Cash incentive means more hip surgeries, fewer deaths

Improvement comes as a result of a study which found that conducting hip surgery within two days of injury drastically reduces the death rate from these operations.

By
October 10, 2007 21:52
1 minute read.
Cash incentive means more hip surgeries, fewer deaths

hip 88. (photo credit: )

 
X

Dear Reader,
As you can imagine, more people are reading The Jerusalem Post than ever before. Nevertheless, traditional business models are no longer sustainable and high-quality publications, like ours, are being forced to look for new ways to keep going. Unlike many other news organizations, we have not put up a paywall. We want to keep our journalism open and accessible and be able to keep providing you with news and analyses from the frontlines of Israel, the Middle East and the Jewish World.

As one of our loyal readers, we ask you to be our partner.

For $5 a month you will receive access to the following:

  • A user experience almost completely free of ads
  • Access to our Premium Section
  • Content from the award-winning Jerusalem Report and our monthly magazine to learn Hebrew - Ivrit
  • A brand new ePaper featuring the daily newspaper as it appears in print in Israel

Help us grow and continue telling Israel’s story to the world.

Thank you,

Ronit Hasin-Hochman, CEO, Jerusalem Post Group
Yaakov Katz, Editor-in-Chief

UPGRADE YOUR JPOST EXPERIENCE FOR 5$ PER MONTH Show me later

The mortality rate from hip fractures has dropped by 30 percent within a year, thanks to new Health Ministry guidelines that encourage the performance of hip-joint replacement surgery within 48 hours of the fracture. The improvement comes as a result of a study conducted by the ministry's medical administration, which found that conducting hip surgery within two days of injury drastically reduced the death rate from these operations. Following the study, administration director Dr. Michael Dor and former administration director (and now Wolfson Medical Center director-general) Dr. Yitzhak Berlovich decided to use a cash incentive to encourage hospitals to treat these patients more quickly. They arranged that a larger health-fund payment be paid to the hospital in cases when the surgery is performed within 48 hours. Instead of being paid the per-diem hospitalization rate for a few weeks before and after surgery, the hospitals receive NIS 20,000 per patient for doing the surgery quickly. A diagnosis-related group (DRG) was established by the ministry, which enabled the incentive payment. Dor said that within one year, there was a 24% increase in the number of hip-joint replacement operations performed within 48 hours. He noted that most people who break their hip joints are elderly and suffer from osteoporosis. If the surgery is not performed quickly, blood clots and other complications can kill them. Just changing the hospitals' compensation for doing the surgery quickly - encouraging them to hire and make available enough orthopedic surgeons, nurses, anesthesiologists and other personnel - has saved lives, Dor added. Today, nearly every hospital in the country performs hip-joint replacement surgery within 48 hours. To meet the schedules, operations are now performed at night as well as during the day. The health funds, he added, did not voice opposition, since shorter hospital stays save them money, while hospitals are happy because patients are admitted and discharged in about four days and turnover is higher.

Join Jerusalem Post Premium Plus now for just $5 and upgrade your experience with an ads-free website and exclusive content. Click here>>

Related Content

[illustrative photo]
September 24, 2011
Diabetes may significantly increase risk of dementia

By UNIVERSITY OF MICHIGAN HEALTH SYSTEM