Total Joint Replacement
Three decades of research have consistently demonstrated that patients who have their surgery performed at a facility and by a surgeon with more experience have better outcomes, including lower complication rates.
Based on the research by Dartmouth-Hitchcock Medical Center, Michigan Medicine, and Johns Hopkins Medicine, as well as guidance from Leapfrog’s national expert panel, Leapfrog has identified two high-risk procedures performed in surgery centers for which there is a strong volume-outcome relationship.
The procedures with their corresponding minimum facility volumes and minimum annual surgeon volumes for privileging are shown in the table below.
Procedure | Minimum facility volume standard | Minimum annual surgeon volume standard |
---|---|---|
Total knee replacement surgery | 50 | 25 |
Total hip replacement surgery | 50 | 25 |
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