Decreased costs with maintained patient satisfaction after total joint arthroplasty in a physician-owned hospital

Abstract

ObjectiveComparing total joint arthroplasty (TJA) costs and patient-reported outcomes between a physician-owned hospital (POH) and a non-POH. MethodsCosts for each 90-day TJA episode at both facilities were determined, and patients were asked to complete a patient satisfaction questionnaire. ResultsAverage TJA episode cost was $19,039 at the POH, compared to $21,302 at the non-POH, a difference of $2,263 (p = 0.03), largely driven by decreased skilled nursing facility utilization in the POH group. There were no differences between groups for patient satisfaction. ConclusionTJA can be performed at reduced cost with comparable patient satisfaction at POHs, compared to non-POH facilities.