Total Joint Center Clinical and Quality Outcomes

The Total Joint Center performed significantly better than the national average in length of stay, incidence of surgical site infections, patient experience, and other measures, according to the American Academy of Orthopedic Surgeons, the Association of American Medical Colleges Council of Teaching Hospitals and Health Systems, and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).*

The center holds The Joint Commission’s Gold Seal of Approval for Advanced Certification for Total Hip and Total Knee Replacement, a recognition for quality, consistency and safety of services, and patient care. In addition, Blue Cross and Blue Shield of Rhode Island named The Miriam Hospital a Blue Distinction Center for knee and hip replacement in 2018.

Length of Stay

The Total Joint Center average length of stay for total hip or knee replacements (1.5 days) was lower in February 2019 than the national average (2.7 days) reported by the AAMC Council of Teaching Hospitals and Health Systems.

The Total Joint Center average length of stay for total hip or knee replacements (1.5 days) was lower in February 2019 than the national average (2.7 days) reported by the AAMC Council of Teaching Hospitals and Health Systems.

Incidence of Surgical Site Infection

The Total Joint Center had a zero incidences of surgical site infection requiring re-operation that was diagnosed in patients within 90 days of a primary total hip or knee replacement. The national average for surgical site infection in these cases is 1 percent.

The Total Joint Center had a zero incidences of surgical site infection requiring re-operation that was diagnosed in patients within 90 days of a primary total hip or knee replacement. The national average for surgical site infection in these cases is 1 percent, significantly higher.**

Mobilization on Post-Operative Day Zero (Day of Surgery)

Ninety-six percent of Total Joint Center hip replacement patients were up and walking the same day as their surgery in February 2019.

Ninety-six percent of Total Joint Center hip replacement patients were up and walking the same day as their surgery in February 2019. The Total Joint Center aims to ensure all patients walk short distances within hours of their total joint replacement, as long as it is medically safe to do so. Getting moving quickly is associated with fewer post-operative complications and better outcomes.

Patient Experience Outcomes

The Total Joint Center performed significantly better than the national average in several measures assessed by the HCAHPS patient survey.

Communication (nurses explain things in a way patients can understand) is in the 91st percentile for the first quarter of fiscal year 2019.

Hip and Knee Replacement Patients Who Would Recommend Total Joint Center is in the  97th percentile for the first quarter of fiscal year 2019..

Asking Patients About Help At Home (staff asked if patients would have the help they needed after discharge) is in 99th percentile for the first quarter of fiscal year 2019..

About Our Outcomes

The Total Joint Center strives to always meet the highest quality measures. We consistently perform better than the national average in clinical outcomes and patient experience, with lower rates of infections, fewer readmissions, and quicker returns home after surgery.

* The HCAHPS survey is a national, standardized, publicly reported survey of patients. Its purpose is to assess patients’ opinions about the care they received while hospitalized, using information about patients’ hospital experience, specifically regarding ease of communication with physicians and nurses, the hospital environment, how they would rate the hospital, and whether they would recommend the hospital to family and friends.

** According to the American Association of Orthopaedic Surgeons Clinical Practice Guideline.

*** According to statistics for The Miriam Hospital Total Joint Center for the first quarter of fiscal year 2019 (October-December 2018).

More about HCAHPS »

Learn more about Total Joint Center at the Lifespan Orthopedics Institute »