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  • Article

Drivers of the Variation in Prosthetic Implant Purchase Prices for Total Knee and Total Hip Arthroplasties

By: Derek A. Haas, Kevin J Bozic, Anthony M. DiGioia, Zirui Song and Robert S. Kaplan
Previous studies have documented wide variation in health-care spending and prices; however, the causes for the variation in supply purchase prices across providers are not well understood. The purpose of this study was to determine the drivers of variation in... View Details
Keywords: Costing; Cost Variation; Total Knee Arthroplasty; Total Hip Arthroplasty; Prosthetic Implant Cost; Health Care and Treatment; Cost Management; Health Industry; Medical Devices and Supplies Industry
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  • March 2017
  • Article

Variation in the Cost of Care for Primary Total Knee Arthroplasties

By: Derek A. Haas and Robert S. Kaplan
The study examined the cost variation across 29 high-volume U.S. hospitals for delivering a primary total knee arthroplasty without major complicating conditions. Hospital and physician personnel costs were calculated using time-driven activity-based costing.... View Details
Keywords: Cost Management; Performance Productivity; Health Care and Treatment; Health Industry
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  • Research Summary

Integrated Care for Total Knee Replacement: Quality of Life, Quality of Movement, User Acceptability

This study provides an opportunity to focus on the challenge of cross-organizational coordination in the healthcare setting. It is structured as a randomized clinical trial involving seven European hospitals (in seven different countries). It is focused specifically... View Details
  • October 2013
  • Article

Barriers to Completion of Patient Reported Outcome Measures

By: Elizabeth H. Schamber, Steven K. Takemoto, Kate Eresian Chenek and Kevin J. Bozic
Patient Reported Outcomes Measures (PROMs) are commonly used in total joint arthroplasty (TJA) to assess surgical outcomes. However certain patient populations may be underrepresented due to lower survey completion rates. The purpose of this study is to evaluate... View Details
Keywords: Patient Reported Outcome Measures; PROM; Total Joint Arthroplasty; Hip; Knee; Electronic Survey; Equality and Inequality; Demographics; Surveys; Health Care and Treatment; Health Industry
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  • Research Summary

The Effect of Hospital and Surgeon Procedure Volume on the Outcomes of Primary and Revision Total Knee Replacement: Magnitude and Mechanisms

My role in this study is to assess whether care provider coordination mediates the relationship between surgical volumes and patient outcomes. It is a study involving hundreds of hospitals and thousands of patients, and for the main study, coordination will be... View Details
  • February 2014
  • Article

Causes and Frequency of Unplanned Hospital Readmission After Total Hip Arthroplasty.

By: W. W. Schairer, D. C. Sing, T. P. Vail and K J Bozic
BACKGROUND:
Total hip arthroplasty (THA) is a beneficial and cost-effective procedure for patients with osteoarthritis. Recent initiatives to improve hospital quality of care include assessing unplanned hospital readmission rates. Patients presenting for THA have... View Details
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  • November 2019
  • Article

A Review of Bundled Payments in Total Joint Replacement

By: Olivia Manickas-Hill, Kevin J. Bozic and Thomas W. Feeley
The Bundled Payments for Care Improvement (BPCI) initiative, developed by the U.S. Center for Medicare & Medicaid Innovation, aims to reduce health care expenditures while maintaining or improving patient outcomes.
Several published reports evaluating the impact... View Details
Keywords: Bundled Payments; Health Care and Treatment; Cost Management
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  • June 2014 (Revised April 2015)
  • Supplement

OrthoChoice: Bundled Payments in the County of Stockholm (B)

By: Michael E. Porter, Clifford M. Marks and Zachary C. Landman
By the end of 2008, all major hospitals (one of which was private) and three private specialized orthopedic centers signed OrthoChoice contracts. In 2009, hip and knee replacements in the County of Stockholm for relatively healthy patients began being reimbursed. By... View Details
Keywords: Hip Replacement; Bundled Payment; Knee Replacement; Value Agenda; Strategy; Health Care Industry; Health; Health Care and Treatment; Health Disorders; Health Industry; Sweden
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  • Research Summary

Overview

Selected current projects: Shared Decision Making and Patient Engagement in Orthopaedic Surgery Identification of Risk Factors for Revision Surgery Following Primary THA and TKA Integrated Care Delivery and Episode of Care Payments in Hip and Knee Arthroplasty The... View Details
  • March 2012 (Revised December 2014)
  • Case

Schön Klinik: Measuring Cost and Value

By: Robert S. Kaplan, Mary L. Witkowski and Jessica A. Hohman
The case illustrates how a leading German hospital group has invested deeply in the measurement of patient-level outcomes and costs, the foundations of a health care value framework. The company launches a pilot project to use time-driven activity-based costing (TDABC)... View Details
Keywords: Health Care; Costing; Activity-Based Costing; Hospitals; Activity Based Costing and Management; Value; Health Care and Treatment; Outcome or Result; Health Industry; Germany
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  • Web

Cases & Teaching Notes - Institute For Strategy And Competitiveness

new relationships with payers, hospitals, and physicians to become more accountable for patient outcomes and total costs. The case describes new forms of... May 2018 HBS Case Collection Kaiser Permanente Colorado: Primary Care Plus by... View Details
  • 25 Oct 2016
  • First Look

October 25, 2016

our sample alone. Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=51757 September 30, 2016 Arthroplasty Today Variation in the Cost of Care for Primary Total View Details
Keywords: Sean Silverthorne
  • 29 May 2007
  • First Look

First Look: May 29, 2007

surgeons who perform hip and knee arthroplasties and patients who were scheduled to have hip or knee arthro-plasty. Respondents were asked for their opinions of and experiences... View Details
Keywords: Martha Lagace
  • 21 Feb 2017
  • First Look

First Look at New Research: February 21

historical long run). Publisher's link: https://www.hbs.edu/faculty/Pages/item.aspx?num=52277 February 2017 Journal of Arthroplasty Drivers of the Variation in Prosthetic Implant Purchase Prices for Total... View Details
Keywords: Carmen Nobel
  • 05 Dec 2019
  • Blog Post

Addressing Unmet Needs in Health Care Using an MBA

firsthand (my mother has 2 J&J knees) the difference total knee replacement makes in lives of patients. That is a great source of motivation. What were some of the most helpful resources you tapped into... View Details
  • Web

Teaching Cases - Institute For Strategy And Competitiveness

use time-driven activity-based costing (TDABC) for measuring the cost of total knee replacements. The costing project complements an existing initiative for comprehensive outcomes measurement. The... View Details
  • 09 Dec 2014
  • First Look

First Look: December 9

being reimbursed. By 2013, OrthoChoice had covered 12,531 hip and knee replacements, accounting for 59% of such operations for county residents. Total payments were SEK 704.5 million ($109.4 million). Dr.... View Details
Keywords: Sean Silverthorne
  • Web

FAQs - Institute For Strategy And Competitiveness

map development often helps providers identify redundant steps, bottlenecks, and other opportunities for improvement. Second, TDABC can aid in process improvement by allowing providers an accurate figure for the cost of each step in a process and the View Details
  • 01 Mar 2017
  • Research & Ideas

A Good Thing Happens When Doctors Start Talking to Their Patients

skilled nursing facilities for their recovery, where they could learn how to walk, climb stairs, and get into a car with their new knee or hip. In other hospitals, however, those skills were discussed in a 30- to 60-minute conversation in... View Details
Keywords: by Michael Blanding; Health
  • Web

Articles - Institute For Strategy And Competitiveness

in attempts to cut costs, uncovering multiple opportunities to improve processes in ways that lower total costs and deliver better care. Publications Delivering Higher Value Care Means Spending More Time with Patients HARVARD BUSINESS... View Details