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Joint Replacements + Bundled Payments What Every Therapist & Nurse Needs to Know for Optimal Treatment and Reimbursement by Mark Huslig,
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Faculty:: Mark Huslig
Duration:: 5 Hours 40 Minutes
Format:: Audio and Video
Copyright:: Sep 20, 2019

Description

The challenges you face with patients undergoing outpatient total joint arthroplasty are steadily growing, especially in the era of Medicare’s bundled payments initiatives.

Ever evolving surgical techniques mean not every LE arthroplasty can be treated the same. There’s less time in the hospital, so you must be diligent to recognize and manage comorbidity dangers.

You’re pushed to find opioid-sparing approaches for your patients. Add to this Medicare’s new bundle payment model and you might find yourself overwhelmed, stressed, and ready to make a job change.

Don’t let the new Medicare value-based paradigm get the best of you and your practice.

Learn the best strategies for optimizing the episode of care by improving patient safety and outcomes. Better recognize and manage high-risk patients, avoiding readmission or a lapse in his or her recovery.

Find creative ways to stay within your budget under the 90 days allotted to your care. Learn all the ins and outs on how you and your facility can overcome the challenges and experience the reward from bundled payments.

Take your care and ultimately your facility to the next level in this timely recording.

Position yourself to succeed in the era of bundled payment initiatives for the total joint episode of care!

Handouts

Outline

NAVIGATING LOWER EXTREMITY ARTHOPLASTY AND COMPLEX CARE

KNEE ARTHROPLASTY: WHY NOT ALL TOTAL KNEES ARE SURGICLALY BALANCED

Manage extensor mechanism complication
Manage the stiff knee
Etiology of post-op extension and flexion deficits
Unicompartmental knee arthroplasty (UKA) outcomes
Long fixation components for valgus stress knee replacements
Muscle activation patterns during walking and associations with TKA tibial implant migration
CPM (Continuous Passive Motion) and implications under bundled payments
Use of cryoneurolysis in multimodal pain management protocol
Psychological comorbidity factors associated with non-compliance
Restriction for return to sport

HIP ARTHROPLASTY: HOW TO AOVID DEFICITS AFTER THA

Direct anterior approach’s effect on readmissions rates
Reversible thalamic atrophy
Avoid hip instability and limb length discrepancy
Gait asymmetry
Spinal instrumentation and impact on hip dislocation
- THA patients with fixed spinopelvic alignment from standing to sitting at higher risk
- Lumbar fusion involving the sacrum increases dislocation risk 8-fold
Effects of piriformis tendon repair failure
Electormyographic analysis implications
- Effects on gluteus medius and gluteus maximus
Restriction for return to sport

EVERYTHING YOU NEED TO KNOW ABOUT BUNDLE PAYMENTS

Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)
Breaking down Medicare’s role in value-based reimbursement
- Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?
- How your regional location affects the cost variation in Medicare spending for total joint replacements?
Impact on post-acute care practice settings

POTENTIAL PAYOFF FROM BUNDLING

How to case cost analysis in bundled payments
- What’s the relationship of implant cost to total surgical case cost?
Latest on performance benchmarking
Why hospital quality scores matter
How to create orthopedic physician report cards
What is allowed by Medicare in gain-sharing with hospitals
Minimize narcotic use with patients
The latest news in how CMS will pay for post-acute rehab services
The role of tele-rehab in total joint cases

KEYS TO IMPROVE PATIENT OUTCOMES

Tools used in risk stratifying patients prior to surgery
Quality tools and templates
What outcome reporting does Medicare require
The American Joint Replacement Registry data to improve outcomes
How to influence hospitals into collaborating and gain-sharing
Medicare waivers under the bundled payment programs
Beneficiary rights

Faculty

Mark Huslig, PT, MHA Related seminars and products: 1

Mark Huslig, PT, MHA, is the administrative director for Mercy Central Region of Therapy Services. Mercy Health system ranks among the top five in Truven Health Analytics and is a medical destination site for total joint arthroplasty.

Mr. Huslig has more than 30 years of experience in the management of occupational, physical, and speech therapy, and is a certified ASTYM provider. He is an expert in Medicare and Medicaid regulations, specifically on issues related to payment reform initiatives. Mr. Huslig has successfully integrated at-risk payment methodologies contracting into rehabilitative services.

He is a member of the American Physical Therapy Association and section member for Health and Policy, Orthopedics and Private Practice, along with serving as adjunct faculty for Missouri State University’s Occupational Therapy Program.

Speaker Disclosures:

Financial: Mark Huslig is an adjunct faculty member at the Missouri State University. He has an employment relationship with Mercy Hospital. Mr. Huslig receives a speaking honorarium from PESI, Inc.

Non-financial: Mark Huslig has no relevant non-financial relationship to disclose.

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