Variations in Hip Fracture Baseline Patient Demographics and Comorbidities Repercussions on Bundled Payment Reimbursement Models.

Background: We sought to investigate how patient demographics and baseline comorbidities varied between hip fracture and total joint arthroplasty patients across New York State and to determine implications of differences within the contexts of the bundled payment system.

Methods: All Medicare hip and knee arthroplasty and hip fracture cases in the New York State SPARCS database between 2004 and 2014 were identified. Hospitals were categorized geographically into Metropolitan Statistical Areas (MSAs) to determine case distribution.

Patient Safety Room Assessing Orthopedic Surgery Interns' Abilities to Identify Patient Safety Hazards.

Objective: An important part of clinical training is learning how to identify and prevent hospital-acquired conditions or injuries. Despite this, there are few standardized methods in graduate medical education (GME) for teaching and assessing resident patient safety skills. Residents often do not report safety events, and increasing resident engagement can positively impact patient safety.