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Home/Large Joints and Extremities/Hoag Orthopedic Crafts, Presents Key Osteoarthritis Metrics
Large Joints and Extremities

Hoag Orthopedic Crafts, Presents Key Osteoarthritis Metrics

July 22, 2016 2 min read Premium comments

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Hoag Orthopedic Crafts, Presents Key Osteoarthritis Metrics
Courtesy of Hoag Orthopedic Institute
Secondary

California-based Hoag Orthopedic Institute (HOI) recently took part in an international effort to present the most up to date international standards for the measurement of hip and knee osteoarthritis outcomes. The event, The International Consortium for Health Outcomes Measurement (ICHOM), was a value-based health care conference in London. HOI was a sponsoring partner.

As indicated in the July 14, 2016 news release, “The hospital, represented by James Caillouette, M.D. and Nader Nassif, M.D., was part of an international panel that meticulously crafted an orthopedic standard set of key metrics which were yielded after countless hours of collaboration between patient advocates and nearly two dozen physicians from all over the world.”

“More than 25 million adults suffer from osteoarthritis in the U.S. alone, and this truly unique, international and patient-empowering collaboration has yielded a standardized means for clinicians worldwide to ensure that our version of success is fully aligned with our patients’ version, ” said Dr. Caillouette, chief strategy officer of Hoag Orthopedic Institute. “We strongly believe that this will emerge as the future of outcomes reporting and measurement and we are honored to have played an integral part in its design.”

“Patient reported outcomes are critical to moving us toward our goal of providing the highest quality care possible for our patients, ” said Dr. Nader Nassif, Hoag Orthopedic surgeon and co-author of the ICHOM osteoarthritis standards. “Everything we do is constructed around the goal of getting our patients back to their lives as quickly and pain-free as possible.”

Dr. Caillouette told OTW, “I think that the scale of growth of the meeting attendance from 80 to 800 in four years speaks to the fact that this concept is growing internationally at a very rapid rate. This is moving the conversation around reimbursement—finally—from price to value; and for patients, their perception of their outcome, rather than the perception of others, is what matters in this new world.”

“Where we go from here is that those performing value driven care should see an increasing demand for their services. Those unable to provide objective data that supports what they do will see a decline. In addition, payers will finally be prodded to move away from the ‘race to the bottom’ that exists in the fee for service environment and towards alternative payment models such as bundled payment.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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