Affordable Care Organizations and Bundled Pricing
Under the Patient Protection and Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services’ Innovation was chartered to develop new models of health care delivery. The changes meant…
Planning, Building, and Maintaining a Successful Musculoskeletal Service Line
Within the past 3 decades, a recent trend in the growth of musculoskeletal service lines has been seen nationally. Orthopedics offers an appealing concourse for implementation of service-line care. Within…
High Reliability of Care in Orthopedic Surgery
As health care reimbursement models shift from volume-based to value-based models, orthopedic surgeons must provide patients with highly reliable care, while consciously minimizing cost, maintaining quality, and providing timely interventions….
Reducing 30-day Readmission After Joint Replacement
Hospital readmission is a focus of quality measures used by the Center for Medicare and Medicaid (CMS) to evaluate quality of care. Policy changes provide incentives and enforce penalties to…
Reducing Length of Stay in Total Joint Arthroplasty Care
As health care reforms continue to improve quality of care, significant emphasis will be placed on evaluation of orthopedic patient outcomes. Total joint arthroplasty (TJA) has a proven track record…
Approach to Decrease Infection Following Total Joint Arthroplasty
Surgical site infection in total joint arthroplasty is a challenging complication that warrants discussion with regard to prevention and management. Limiting postoperative infection rate is a paramount quest in the…
Health Care Reform
The US health care system has been fragmented for more than 40 years; this model created a need for modification. Sociopoliticomedical system-related factors led to the Affordable Care Act (ACA) and…
Sports-Related Injuries
“Sports injuries” are injuries that happen when playing sports or exercising. The severity of these injuries can range from minor to very serious, with some injuries requiring surgery to fully…
Current Controversies in Management of Calcaneus Fractures
Displaced intraarticular fractures of the calcaneus represent a technically challenging injury. Although there is conflicting evidence regarding advantages and disadvantages of operative versus nonoperative treatment, a growing body of literature…
Posterior Malleolus Fractures
Posterior malleolus fractures vary in morphology. A computed tomography scan is imperative to evaluate fragment size, comminution, articular impaction, and syndesmotic disruption. Despite an increasing body of literature regarding posterior…
