UMass Memorial Medical Center - Value-based Decisions For Total Joint Replacement

UMass Memorial Medical Center VALUE-BASED DECISIONS FOR TOTAL JOINT REPLACEMENT

THE VALUE AND QUALIT Y YOUR PATIENTS DESERVE

A Message from the Chair At UMass Memorial Medical Center Department of Orthopedics and Physical Rehabilitation, value-based health care matters. Here, joint replacement surgeons are offering patients high-quality, safe, cost effective and evidence-based joint replacement procedures with excellent outcomes that are the best in the state and region. Here’s what matters to you and your patients: State and Regional Leader in Low Complication Rates Well below the US average Emphasis on Quality, Safety and Superior Patient Outcomes for Total Joint Replacements Using outcomes from FORCE-TJR (Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement and Quality Improvement), a nationwide comprehensive database of total joint replacement (TJR) surgical and patient-reported outcomes led by University of Massachusetts Medical School Department of Orthopedics and Physical Rehabilitation(www.force-tjr.org) High Rate of Patient Satisfaction Through our seamless, high-quality, coordinated services to patients across the continuum of care Patient Navigator Guides the patient through their total joint experience and ensures a continuity of extraordinary care throughout every stage Groundbreaking Pain Management Protocol Treats pain before it begins—this effective approach allows patients to focus on rehabilitation sooner to improve outcomes Innovative Joint Replacement and Spine Bundles Successfully improves quality and lowers cost—providing a significant value to our Accountable Care Organization Blue Distinction Centers+ for Knee and Hip Replacement Recognized for expertise in total knee and total hip replacement surgeries, resulting in fewer patient complications and hospital readmissions, as well as cost efficiency in the care we deliver We hope you will find this brochure helpful when discussing joint replacement with your patients. We see ourselves as an extension of you and your practice and do not take that responsibility lightly. Should you have any questions about our program and information presented in this report, please feel free to contact me.

David C. Ayers, MD, Chair Department of Orthopedics and Rehabilitation Medicine UMass Memorial Medical Center david.ayers@umassmemorial.org | 508-334-9750

W W W.UMASSMEMORIAL.ORG / ORTHO | 855-UMASS-MD

1.

THE PROOF IS IN OUR NUMBERS

Rate of Complication

Our joint replacement program has the lowest infection rates for joint replacement (hip/knee) patients in Central Massachusetts, and one of the best in the state—far below the national average. This means that our patients receive high quality, excellent care with extraordinary care pathways before, during and after surgery, ensuring faster, healthier recovery and the best possible outcomes.

Source: Medicare.gov/hospitalcompare, April 2011 – March 2014 for surgical complication rate

2.

BEST PLACE TO GIVE CARE. BEST PLACE TO GET CARE.

THE PROOF IS IN OUR NUMBERS

Patient Safety and Quality One of the state’s most distinguished academic institutions, UMass Memorial Medical Center and its orthopedic team provide leadership, innovation, education and state-of-the-art research. All of these initiatives drive our exceptional safety ratings and positive outcomes for our total joint replacement patients.

Source: Crimson Continuum of Care, July 2015 – September 2015, DRG 470; Elective total joint replacements

Source: Massachusetts 2014 HAI Data Summary, Hospital SSI SIR by Procedure Type for 2014 Calendar Year Compared to National Baseline; Statistically Significant Variation from Predicted Number of Surgical Site Infections, 2011-2014; SSI (Surgical Site Infection), SIR (Standardized Infection Ratio)

WWW.UMASSMEMORIAL.ORG/ORTHO | 855-UMASS-MD

3.

THE PROOF IS IN OUR NUMBERS

Exceptional Patient Satisfaction We take the time to learn about every patient’s unique situation and devise the best treatment plan for that individual.

These practices result in superior patient satisfaction results for total joint replacements and we’re happy to report that the positive sentiments are echoed by the high rate of patient satisfaction with our seamless, high-quality, coordinated ambulatory services.

95.7%

95.2%

94.0%

93.6%

93.5%

90.4%

Nursing /Support Staff Courtesy and Professionalism

Clear Explanations From Care Provider

Care, Concern, Listening From Care Provider

Receptionist Courtesy and Professionalism

Liklihood Of Recommending This Practice To Others

Desired Appointment Availability

Source: UMass Memorial Medical Center Arthritis and Joint Replacement Center, 2016 Q1 Internal Patient Satisfaction Survey Results

Patient Discharge to Home Patients with direct-to-home discharge plans have improved surgical outcomes, faster recovery, and lower readmission rates; as well as higher overall satisfaction. We are proud to report that our discharge percentages are consistently positive.

Source: UMass Memorial Medical Center Total Joint Replacement TJR Bundle Patient Discharge Data; April 2015 – December 2015

4.

BEST PLACE TO GIVE CARE. BEST PLACE TO GET CARE.

THE VALUE AND QUALIT Y YOUR PATIENTS DESERVE

You’re in the Right Place As the region’s leader in orthopedic care, UMass Memorial Medical Center offers comprehensive evaluation and treatment of musculoskeletal disorders for patients of all ages. And with multiple care centers across our region, including Worcester, Milford, Westborough, and Leominster, your patients will find the care they need close to home.

Why Choose Us? · Access to highly skilled specialists in every area of orthopedics, including: · Arthritis and Joint Replacement · Elbow · Hand and Upper Extremity · Foot and Ankle/Podiatry · Fractures and Orthopedic Trauma · Orthopedic Oncology · Pediatric Orthopedics · Physical Medicine and Rehabilitation · Physical Therapy / Occupational Therapy · Shoulder · Spine · Sports Medicine · New patient appointments within 48 hours or sooner for emergencies · Dedicated orthopedic scheduling center with trained personnel who have orthopedic triage knowledge and expertise · Extensive spinal care including non-operative spine procedures such as spinal injections, along with a comprehensive physical therapy treatment program With more board-certified, fellowship-trained orthopedic specialists than anywhere else in Central Massachusetts, we are defining the future of musculoskeletal care.

Get In Touch Today To learn how to move forward with our team, visit www.umassmemorial.org/ortho or call 508-334-0600.

Orthopedic Locations UMass Memorial Arthritis and Joint Replacement Center UMass Memorial Medical Center - Memorial Campus 119 Belmont Street Worcester, MA 01605 UMass Memorial Medical Center - Hahnemann Campus 281 Lincoln Street Worcester, MA 01605

UMass Memorial Orthopedics at Westborough 154 East Main Street Westborough, MA 01581 UMass Memorial Orthopedics at Milford 91 Water Street Milford, MA 01757

UMass Memorial Medical Center - University Campus 55 Lake Avenue North Worcester, MA 01655

WWW.UMASSMEMORIAL.ORG/ORTHO | 855-UMASS-MD 5.

Patients and families trust UMass Memorial Medical Center as the region’s leading academic medical center, committed to improving the health of our communities in Central Massachusetts. With our partner, the University of Massachusetts Medical School, we are committed to excellence in primary and specialty care, community service, teaching and research. The Medical Center offers advanced technology and support services for patients and families, providing the region with specialists renowned for their expertise in caring for adults and children. Visit www.umassmemorial.org. General information: 508-334-1000

UMass Memorial Health Care is the largest not-for-profit health care system in Central Massachusetts with more than 12,000 employees and 1,600 physicians, many of whom are members of UMass Memorial Medical Group. Our member hospitals and entities include UMass Memorial – Clinton Hospital, UMass Memorial – HealthAlliance Hospital, UMass Memorial – Marlborough Hospital, UMass Memorial Medical Center and UMass Memorial – Community Healthlink, our behavioral health agency. With our teaching and research partner, the University of Massachusetts Medical School, our extensive primary care network and our cancer, diabetes, heart and vascular, orthopedic and surgery programs, UMass Memorial delivers safe, high-quality and compassionate care. Visit www.umassmemorialhealthcare.org.

To find a physician in your community, call 855-UMASS-MD (855-862-7763).

UMass Memorial Arthritis and Joint Replacement Center UMass Memorial Medical Center - Memorial Campus 119 Belmont Street, Worcester, MA 01605 855-UMASS-MD | www.umassmemorial.org/ortho

MRKTG 06/16