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Published byAlyson Miller Modified over 8 years ago
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Outcomes Data = Power Surgical Outcomes System = SOS
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Conflict of Interest Statement Fellowship Grants and/or Consultant Arthrex Smith Nephew Synthes Mitek Share Holder Tuckahoe Surgery Center & St. Mary’s ASC Comp Recovery AANA President and Member of the Board of Directors AAOS Coding, Coverage and Reimbursement Committee - member
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Direction of Medicine/Orthopedics End of Fee for Service – 2017? Change from “Volume to Value” VALUE = OUTCOMES/COST Creation of “Value Metrics” Who determines the metrics? Providers vs. Payors Who will collect the data? Providers vs. Payors How will that affect your “Administrative Burden”
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Societies Leading Change to Value
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Expected CMS Data Collection Requirements (My Opinion) Mortality Complications - expensive Return to the OR Infection/DVT Patient Reported Outcomes (PRO’s)
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AANA’s Goals - Outcomes Data Collection AANA’s Goals - Outcomes Data Collection Provide our members with a turn-key system Minimal burden for the surgeons Inexpensive without expensive maintenance System that avoids excessive regulations Unite similar societies – AANA, ASES, AOSSM, AAOS* Determine our own metrics with consistent data elements (AANA Favorites) Share our data to protect patient access to care
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Specifics - Two SOS Models Research ▪ IRB approval and oversight ▪ Written patient consent Healthcare Operations (HCO) ▪ Standard of care procedures ▪ No IRB oversight ▪ No written patient consent ▪ Need local IRB approval and consent if use for research in the future the future
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Minimum Data Set and Research Sets Shoulder - Hawkins/Tokish Core ○ VR-12, SANE, ASES, ○ Oxford Shoulder Score (for Europeans) Research ○ WORC (rotator cuffs) ○ WOSI (shoulder instability) ○ WOOS (shoulder osteoarthritis) ○ Penn Shoulder Score (general)
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SOS Value Highlights ▪ Patient Reported Outcomes - Subjective ▪ Automatic emails ▪ Patient compliance tracking features ▪ Co-morbidity indices for risk adjustment ▪ VR-6 for cost-effectiveness and QALY ▪ “Favorite” templates ▪ Smart Device and tablet compatible ▪ Surgeon “Administrative Burden” = 2 minutes post-op!!!!
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SOS = AANA Member Benefit! AANA dues – currently $600/year SOS - $1800/year incredible VALUE Education grant from Arthrex! Access to all the SOS programs (joints, spine, pediatric, hand, etc.) Business People!!!
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SOS – Ultimate Goal AANA Member BUY-IN Data Collection
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Questions?
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