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Hip and Knee Replacement Program

What is Total Joint Replacement?  Joint replacement may be necessary when the cartilage that protects the hip, knee or other joints wears out.  This cartilage normally cushions the bone in the joint, absorbing shock and helping with movement.  When the cartilage wears out and the joint becomes inflamed and painful this results in arthritis.  The most common causes of this wear and tear are aging, heredity, past injuries, and increased body weight.  Joint replacement surgery is performed to replace all or part of the joint with an artificial implant, and is well proven to relieve the pain of arthritis and can greatly improve functional status and quality of life.  More than 1,000 total joint replacement (TJR) procedures are done annually through the Baystate Medical Center (BMC) Hip and Knee Replacement Program. 

 

Since 2004, Baystate Health facilities have been publicly reporting Joint Replacement care through the Hospital Quality Alliance (HQA).  This reporting helps to ensure that every patient who comes to BH for joint replacement surgery receives all appropriate treatments to reduce sickness and death.  

TOTAL JOINT REPLACEMENT Care Measures

 

HIGHER IS BETTER

Baystate Medical Center Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:  When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 100% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   100% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 95.3% 100%
Surgical patients with appropriate hair removal: Patients undergoing surgery may need to have hair removed from the operative site or other areas of the body.  It is important to remove hair with electric clippers or hair removal cream to decrease the risk of infection.  Shaving with a razor may increase the risk of infection.   100% 100%
Urinary catheter removed on post-operative day 1 or post-operative day 2, with day of surgery being day 0: Patients who are having surgery may need to have a urinary catheter placed, which is a tube that goes into the bladder and drains urine out of the body into a bag which collects the urine.  It is important to remove the catheter within 2 days of surgery (for most patients) in order to help prevent infection. 100% 100%^
Surgery patients with peri-operative temperature management:  Patients whose body temperature drops during surgery have a greater risk of infection and their wounds might not heal as quickly.  It is important to make sure that patients are kept warm during and right after surgery to help prevent infections and complications.   100% 100%^
Surgery patients on beta-blocker therapy who received beta-blocker during peri-operative period:  A beta-blocker is a type of medication that reduces blood pressure and helps blood vessels open up to improve blood flow.  Patients with heart disease who receive a beta-blocker prior to surgery have a reduced risk of death following surgery. 91.7% 100%
Surgery patients with recommended venous thromboembolism prophylaxis ordered:  Sometimes patients who have surgery develop blood clots, and certain surgeries increase the chance of getting a blood clot.  It is important to order the right treatments to help prevent blood clots from forming. 100% 100%
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to through 24 hours after surgery:  It is important to give patients the right treatments before, during and after surgery to help prevent blood clots from forming. 100% 100%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 99.2% 99.8%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 93.3% 99.2%

*Benchmark is HQID Top 10%

^Benchmark is The Joint Commission Top 10%

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Hip and Knee Replacement at Baystate Medical Center

TOTAL JOINT REPLACEMENT Care Measures

 

HIGHER IS BETTER

Baystate Franklin Medical Center Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:  When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 100% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   100% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 83% 100%
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to through 24 hours after surgery:  It is important to give patients the right treatments before, during and after surgery to help prevent blood clots from forming. 100% 100%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 97% 99.8%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 78% 99.2%

*Benchmark is HQID Top 10%

^Benchmark is The Joint Commission Top 10%

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Hip and Knee Replacement at Baystate Medical Center

 

 

   

 

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Hip and Knee Replacement at Baystate Medical Center