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Get ahead of the curve: Orthopedics in a pay-for-performance world

March 19, 2014

Samuel Gold, Service Line Strategy Advisor

Attendees at this year’s AAOS National Meeting turned their focus forward to the potential implications of measuring quality in orthopedic care. The major questions asked were:

  • What are measures by which to measure quality?
  • What role will patient selection play?
  • How will these changes affect a physician’s practice patterns?

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Improving orthopedic quality: Make a strong first impression

March 14, 2014

Samuel Gold, Service Line Strategy Advisor

Delivering quality in orthopedics has been a hot topic of discussion at AAOS because of the high degree of uncertainty around what “quality” actually means. Many presentations have addressed the importance of defining and measuring quality, its financial implications, and implementation strategies for orthopedic practices.

In particular, these discussions focused on how the patient perceives the quality of their care and why this is an important consideration.

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What strategies can you use to optimize efficiency in the orthopedic OR?

March 12, 2014

Shruti Tiwari, Service Line Strategy Advisor

The first day of the American Academy of Orthopedic Surgeons (AAOS) Annual Meeting included active discussion on strategies to improve operating room efficiency. 


Increasing demand for orthopedic care

With an increasing aging and simultaneously active population, there will be a corresponding demand for additional orthopedic resources. For example, the annual demand for primary total knee arthroplasty is projected to reach 3.5M by 2030 and revision knee arthroplasties are estimated to increase by 601% from 2005 to 2030.

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Outpatient joint replacement: Pipe dream or inevitability?

February 19, 2014

Samuel Gold, Technology Insights

Outpatient joint replacement has been on the minds of many orthopedic planners recently, and its appeal is clear: Offering joint replacements in an outpatient setting potentially adds levels of convenience and efficiency to an already historically efficacious and lucrative surgery. 

There are a number of factors that could contribute to the increased adoption of this procedure including, but not limited to a younger, healthier joint replacement patient base, patient preference towards outpatient surgeries, and increased competition from ambulatory surgery centers for orthopedic business.

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Gain a competitive edge in the orthopedic market with joint camps

January 28, 2014

Samuel Gold, Technology Insights

A huge number of hospitals offer joint replacements because the aging population increases demand, there are few capital purchases needed, and reimbursement has been historically favorable. 

In fact, approximately two thirds of acute care hospitals in the United States performed joint replacements in 2012. Therefore, the level of competition for joint replacement volumes is very high and with the low barrier to entry into this business, competition continues to grow.

As hospitals seek to gain a competitive edge in this elective arena, they have directed their attention towards programmatic changes designed to improve the patient experience during each stage of a joint replacement surgery.

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NASS 2013: More bad news for BMP

October 16, 2013

Emily Brown, Technology Insights

One of the most-discussed topics at the 2013 NASS annual meeting was the future of bone morphogenic protein (BMP)—unsurprising, given the critical Yale University Open Data Access (YODA) reviews published early this summer.

Presenters at the meeting echoed NASS’s previous message on BMP, which calls for significantly limited use of the product to a small patient population. However, recommendations stopped short of completely eliminating the use of BMP, with presenters emphasizing that the ultimate clinical decision lies with the surgeon.

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NASS 2013: The role of robotics and surgical navigation in spine care

October 11, 2013

Shruti Tiwari, Technology Insights

The second day of the North American Spine Society (NASS) Annual Meeting included active discussion on the latest advances in clinical technologies in spine care, including robotics and surgical navigation systems.

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NASS 2013: Minimally invasive spine surgery—to cut or not to cut?

October 11, 2013

Emily Brown, Technology Insights

Minimally invasive techniques may be one of the hottest trends in spine surgery today, but it turns out that not everyone is sold on the superiority of minimally invasive surgery, including clinical literature.

In the Section on MIS: Controversies in the Adoption of Minimally Invasive Lumbar Fusion symposium on the second day of the 2013 NASS Annual Meeting, speakers and the audience debated the merits and challenges in adopting a minimally invasive approach to lumbar fusion surgery.

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