Hackensack University Medical Center Orthopedic Institute Consistently Outperforms Peers in Clinical Outcomes

Achievement in Excellent Clinical Outcomes Due to Clinical Pathway Changes and Collaboration with Physicians

Hackensack University Medical Center Orthopedic Institute placed fourth among 700+ participating hospitals in performance year one and two for highest reconciliation (or savings) earned from Centers for Medicare and Medicaid Services (CMS) under the Comprehensive Care for Joint Replacement (CJR) model. CJR aims to support better and more efficient care for hip and knee replacements, the most common inpatient surgery for Medicare beneficiaries. Despite the high volume of these surgeries, quality, lengths of stay and costs of care vary greatly among providers.

Between 2014 (selected baseline year) and 2018, Hackensack University Medical Center:

• Increased the percentage of patients discharged to home with home health from 21% to 70%;
• Reduced the number of patients requiring a readmission to the hospital within 90 days of their joint replacement by 35% (Hackensack University Medical Center’s low rate of readmissions ranks amongst the top tier of other like sized academic medical centers); and
• Decreased the cost to Medicare for Hackensack University Medical Center CJR patients by 22.8%.

The Hackensack University Medical Center orthopedics team presented CJR program results at the national meeting of the Premier Bundle Collaborative in the spring of 2019.