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Deaconess Care Integration – Clinical Integration Program: Orthopaedics

Deaconess Care Integration – Clinical Integration Program:  Total Hip, Knee and Shoulder Replacement Program, and Orthopaedic Spine Initiative. 
Deaconess Care Integration is committed to designing and implementing clinical programs that will result in achieving the ‘Three Part Aim’ of providing improved care for the individuals we serve, better health for the populations we care for, and doing so in a financially sustainable manner.
In support of these objectives, Deaconess Care Integration has created a clinically integrated program focused on our patients who are undergoing Total Hip, Knee and Shoulder Joint Replacement and Orthopaedic Spine Procedures.  
Deaconess Hospital, Deaconess Care Integration, and participating Orthopaedic surgeons at Orthopaedic Associates and Tri-State Orthopaedic who perform these procedures at a Deaconess Care Integration Participating Provider facility are eligible to participate in the program.
In recognition and support of the physicians’ valuable contributions that ensure patients receive all appropriate care associated with the clinically integrated pathway, Deaconess Hospital will share an approved standard fee with physicians who participate in the program.  The Medicare Shared Savings Program Participation Waiver shall be utilized for this arrangement.
Under this arrangement, clinicians will follow an approved clinical pathway that includes the following:
  • Clinical Protocols based on Best Practice
  • Patient-Centered, coordinated care throughout the continuum 
  • Medical Device selection based on the individual patient needs
  • Standardization of care to support best practice and reduce unnecessary financial expenditures


Better Experience of Care for Patients Better Health for Populations Reducing Health Care Expenditures
Improved education Decreased readmission rate Standardized processes & supplies
Nurse Practitioner available throughout the episode of care Decreased post-discharge ER utilization Discharge HME orders consistent with best practice
Care is patient-centered, less fragmentation & improved coordination Decreased infection rate Standardized medical device vendor
Clinical support to improve  transition of care to home Improved quality measures Patient specific device selection for every procedure

For specific questions regarding this or other Deaconess Care Integration programs, please contact:

Fredrick Wallisch, MD
Executive Director
Deaconess Care Integration
(812) 426-9402

Heather Orth, RN, MBA
Market General Manager
Evolent Health
(812) 492-5157

For general questions or additional information about Accountable Care Organizations, please visit  The Medicare Site for ACO or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

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