This trial is active, not recruiting.

Condition osteoarthritis
Sponsor University of Pennsylvania
Start date March 2016
End date April 2017
Trial size 100 participants
Trial identifier NCT02734043, 824614


The objective of the study is to provide a road map that can help organizational leaders understand how to sequence their financial and human capital investments related to bundled payment arrangements. Although specific strategies will vary between organizations, providing evidence from a health system with extension experience bundling care for orthopedic joint replacements can be instructive for other providers entering new building arrangements. Insights from the experience of the health system can help other organizations prioritize effort and focus energy around strategies that increase the likelihood of succeeding under Comprehensive Care for Joint Replacement (CJR) and other bundled payment contracts.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model case-only
Time perspective retrospective

Primary Outcomes

Surgical site infection at the physician level
time frame: 12 months

Secondary Outcomes

Cost of care during hospitalization
time frame: 12 months
Cost of care post-discharge
time frame: 12 months
All-cause readmission rate at the physician level
time frame: 12 months
Venous thromboembolism at the physician level
time frame: 12 months
Cost of care at the physician level
time frame: 12 months
Spending at the physician level
time frame: 12 months

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - participants in this study will be physicians participating in the bundled payment arrangement at the health system in question. All physicians will be included in the analysis. Exclusion Criteria: - no exclusion criteria

Additional Information

Official title Roadmap for Succeeding in Bundled Payment for Orthopedic Joint Replacements
Description This study will analyze data from a health system with the longest standing experience with bundled payments for orthopedic procedures. The goal of this work is to provide insights from this health system's six years of experience and offer a road map that other organizations around the country can use as they plan and implement their own bundled payment programs. The investigators will conduct a retrospective analysis on quality and cost data from a health system with extensive experience with bundled payments for orthopedic joint replacements. The study design will consist of three parts: first, the team will report trends in quality and cost outcomes over time using descriptive statistics; second, the team will perform multi-variable regression analyses on the data to identify significant predictors of different quality and cost outcomes and provide statistical tests on the trends; third, the team will evaluate changes in physician and hospital level variation along the outcomes.
Trial information was received from ClinicalTrials.gov and was last updated in April 2016.
Information provided to ClinicalTrials.gov by University of Pennsylvania.