In November 2017, the Center for Medicare and Medicaid Services finalized the 2018 Medicare Outpatient Prospective Payment System rule that removed total knee arthroplasty procedures from the Medicare inpatient-only list of procedures. This action has already had significant and unexpected consequences. Full Statement.
The Centers for Disease Control and Prevention released their 2017 Guideline for the Prevention of Surgical Site Infection, which recommends against the use of post-operative prophylactic antibiotics – including patients undergoing total joint arthroplasty (TJA). At this time, we do not agree with this recommendation for TJA as it contradicts current international standards of care with limited evidence and study. Full statement.
Hospitals, surgeons and payers have recognized the potential benefits to patients that derive from decreasing the length of inpatient hospital stay after total hip and total knee arthroplasty, and even the potential benefits associated with same-day discharge in the outpatient setting for select patients. This statement contains recommendations for outpatient hip and knee arthroplasty procedures to guide hospitals, surgeons and institutions in appropriate and safe patient care. Full statement.