In recent CMS webinars that allow physicians and nurse navigators to talk about the things that work to maximize positive returns from the Comprehensive Care for Joint Replacement (CJR) program, the topic of “pre-hab” has cropped up on multiple occasions.
Encouraging pre-hab – that is, preparing the patient for recovery prior to surgery through regular exercise – produces lower care costs for providers and promotes faster recoveries and fewer complications for patients.
Certainly, patients benefit physically and mentally from working out, and the incentive to leave the hospital sooner post-surgery appeals to most people. But providers benefit as well, and not only in regard to cost considerations. As pre-hab typically incorporates onsite educational classes, members of the CJR team are afforded the chance to see the patient “in action” pre-surgery… to gauge level of mobility, learn more about the patient’s home life, and suggest exercises that are appropriate to the patient’s unique needs.
Patient pre-hab requires a small investment of time and resources, but based on the feedback MedBen Analytics has received – not to mention, client representation on the recent CMS reconciliation list – our impression is that the extra effort pays off nicely in the long term.
MedBen Analytics clients who would like to share their thoughts on pre-hab and other ways to get the best returns from bundled payments are encouraged to contact MedBen President & COO Kurt Harden at 888-633-2364 or email medbenanalytics@medben.com.