Creating standards of care / best practices in orthopedics

Posted by Bronwyn Spira on Jan 20, 2015 5:00:00 PM

Here at FORCE Therapeutics, one of the key concepts we strive to establish with our member organizations is the creation and implementation of standardized care pathways. In-depth audits from PWC, Deloitte’s Healthcare Group, McKinsey and others have demonstrated that significant cost reduction and improvement in clinical outcomes are direct by-products of care standardization.

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Topics: Evidence-based practice, healthcare, bundled payments

Communication is key!

Posted by Sarah Ulcoq on Dec 15, 2014 8:00:00 AM

The health industry today faces a daunting challenge: utilizing the power of technology to fundamentally reinvent how care is delivered. Health organizations are dealing with fiscal constraints and inadequate tools to systematically manage the burgeoning ageing and chronic care population. As a result, traditional notions of care are moving away from being provider-driven to become more patient-centric and innovators in the health space are developing new technologies that can facilitate this care model.

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Topics: patient engagement

FORCE’s Top 10 Takeaways from mHealth Summit 2014

Posted by Amy Babington on Dec 10, 2014 9:58:00 AM

This week we’re attending the 6th annual mHealth Summit in Washington DC. Here are the themes we’ve observed over the last few days.


1. One of the biggest challenges in coordinating care is getting providers to change behavior.

Though mHealth companies provide a seamless way to coordinate care, clinicians are busy and bound ​to their established workflow. Learning a new technology is a low priority and adoption is challenging. To get clinician buy-in, mHealth companies need to offer a value proposition while also educating providers on proven efficiencies from using the technology.

2. Care transitions are a point of weakness in the U.S. health care system.

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Topics: digital health, fee-for-service, behavioral changes, patient education, bundled payments, post-acute care

Standardizing Care for Population Management

Posted by Angela Delgado on Dec 4, 2014 11:21:59 AM

As bundled payments become an increasingly important method of reimbursement in total joint replacement, patient reported outcomes have become one of the most important measures in determining quality in value-based care. In regards to these outcomes, a recent study has found that in total joint replacement procedures, higher surgeon and hospital volume was associated with better outcomes, including lower rates of complications and readmissions. Additionally, high volume hospitals generally have a shorter length of stay after total joint replacements. In other words, high volume surgeons and hospitals yield better patient outcomes -- but why? The answer lies in the standardization of practices in both pre and post-operative care. High volume surgeons tend to protocolize post-surgical recovery plans to better manage their patients, leading to better patient outcomes, less variance, and a decrease in overutilization of care services, which means increased value.

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Topics: Population management

Mobile Health Apps: Increasing Patient Engagement

Posted by Alexis Fotiu on Nov 24, 2014 2:00:00 PM

In a recent article published on mHealthWatch, “Mobile Apps for Ankle Sprains? Not Yet… or Ever,” the author argues that there are limitations to mobile health technology and that downloading apps that provide tips on avoiding ailments such as ankle sprains is “not worth the effort for such basic advice”.  Mobile health applications should not be seen as a “waste of effort” but a crucial component to improving healthcare by increasing patient communication, engagement and access to health information.

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Topics: digital health

Care Plan Communication: A Provider's Role in Driving Patient Activation

Posted by Amy Babington on Nov 18, 2014 10:35:51 AM

At FORCE we have learned that pre-operative communication of a care plan can go a long way in engaging a patient, reducing patient anxiety, and lowering costs. A key piece in driving patient activation that is often overlooked is the consistency of the messaging to patients from their providers about their pathway.

We often hear of patients being given multiple different instructions from multiple different providers along the care continuum. While each provider is trying to help “activate” and “engage” a patient by communicating a care plan, inconsistent messaging will do just the opposite. By receiving conflicting messages, the patient is left confused and frustrated – all in addition to the anxiety and nervousness that come with preparing for a procedure.

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Topics: value-based care, patient engagement, bundled payments, post-acute care, patient activation

Building Evidence-Based Post-Acute Pathways

Posted by Bill Porter on Nov 12, 2014 7:00:00 AM

Through our work with Orthopaedic hospital organizations, our team at FORCE Therapeutics is seeing the unbelievable traction of bundled payments in lower extremity total joint arthroplasty. Bundles are still technically an experiment, but leading Ortho surgeons and hospitals around the country are transforming their business and care models around episode of care management and value-based care in general.

Bundles represent a novel challenge and opportunity – how to do more with less.  Constraint drives creativity and innovation.  Across the country providers are completely redesigning and rethinking the way they deliver care.  If what we’re seeing in pockets proliferates (and it will), it’s going to have an economic impact measured in the tens of billions of dollars.

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