CONSIDERATIONS FOR AN OUTPATIENT TOTAL JOINT ARTHROPLASTY PROGRAM

DRIVERS AND BARRIERS OF AN TJA PROGRAM

The drive to value has compelled providers to offer high-quality, lower-cost alternatives to care and consumers to seek greater safety and convenience. For these reasons, the prevalence of outpatient total joint arthroplasty (TJA) has increased over the past several years and the number of such procedures is expected to grow. This presentation reviews the considerations of implementing an outpatient TJA program, including such components as a robust screening process for surgical candidates and a comprehensive outpatient anesthesia and pain management process. Practices must also consider whether to add an outpatient TJA program to an existing facility or build anew.

This presentation includes insights from Frank Gilbert, Executive Director from Proliance Surgeons as a case study in an outpatient Total Joint Arthroplasty program, joined with Rustin Becker, President and COO and Jen Edmonds, Market Intelligence Analyst for ERDMAN. The program includes a review of the key drivers of an Outpatient TJA including patient demand, payer demand, new revenue stream, and cost and describe the potential barriers to entry including market demographics and environmental factors, the competitive environment, physician buy-in and support and cost.  Compare the components of a high performing TJA program including the patient screening process, anesthesia and pain management, patient education, discharge procedures, staffing analysis, clinical partners and care management. The presentation wraps up with a discussion of the determinants for an existing facility versus building new.