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Risk-Adjusted Hospital Outcomes in Medicare Total Joint Replacement Surgical Procedures.

J Bone Joint Surg Am

January 2017

1MPA Healthcare Solutions, Chicago, Illinois 2Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 3University of New Mexico School of Medicine, Albuquerque, New Mexico 4Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Background: Comparative measurement of hospital outcomes can define opportunities for care improvement and will assume great importance as alternative payment models for inpatient total joint replacement surgical procedures are introduced. The purpose of this study was to develop risk-adjusted models for Medicare inpatient and post-discharge adverse outcomes in elective lower-extremity total joint replacement and to apply these models for hospital comparison.

Methods: Hospitals with ≥50 qualifying cases of elective total hip replacement and total knee replacement from the Medicare Limited Data Set database of 2010 to 2012 were studied.

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