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Remember that a regular essay is expected to have the three principal sections: the Introduction, Physique Paragraphs (a minimum of three paragraphs), and Conclusion. A hospital with 50 joint replacement episodes that happened to deal with three additional patients with hip fracture in a given yr would see a big jump in spending above its historic common in contrast with a hospital with 500 patients annually. In the absence of threat adjustment, removing excessive-value, low-volume, nondiscretionary procedures like hip fracture repairs from the joint substitute bundles would reduce random variation. The initial swing at the bundled fee program for hip and knee alternative taken by the CMS missed the mark by together with prosthetic replacement performed for hip fracture, as noted by Dr. Bernstein. As Dr. Bernstein identified, a hip fracture is widely acknowledged as a bellwether of generally declining well being, rather than an remoted skeletal harm, and hip fractures are related to 30% mortality in the primary year after injury. CJR units separate prices for procedures with and without complications (DRG 469 and DRG 470) and for procedures with and with out hip fractures.
