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2018 MEDICAL DIRECTORSHIPS AT THE WILLIAM W.

BACKUS HOSPITAL

Scott Stanat, MD.


Director of Total Joint Arthroplasty Service

Dear Fellow Medial Staff,

I am the Service Line Director for Total Knee and Hip Arthroplasty. We are currently making progress on these metrics, as depicted in
There has been a significant advancement of both technology and the following slides.
medical care for this field. From Robotic (Makoplasty) surgical
navigation to peri-operative anesthetic pain management and Comprehensive Care for Joint Replacement was initially a
medical clearance, the field is progressing rapidly. mandatory program started by Center of Medicare and Medicaid
Services. The main goals were to improve patient outcomes and
My principle goal is to advance patient care centered around total increase efficacy of patient care. This is to be accomplished by
hip and knee arthroplasty for the William W. Backus Hospital. decreasing non-valued added expenditures in the global period.
Currently, we are focusing on the Joint Commission Center Bundle payment operates as follows. The hospital is the bundle
of Excellence Certification (maintenance), and the Medicare initiator. All Medicare total hip and knee arthroplasties are
Comprehensive Care for Joint Replacement (aka “The Medicare performed at Backus Hospital, and all medical expenditures within
Bundle”). 90-day period are included. Medical expenditures include in-patient
hospital expenses, skilled nursing care, at-home care, in-office
William W. Backus hospital was certified as a Center of Excellence visits, DME, physical therapy, imaging studies, laboratory tests, etc.
by The Joint Commission for Total Hip and Knee Arthroplasty in Backus Hospital could gain or lose money depending on overall
August 2017. The purpose of this certification is to validate the work expenditures. This is modified for complication rates and whole
being performed day-in and day-out by the entirety of the hospital hospital HCAPS scores.
and surgical staff. We monitor the arthroplasty service line and
patients to improve outcomes and reduce complications. Our current We are making progress on the above program goals. Please
four monitored metrics are: contact me if you have any questions. n
[1]1 Allogenic blood transfusion rate
[2]
2 Discharge to home rate
[3]
3 Out of bed POD #0 rate
[4]
4 Pre-operative educational class attendance rate.

FALL 2018 13
2018 MEDICAL DIRECTORSHIPS AT THE WILLIAM W. BACKUS HOSPITAL

14 THE OPEN JOURNAL


2018 MEDICAL DIRECTORSHIPS AT THE WILLIAM W. BACKUS HOSPITAL

FALL 2018 15