Background

Demand for total joints is expected to grow at unprecedented rates in the next 25 years: Total Hip cases will increase from 201,000 to 453,000 per year. Total Knee cases will increase from 428,000 to 2.16 million per year. Source: Lau, "Future of THA and TKA," AAHKS, 11/2005

Hospitals and surgeons face several mounting obstacles while trying to reap the benefits of the unprecedented joint replacement growth, including:

• Patients are shopping around for specialized programs and specialized surgeons.
• Hospitals are competing for surgical patients and the associated downstream revenue (imaging, physical therapy, etc.).
• Profitability is at risk as hospital reimbursements flatten, expenses continue to rise, and physician reimbursements are cut.

Dr. Steele transformed the orthopedic care delivery system at his own hospital - and introduced the first Destination Total Joint Replacement Center to include all aspects of the Joint Center process:

• Community Education
• Physician’s Office
• Pre-Op Education Classes
• Joint Impatient
• Post Op Follow-Up

The Destination Total Joint Replacement Center consulting engagement follows a standard methodology and approach to include all key personnel and physicians within your joint center. The primary components of the engagement are:

1. Hospital On-Site Visitation

MS&A provides a one day visitation at your hospital to accomplish the following:

• Assess the hospital's current joint service/program
• Introduce the Destination Center of Superior Performance model

 
2. Destination Center Development and Implementation

MS&A provides comprehensive assistance for the transformation of your joint service into a Destination Total Joint Replacement Center. This involves a four-step process, as follows:

• Phase I: Assess - A baseline that provides the team with a thorough understanding of both the current state and the potential for the desired state.
• Phase II: Architect - This is the design and planning phase for your Destination Total Joint Replacement Center.
• Phase III: Assemble - Once the plans are in place and the design is ready, the building process begins. During the Assemble phase, the Center is built, modified, piloted and launched.
• Phase IV: Assure - During this phase the Center's performance is evaluated, feeding insights back into the organization for continuous learning and improvement and increased patient satisfaction.

The Benefits

The results from transforming into a Destination Joint Center are proven and immediate and have been sustained for years:

• Increased Patient Satisfaction
• Reduced Costs
• Lowered Patient Length of Stay
• Increased Case Volume
• Improved Efficiencies for Surgeons

A Destination Joint Center positions participating hospitals and surgeons to be leaders in innovation and value creation.

Additional Services

Operating Room Efficiency
The operating room is an essential part of every orthopedic program. While the creation of a Destination Total Joint Replacement Center will inevitably improve operating room efficiency, MS&A offers in-depth consulting services to specifically assess and address core perioperative processes and elements.

Musculoskeletal Service Line Strategic Planning
MS&A offers strategic planning services for the development of musculoskeletal service lines including joint, spine, sports medicine, foot and ankle, and hand.

Ongoing Support

Subscription Services:
To continuously improve program performance, MS&A provides subscription support services for hospitals that have completed the program implementation. Hospitals that we believe have successfully implemented a Destination Center of Superior Performance are eligible to purchase the subscription service on an annual basis.