Osteoarthritis Clinical Trial
Official title:
Roadmap for Succeeding in Bundled Payment for Orthopedic Joint Replacements
NCT number | NCT02734043 |
Other study ID # | 824614 |
Secondary ID | |
Status | Withdrawn |
Phase | |
First received | |
Last updated | |
Start date | March 2016 |
Est. completion date | May 2018 |
Verified date | October 2018 |
Source | University of Pennsylvania |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The objective of the study is to provide a road map that can help organizational leaders understand how to sequence their financial and human capital investments related to bundled payment arrangements. Although specific strategies will vary between organizations, providing evidence from a health system with extension experience bundling care for orthopedic joint replacements can be instructive for other providers entering new building arrangements. Insights from the experience of the health system can help other organizations prioritize effort and focus energy around strategies that increase the likelihood of succeeding under Comprehensive Care for Joint Replacement (CJR) and other bundled payment contracts.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | May 2018 |
Est. primary completion date | May 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - participants in this study will be physicians participating in the bundled payment arrangement at the health system in question. All physicians will be included in the analysis. Exclusion Criteria: - no exclusion criteria |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
University of Pennsylvania |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Surgical site infection at the physician level | The study team will evaluate at the physician level. The quality metric evaluated will be average rate of surgical site infections. | 12 months | |
Secondary | Cost of care during hospitalization | The study team will measure secondary cost outcome variables on the episode level. The cost metric to be evaluated is per episode costs of care during the hospitalization in which the surgery occurred. | 12 months | |
Secondary | Cost of care post-discharge | The study team will measure secondary cost outcome variables on the episode level. The cost metric to be evaluated is per episode costs of care post-discharge. | 12 months | |
Secondary | All-cause readmission rate at the physician level | The study team will evaluate at the physician level. The quality metric measured will be all-cause readmission rate. | 12 months | |
Secondary | Venous thromboembolism at the physician level | The study team will evaluate at the physician level. The quality metric measured will be the rate of venous thromboembolism per physician in each quarter of analysis. | 12 months | |
Secondary | Cost of care at the physician level | The study team will evaluate at the physician level. The cost metric evaluated will be the average costs of care during hospitalization in which the surgery occurred. | 12 months | |
Secondary | Spending at the physician level | The study team will evaluate at the physician level. The cost metric evaluated will be average spending on care in combined hospitalization and post-discharge periods per physician in each quarter of analysis. | 12 months |
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