An Evaluation of the Joint Commission Certification for the Total Hip and Total Knee Replacement Program

Abstract

The overall purpose/goal of the evaluation is to utilize pathways to have decreased length of stay, resulting in lower cost, and improved patient satisfactory scores. Streamlined the joint care center, organizing the team on the continuum of care. Joint Commission is one of the largest and oldest accreditation entities in healthcare and it set standards for healthcare organizations to meet for certification. In July 2020, Joint commission added 11 new performance elements and revised 11 of the previous elements for hospitals performing joint replacements promoting best practice. This was accomplished by evaluating the current core competences with a gap analysis and provided recommendations to facilitate the progress toward advance accreditation. Planned joint replacements are on the rise nationally and by 2030 it is projected to grow by 189%. Discomforts in joints have a negative impact on the quality of life for adult to older adults. This study at St Joseph Mercy Oakland Hospital Total Hip Knee Arthroplasty joint care center program and determine rate of perioperative complications from 30 days to 90 days post-op with data extracted for Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI). It looked at which joint was replaced, inpatient/outpatient, readmission rate, infection rate, return to the operating room, this method is done by reviewing charts by a MARCQI clinical research nurse from joint replacement patients. This is beginning phase for the Joint Commission accreditation process for the joint care center, in which the stakeholders are using the gap analysis to guide in pursuing the accreditation. Using the Basic Logic Model as the framework will assist in evaluation of the joint care center.