Total Joint Replacement
Lifespan Orthopedics Institute

Total Joint Center Clinical and Quality Outcomes

The Total Joint Center performed significantly better than the national average in length of stay, discharge directly to home, 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 has earned several prestigious distinctions, including 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, and U.S. News and World Report designated The Miriam a “high performer” in hip and knee replacement surgery.

Length of Stay

The Total Joint Center average length of stay for total hip or knee replacements (1.5 days) was lower than the national average of 2.7 days. (Reported by the Association of American Medical Colleges 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 than the national average (2.7 days).

Discharge to Rehabilitation/Skilled Nursing Facility

Only 11 percent of Total Joint Center patients were discharged to a rehabilitation center or skilled nursing facility. Most of our patients are medically qualified to recover in the comfort of their own homes. Nationwide, about half of hip and knee replacement patients transition to a care facility. (Source: 2012 Medicare claims data)

Most patients of the Total Joint Center are discharged to go home.

Regional Anesthesia

Nearly twice as many Total Joint Center patients who received total hip or knee replacements were able to have regional anesthesia (spinal, epidural, or adductor canal block) during surgery rather than general anesthesia, compared to patients nationwide. (According to the Joint Commission Hip and Knee Performance Improvement Measurement Guide.)

Use of anesthesia - hip and knee

Needed Blood Transfusion

Only one percent of TJC patients required a blood transfusion during their hip or knee replacement surgery or during their hospital stay, compared to about 15 percent nationwide.

Only one percent of Total Joint Center patients need blood transfusions.

Incidence of Venous Thromboembolism

The Total Joint Center had 0.4 percent of patients who experienced VTE (either deep vein thrombosis or pulmonary embolism) during their hospital stay or within 30 days following surgery, compared to 4.27 percent nationally. (According to the AAOS Clinical Practice Guideline for Preventing Venous Thromboembolic Disease.)

The incidence of blood clots is lower than the national average at the Total Joint Center.

Patient Experience Outcomes

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

Patient experience outcomes - knee
Patient experience outcomes - hip

More about HCAHPS

Learn more about Total Joint Center at the Lifespan Orthopedics Institute