In June 2010, Willamette Valley Medical Center (WVMC) opened the Joint Replacement Institute of Oregon (JRIO) as a program dedicated to the care of patients undergoing total hip and total knee replacement surgery.
WVMC is an 88-bed acute-care, full-service facility, fully accredited by The Joint Commission, and RCCH HealthCare Partners has contributed resources and support for JRIO to achieve nationally recognized certifications and implement new pathways of care collaboration and coordination.
The mission statement of JRIO is, “to provide the highest quality joint replacement care with the most comfortable patient experience.” Every month, a JRIO multidisciplinary team meets to discuss patient feedback, determine what is working well and identify potential areas for improvement. The team places a strong emphasis on early mobility and proper pain management after surgery, as well as coordination of care for patients as they move through multiple healthcare departments and settings.
As a result of this ongoing collaboration to improve quality and care, the average JRIO patient’s hospital length of stay decreased from 3.47 days in 2010 to 1.39 days in 2016. During the same time period, the 30-day readmission rate decreased from 3.0 percent to 1.0 percent, and patient satisfaction remained consistently high in the 98th to 99th percentile for HCAHPS scores.
In 2010, 72 percent of patients discharged from the hospital to a skilled nursing facility (SNF) for additional rehab before returning home. In 2016 only 4% percent of patients discharged to a SNF. This is important because patients that spend more time in a facility have higher infection and readmission rates. It also adds additional cost to the episode of care.
JRIO has also demonstrated improved patient outcomes. In 2011, 73 percent of patients reported mild to no pain one year after surgery on patient reported outcome surveys. In 2015-2016, 97 percent reported mild to no pain. Patients also reported an improvement from 64 percent to 94 percent in mild to no difficulty rising from a seated position.
With the support of administration and RCCH HealthCare Partners, JRIO has been able to remain focused on its mission statement by providing patient and family-centered care, coordination among departments, tracking of outcomes and continual quality improvement. The success of this program has allowed patients to enjoy more active and fulfilling lives.