Emergency Department Observation Versus Readmission Following total Joint Arthroplasty: Can We Avoid the Bundle Buster?

• Published in: The Journal of arthroplasty Vol. 36; no. 3; pp. 833 - 836
• Main Authors: Lygrisse, Katherine A., Zak, Stephen, Singh, Vivek, Hutzler, Lorraine H., Schwarzkopf, Ran, Rozell, Joshua C.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2021
• Subjects: Aged; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; bundle payment; emergency department; Emergency Service, Hospital; Humans; Medicare; observation; Patient Care Bundles; Patient Readmission; readmission; Retrospective Studies; Risk Factors; total joint; United States; United States; bundle payment; emergency department; readmission; total joint; observation

As the Center for Medicare and Medicaid (CMS) moves toward bundled payment plans for total joint arthroplasty (TJA), it becomes necessary to reduce factors that increase cost for an episode of care such as readmissions. The goal of this study is to evaluate the payment for observation stay versus re...