Total Joint Center of Excellence Scorecard
Advanced Comprehensive Joint Certification Measures 2022/23 Inpatient
Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.
THKR-1 Regional Anesthesia
| |
Mar '22 |
Mar' 22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
| Knee |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
| Overall |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
1/1 |
100% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
| Knee |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
| Overall |
N/A |
N/A |
2/2 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
1/1 |
100% |
THKR-3 Discharged to Home
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
| Knee |
N/A |
N/A |
1/1 |
100% |
0/1 |
0% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/2 |
50% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
0% |
| Overall |
N/A |
N/A |
2/2 |
100% |
0/1 |
0% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/2 |
50% |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
0/1 |
0% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Mar '22 |
May '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
0/1 |
0% |
N/A |
N/A |
| Knee |
N/A |
N/A |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
| Overall |
N/A |
N/A |
2/2 |
100% |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
2/2 |
100% |
N/A |
N/A |
1/1 |
100% |
0/1 |
0% |
1/1 |
100% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
0/1 |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
0% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
| Knee |
2/4 |
50% |
N/A |
N/A |
2/3 |
67% |
N/A |
N/A |
1/1 |
100% |
0/1 |
0% |
N/A |
N/A |
0/2 |
0% |
0/1 |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
2/5 |
40% |
N/A |
N/A |
2/3 |
67% |
N/A |
N/A |
2/2 |
100% |
0/1 |
0% |
N/A |
N/A |
0/2 |
0% |
0/2 |
0% |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
Advanced Comprehensive Joint Certification Measures 2022/23 Outpatient
THKR-1 Regional Anesthesia
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
16/17 |
94% |
14/14 |
100% |
17/19 |
89% |
26/29 |
90% |
17/18 |
94% |
19/19 |
100% |
11/13 |
85% |
19/21 |
90% |
23/23 |
100% |
18/23 |
78% |
19/21 |
90% |
13/18 |
72% |
12/15 |
80% |
| Knee |
37/39 |
95% |
48/49 |
98% |
30/30 |
100% |
39/41 |
95% |
31/32 |
97% |
37/38 |
97% |
37/37 |
100% |
40/40 |
100% |
39/40 |
98% |
38/49 |
78% |
38/40 |
95% |
32/43 |
74% |
44/52 |
85% |
| Overall |
53/56 |
95% |
62/63 |
98% |
47/49 |
96% |
65/70 |
93% |
48/50 |
96% |
56/57 |
98% |
48/50 |
96% |
59/61 |
97% |
62/63 |
98% |
56/72 |
78% |
57/61 |
93% |
45/61 |
74% |
56/67 |
84% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
16/17 |
94% |
13/14 |
93% |
14/19 |
74% |
25/29 |
86% |
18/18 |
100% |
16/19 |
84% |
11/13 |
85% |
20/21 |
95% |
22/23 |
96% |
20/23 |
87% |
18/21 |
86% |
14/18 |
78% |
12/15 |
80% |
| Knee |
34/39 |
87% |
46/49 |
94% |
25/30 |
83% |
39/41 |
95% |
30/32 |
94% |
36/38 |
95% |
29/37 |
78% |
38/40 |
95% |
36/40 |
90% |
45/49 |
92% |
38/40 |
95% |
36/43 |
84% |
48/52 |
92% |
| Overall |
50/56 |
89% |
59/63 |
94% |
39/49 |
80% |
64/70 |
91% |
48/50 |
95% |
52/57 |
91% |
40/50 |
80% |
58/61 |
95% |
58/63 |
92% |
65/72 |
90% |
56/61 |
92% |
50/61 |
82% |
60/67 |
90% |
THKR-3 Discharged to Home
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
16/17 |
94% |
14/14 |
100% |
17/19 |
89% |
27/29 |
93% |
18/18 |
100% |
19/19 |
100% |
13/13 |
100% |
21/21 |
100% |
23/23 |
100% |
22/23 |
96% |
20/21 |
95% |
17/18 |
94% |
13/15 |
87% |
| Knee |
39/39 |
100% |
46/49 |
94% |
30/30 |
100% |
41/41 |
100% |
30/32 |
94% |
35/38 |
92% |
37/37 |
100% |
40/40 |
100% |
40/40 |
100% |
49/49 |
100% |
38/40 |
95 |
42/43 |
98% |
51/52 |
98% |
| Overall |
55/56 |
98% |
60/63 |
95% |
47/49 |
96% |
68/70 |
97% |
48/50 |
96% |
54/57 |
95% |
50/50 |
100% |
61/61 |
100% |
63/63 |
100% |
71/72 |
99% |
58/61 |
95% |
59/61 |
97% |
64/67 |
96% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
17/17 |
100% |
13/14 |
93% |
19/19 |
100% |
29/29 |
100% |
17/18 |
94% |
19/19 |
100% |
13/13 |
100% |
21/21 |
100% |
23/23 |
100% |
23/23 |
100% |
21/21 |
100% |
18/18 |
100% |
14/15 |
93% |
| Knee |
39/39 |
100% |
48/49 |
98% |
29/30 |
97% |
40/41 |
98% |
32/32 |
100% |
38/38 |
100% |
37/37 |
100% |
40/40 |
100% |
39/40 |
98% |
47/49 |
96% |
39/40 |
98% |
43/43 |
100% |
51/52 |
98% |
| Overall |
56/56 |
100% |
61/63 |
97% |
48/49 |
98% |
69/70 |
99% |
49/50 |
98% |
57/57 |
100% |
50/50 |
100% |
61/61 |
100% |
62/63 |
98% |
70/72 |
97% |
60/61 |
98% |
61/1 |
100% |
65/67 |
97% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Mar '22 |
Mar '22 |
April '22 |
April '22 |
May '22 |
May '22 |
June '22 |
June '22 |
July '22 |
July '22 |
Aug '22 |
Aug '22 |
Sep '22 |
Sep '22 |
Oct '22 |
Oct '22 |
Nov '22 |
Nov '22 |
Dec '22 |
Dec '22 |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
| Hip |
12/24 |
50% |
17/28 |
61% |
14/22 |
64% |
10/17 |
59% |
4/14 |
29% |
14/19 |
74% |
22/32 |
69% |
18/28 |
64% |
19/37 |
51% |
12/23 |
52% |
10/21 |
N/A |
N/A |
N/A |
N/A |
N/A |
| Knee |
24/40 |
60% |
24/38 |
63% |
26/50 |
52% |
23/39 |
59% |
23/49 |
47% |
15/30 |
50% |
34/48 |
71% |
32/58 |
55% |
45/85 |
53% |
18/49 |
37% |
23/40 |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
36/34 |
56% |
41/66 |
62% |
40/72 |
56% |
33/56 |
59% |
27/63 |
43% |
29/49 |
59% |
56/80 |
70% |
50/86 |
58% |
64/122 |
52% |
30/72 |
42% |
33/61 |
N/A |
N/A |
N/A |
N/A |
N/A |