Connecticut Joint Replacement Institute Chosen as Mentor for Joint Replacement Learning Community

(Hartford, Conn. April 28, 2014) – The Connecticut Joint Replacement Institute (CJRI) at Saint Francis Hospital and Medical Center is one of three project leaders for an international initiative seeking to provide high-value care by improving outcomes and reducing costs for knee and hip replacements. 

CJRI was selected to work with the Institute for Healthcare Improvement (IHI) and Harvard Business School (HBS) to mentor more than 30 healthcare facilities as part of a year-long Joint Replacement Learning Community collaborative. 

While IHI is focusing its initiative on hip and knee replacements, participating organizations will learn how the methodology can be applied to other procedures and lay the groundwork for bundled payments. Hip and knee replacements are the most common surgeries among the Medicare population. It is predicted that by 2030, the number of primary total knee replacements will increase by 673 percent, to 3.48 million procedures annually: and the number of primary total hip replacements will increase by 174 percent, to 572,000 procedures annually. 

Over the course of the next year, Steven Schutzer, M.D, Director of CJRI, and leadership from CJRI and Saint Francis Care will assist in teaching the participating organizations how to measure their costs of care using a HBS-developed methodology known as Time-Driven Activity-Based Costing (TDABC). This method involves mapping each step and cost associated with hip and knee replacements – from the patient’s first visit to the surgeon’s office through the surgery and hospital stay, through the once-a-year post-acute visit to the surgeon’s office . 

“By analyzing the data in this way, an organization can clearly see what each procedure costs and determine where savings can be achieved without negatively impacting outcomes for the patient,” says Schutzer. “This is a very valuable tool going forward, with healthcare changing its focus from volume to value.” 

About Saint Francis Care 

Saint Francis Care is an integrated healthcare delivery system established by Saint Francis Hospital and Medical Center, an anchor institution in north central Connecticut since 1897.  Licensed for 617 beds and 65 bassinets, it is a major teaching hospital and the largest Catholic hospital in New England.  Other major entities of Saint Francis Care include The Mount Sinai Rehabilitation Hospital, the Connecticut Joint Replacement Institute, the Hoffman Heart and Vascular Institute of Connecticut, the Saint Francis/Mount Sinai Regional Cancer Center, the Joyce D. and Andrew J. Mandell Center for Comprehensive Multiple Sclerosis Care and Neuroscience Research, and Saint Francis HealthCare Partners.  Johnson Memorial Medical Center, parent organization of Johnson Memorial Hospital, Evergreen Health Care Center, and Home and Community Health Services is also a Saint Francis Care Partner.  Saint Francis Care’s services are supported by a network of five major Access Centers and eight additional medical office centers sited throughout the region.  For more information, visit