 59% of U.S. hospital executives surveyed said the orthopedics service is the first or second for growth in funding support in 2014, behind cardiology, oncology, women’s health and neurology and neurosurgery. Of the 100 hospital executives surveyed, 64% said they already have established or currently plan to establish bundled payment programs in orthopedics. To measure success of the programs, 27% of those surveyed said they would use cost reduction/savings as a metric, while 21% said they would use patient satisfaction/experience as a metric.