The third part is going to become
more important — the hospital part
of it, as we head toward bundled
payments. Some states have been
able to carve out pain regional blocks
from the bundled payment because
they’re able to demonstrate the
benefit of it.
It's the very early stages, but
we’re starting to get into bundled
payments. Everyone has to prove their
worth. We’ve had a few meetings
already, and the administration is
very enthused by getting this data
because it’s data they can use in their
negotiations with payers and out in
the community to show the benefits
our patients are receiving.
Do you see this data as providing a
head start in that move to bundled
payments and value-based care?
Definitely. If you don't have the data,
you’re behind the eight ball with
negotiations. We’re ahead of the
game with that. We’ve had ON-Q
TRAC for almost one year, and we've
had a fairly large volume of outpatient
We’re getting ready to move that
into the main OR where we do total
joint procedures. For the total knee
replacements, patients receive an
ON-Q catheter, which is taken out
on postoperative day number two,
and we do a selective block on
them. We do a sciatic and we put
an adductor canal catheter in. The
idea is to try to get patients up and
moving on postoperative day number
one, and if they don’t have any pain,
then it increases their range of
motion. That’s beneficial in bundled
payments because it gets them out
As the industry moves to
outpatient total knees, I think this is
going to be even more important.
And more valuable to have the data
when they go home.
How beneficial is it to have this
data around pain management
when talking to patients?
This is an added benefit as we were
originally looking at how effective
their pain control is. With the
epidemic of opioid addiction, the
facility realized this can be a big PR
point for us. It's a small segment of
the opioid population, but if these
patients are not going home with as
many opioids or not taking as many
opioids, it helps the overall problem.
The patients that we've received
from other hospitals have been
patients that are on chronic opioids
or they’re on Suboxone, and they’re
worried about getting re-addicted.
So they’ve heard about us and come
over to have the catheter put in,
knowing we don’t prescribe a lot of
opioids after surgery, because they
don’t need it.
We can tell our patients with the
data we have right now that, for
example, if you’re coming in to have
ON-Q* TRAC gathers patient data as they move through the cycle of pain management.
(Image credit: Halyard Health)