Reducing Post-Acute Care Costs With Wearable Technology—Part 4

ORTHOPEDIC EPISODE TAKEAWAYS: REMOVE THE BLIND SPOT

 “It’s nice to know in real-time which patients are the outliers.”
—Physician Orthopedic Surgeon
“The ability to monitor patient progress, post-surgery is compelling
—Chief Medical Officer, Health System
 “Pain very key. Today it is captured through EMR by nurses during patient encounters, because there is a care team member to record it. If the patient is at home, there is no way to document.”
—Executive, Leading Health System
 “SMART wearables in the Home remove our blind spot.”
—Executive, Leading Health System

  • Optimize Outcomes

    Support prehab, motivate and involve patients, transition more recovery to in-home settings, speed recovery times, and avoid re-admissions.
 
  • Gain Visibility into Patient Recovery

    Make patient progress visible to providers and patient caregivers at any time, and enable appropriate interventions whenever necessary.
 
  • Deliver Excellent Patient Experience

    Involve patients as a key partner in their recovery, give them tools that will help them succeed, and instill confidence that patients will be monitored every step of the way.
 

SECTIONS

Takeaways

Conclusion

References

 
 Breg Flex Wearable

Breg Flex Wearable


CONCLUSION

Orthopedic, Sports Medicine, Rehab and Physical Therapy providers want TJR patients to get their lives back. Yet under episodes of care models, readmissions, ED visits and complications, and the cost of health are borne by providers; putting their profit margins are at risk. It does not have to be that way. With the addition of wearable technology coupled with telehealth, mobile and patient event dashboards, providers can now better care for their patients without losing their bottom line, particularly in the post-acute care blind spot. 

From pre-screening all the way through to complete recovery, wearable mobile technology keeps both the patient and the provider in the know. No longer are doctors and PTs uninformed of a patient’s progress outside the practice walls and no longer are patients uninvolved in their own health. With wearable technology, patient recovery is a team effort where motivated patients, personalized recovery plans, live visual coaching can pay off. With pre-rehabilitation and post-acute care monitoring throughout the 90-day event, wearable mobile technology helps to conquer the most important factors in provider profitability in post-acute care services: avoiding readmissions, ED visits, shifting care away from SNFs to the home, and reducing outpatient PT and home health visits. 

With increasing adoption of value-based reimbursement programs on the horizon, we anticipate provider organizations will be looking for more innovative solutions such as the wearable mobile technologies that come to market.

 
 


REFERENCES:

  1. Keswani, A., et al. Discharge Destination After Total Joint Arthroplasty: An Analysis of Postdischarge Outcomes, Placement Risk Factors, and Recent Trends. Journal of Arthroplasty. June 2016. Volume 31, Issue 6, Pages 1155–1162.

  2. Centers for Medicare & Medicaid Services. Comprehensive Care for Joint Replacement Model. Web. Accessed 1 February 2017.

  3. Alliance for Home Health Quality Innovation, “Distribution of Post-Acute Care under CJR Mode of Lower Extremity Joint Replacements for MS-DRG 470”. 2011-2014 Standard Analytical Files (SAF) Limited Data Set (LDS); 5% and 100% sample of Medicare beneficiaries, All Part A and Part B Care Settings.

  4. Harris Meyer, Replacing joints faster, cheaper and better? Modern Healthcare, June 4, 2016

  5. Yao, Dong-han, et al. Home Discharge After Primary Elective Total Joint Arthroplasty: Post discharge Complication Timing and Risk Factor Analysis. Journal of Arthroplasty. February 2017 Volume 32, Issue 2, Pages 375–380.

  6. Breg. Breg Flex: Mobile Patient Therapy Monitoring for Value Based Care. Results of observational studies of patients. Carlsbad: Breg, 2017. Print.

  7. Wang, Li., et al. Does preoperative rehabilitation for patients planning to undergo joint replacement surgery improve outcomes? A systematic review and meta-analysis of randomized controlled trials. BMJ Open. 2016 Feb 2;6(2): e00985.

  8. D. Santa Mina, et al. analysis. Physiotherapy 100 (2014) 196–207.

  9. Brown K., et al. Prehabilitation and quality of life three months after total knee arthroplasty: a pilot study. Perceptual & Motor Skills. 2012;115(3):765-774.

  10. Snow R., et al. Associations between preoperative physical therapy and post-acute care utilization patterns and cost in total joint replacement. The Journal of Bone and Joint Surgery. 2014 Oct 1;96(19): e165. Web. Accessed 12 Feb. 2017. 

This post is the last in a series of four parts.

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