COMMITTEE CHAIR: Dr. Abida Solomon

TITLE: EVALUATION OF AN NP-LED PREOPTIMIZATION CARE MANAGEMENT PROGRAM’S IMPACT ON PATIENT SATISFACTION FOR TOTAL HIP AND KNEE ARTHROPLASTY: AN EVALUATION PROJECT

ABSTRACT: Arthroplasty, or joint replacement surgery, is a popular and effective treatment for osteoarthritis and avascular necrosis (Jones et al., 2021). Knee and hip arthroplasty require preoperative education and preparation for the best patient outcomes. The Preoptimization Care Management Program was created by the American Association of Hip and Knee Surgeons as a method for educating and risk optimization, as well as a method for the reduction of complications, readmissions, and emergency department visits (Dlott et al., 2023). The nurse practitioner-led program is a new process that has not been thoroughly evaluated for effectiveness and outcome improvement. The goal of the evaluation was to assess whether the nurse practitioner-led preoptimization care management program can increase patient satisfaction by improving the quality metrics, such as same-day ambulation post-surgery, discharge to home, and increased compliance in preoperative education. The evaluation retroactively reviewed twenty charts of primary total knee and hip arthroplasty patients, male and female, aged 43 to 84. A multivariate regression model evaluated the relationships between the independent variables, preoperative education compliance, same-day ambulation, and discharge home, and the dependent variable of patient satisfaction. The evaluation found there was no statistically significant correlation between the key quality measures, same-day ambulation, virtual education class, or discharge to home; nor did the additional variables, patient expectations, and preoperative depression screening score, F(7,12) = 0.89, p = .542, R2 = .34. The confidence interval was 95%. The result of the two-tailed paired samples t-test of preoperative satisfaction and postoperative score was significant based on an alpha value of .05, t (19) = -16.36, p < .01. Thus, quality measures are not directly correlated to improving patient satisfaction. The evaluation results indicate a focus is needed on individualized education and health assessment, rather than current facility quality measures. Hospital administrators should re-evaluate quality measures that directly affect patient satisfaction and patient-reported outcomes.

Location Online:

Zoom Link: https://pvpanther.zoom.us/j/91773119388?pwd=UT7FeYRInKOotKaaYvPV0BlRC9BlpZ.1

Meeting ID: 917 7311 9388

Passcode: 969629