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The new CMS proposal includes mandatory episode payment models for surgical hip/femur fracture treatment (SHFFT), acute myocardial infarction (AMI) and coronary artery bypass graft (CABG). The proposed payment arrangements are models that compensate providers for an episode of care during the inpatient stay and for 90 days after discharge, not the individual components of care. The proposed rule was published yesterday in the Federal Register.
As a leader in the market for delivering solutions to treat patients with hip fractures and with experience in helping health systems navigate the Comprehensive Care for Joint Replacement Model (CJR), DePuy Synthes is in a unique position to support the hospitals in the 67 metropolitan statistical areas that may now have to expand the CJR program to also include hip fracture patients.
Hip fractures due to osteoporosis are a major public health burden. Approximately 258,000 people aged 65 and older were admitted for hip fractures in 20101. The estimated lifetime cost for all hip fractures in a single year is $20 billion2. And, the prognosis of hip fracture among the elderly is very poor with increased mortality, nursing home stays and loss of independence.
"The CMS proposal accelerates the drive toward a more integrated, value-based health care system in the US," says Tim Schmid, Chief Strategic Customer Officer, Johnson & Johnson Medical Devices Companies. "By its very design, the Geriatric Fracture Program significantly elevates the ability of hospitals to meet the goals of the Triple Aim by improving patient outcomes, reducing costs and enhancing the patient experience. The Geriatric Fracture Program has a proven track record in more than 150 hospitals. Several hospitals that have implemented the program have gone on to receive certification by The International Geriatric Fracture Society."
The Geriatric Fracture Program is part of a broader suite of solutions from the Johnson & Johnson Medical Devices Companies that helps health systems provide value. These solutions focus on operational integration and efficiency, continuum of care, and patient engagement and experience. The Geriatric Fracture Program provides a team-based approach to treating patients from the time they arrive in the emergency department through discharge. It helps hospitals improve patient care through an organized effort including everything from early surgical intervention (within 24 hours of fracture) and management of co-morbidities, to evidence-based care pathways, prevention of delirium, early supported discharge and multi-disciplinary fracture program.
The Geriatric Fracture Program is comprised of four distinct components that complement the proposed episode payment program and how hospitals will be measured by CMS:
Coordinated programs for the management of geriatric patients with hip fractures have a proven track record in addressing morbidity, mortality3, and costs. Some studies have demonstrated statistically significant reductions in length of stay4, post-operative delirium5, and in-hospital post-operative falls6.
In addition to the Geriatric Fracture Program, through an exclusive relationship with MedTrak Inc., DePuy Synthes offers hospitals CareSense Pathways, a system that educates, monitors and communicates with patients to guide them through their course of care. Hospitals that have implemented this program have been able to demonstrate improvements in post-acute care for hip fracture patients by using care navigation and deploying nurses to conduct follow-up visits with patients after discharge from the hospital.
About Johnson & Johnson Medical Devices Companies
Having made significant contributions to surgery for more than a century, the Johnson & Johnson Medical Devices Companies are in the business of reaching more patients and restoring more lives. The group represents the most comprehensive surgical technology and specialty solutions business in the world, offering an unparalleled breadth of products, services, programs and research and development capabilities directed at advancing patient care while delivering clinical and economic value to health care systems worldwide.
About DePuy Synthes Companies
DePuy Synthes Companies of Johnson & Johnson provides one of the most comprehensive portfolios of orthopaedic and neurological solutions in the world. DePuy Synthes Companies solutions, in specialties including joint reconstruction, trauma, neurological, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide. For more information visit, www.depuysynthes.com. Follow us on Twitter at @DePuySynthes.
1 Smith et al. Increase in Disability Prevalence Before Hip Fracture. J Am Geriatr Soc. 2015 Oct;63(10):2029-35.
2 Smith et al. Increase in Disability Prevalence Before Hip Fracture. J Am Geriatr Soc. 2015 Oct;63(10):2029-35.
3 Grigoryan KV, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. Journal of orthopaedic trauma. Mar 2014;28(3):e49-55.
4 Literature Review, March 2015
5 Literature Review, March 2015
6 Stenvall M, Olofsson B, Lundstrom M, et al. A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. Feb 2007;18(2):167-175.
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/johnson--johnson-medical-devices-companies-value-based-solutions-help-health-systems-address-proposed-mandatory-cms-plan-for-episode-payment-models-300308399.html
SOURCE Johnson & Johnson Medical Devices Companies
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