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Utilization of a Standardized Care Pathway to Decrease Costs of Ankle Fracture Management.

Elizabeth A Duckworth¹, Kimberly L Stevenson, Samir N Mehta

¹From the Perelman School of Medicine (Duckworth, Mehta, and Donegan), University of Pennsylvania, Philadelphia, PA, Department of Orthopaedic Surgery (Stevenson, Mehta, and Donegan), Hospital of the University of Pennsylvania, Philadelphia, PA.

The Journal of the American Academy of Orthopaedic Surgeons

|March 22, 2021

Summary

This summary is machine-generated.

A standardized care pathway for ankle fracture surgery significantly reduced costs. The orthopaedics department achieved greater savings than podiatry, demonstrating economic advantages through streamlined workflows and reduced supply expenses.

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Area of Science:

Orthopaedic Surgery
Trauma Care
Health Economics

Background:

Ankle fractures are common and costly in US trauma hospitals.
Surgical fixation is a primary treatment modality.
Variability in care pathways may impact treatment costs.

Purpose of the Study:

To evaluate the economic impact of a standardized care pathway for surgical ankle fracture fixation.
To compare direct and indirect costs between departments using the pathway.

Main Methods:

Analysis of cost, volume, length of stay, and collections (FY2016-2018).
Comparison of projected costs over 5 years under single-department care (orthopaedics vs. podiatry).
Inclusion of inpatient and outpatient surgical treatments.

Main Results:

Total costs per case decreased by 18% (orthopaedics) and 8% (podiatry).
Orthopaedics demonstrated significantly lower average supply costs and total outpatient costs compared to podiatry.
Both departments showed significant reductions in direct costs in the outpatient setting.

Conclusions:

A standardized care pathway for ankle fractures is economically advantageous.
The orthopaedics department achieved higher volume and lower cost per case.
Standardization limits care variations and optimizes workflows, leading to cost savings.