Percentage of patients who were discharged to home following total hip or total knee replacement.

Number of patients who were discharged to home following total hip or total knee replacement.

Number of patients undergoing a total hip or total knee replacement.

Numerator Population: Included Populations: Patients discharged to home with or without home health services, in-home physical therapy or outpatient physical therapy. Excluded Populations: None Denominator Population: Included Populations: Patients with an ICD-10-PCS Principal Procedure Code as defined in Appendix A: Table 14.01a Total Hip Replacement or Table 14.02a Total Knee Replacements Excluded Populations: Patients less than 18 years of age Patients who have a Length of Stay greater than 120 days Residents of Other Health Care Facility: Extended or Intermediate Care Facility (ECF/ICF) Long-term Acute Care Hospital (LTACH) Nursing Home or Facility including Veteran's Administration Nursing Facility Psychiatric Hospital or Psychiatric Unit of a Hospital Skilled Nursing Facility (SNF), Sub-Acute Care or Swing Bed Veterans Home Patients with an ICD-10-PCS Other Procedure Code as defined in Appendix A: Table 14.01a (concurrent total hip replacements), or Table 14.02a (concurrent total knee replacements), or Table 14.05a (partial hip and partial knee replacements), or Table 14.06a (revision and resurfacing procedures), or Table 14.07a (removal of implanted devices/prostheses) Patients with an ICD-10-CM Principal Diagnosis Code or ICD-10-CM Other Diagnosis Code as defined in Appendix A: Table 14.08 (complication of internal fixation device/prosthesis), Table 14.09 (malignant neoplasm of the pelvis, sacrum, coccyx, lower limbs, or bone/bone marrow or a disseminated malignant neoplasm), or Table 14.10 (femur, hip, pelvic fracture) Patient expired Patient left against medical advice (AMA) Physician/advanced practice nurse (APN)/physician assistant (PA)/nurse/social worker/care manager/discharge planner/physical therapist/occupational therapist documentation of medical/social reason why patient cannot be discharged to home.

None

Hip and Knee Overall (THKR-IP-3a) Hip (THKR-IP-3b) Knee (THKR-IP-3c).

Retrospective data sources for required data elements include administrative data and medical records. Some hospitals may prefer to gather data concurrently by identifying patients in the population of interest. This approach provides opportunities for improvement at the point of care/service. However, complete documentation includes the principal or other ICD-10 diagnosis and procedure codes, which require retrospective data entry.

Reporting for Comprehensive Cardiac Centre (CCC) certification.

American Medical Association (AMA).Discharged to Home. Accessed August 3, 2023. Available from: manual.jointcommission.org/releases/TJC2023A1/MIF0361.html.

Technical specifications: manual.jointcommission.org/releases/TJC2023A1/MIF0361.html