Practice Management Strategies Among Current Members of the American Association of Hip and Knee Surgeons

J Arthroplasty. 2018 Jul;33(7S):S19-S22. doi: 10.1016/j.arth.2018.04.004. Epub 2018 Apr 10.

Abstract

Background: At the 2017 annual meeting of the American Association of Hip and Knee Surgeons (AAHKS), a survey was conducted to assess current practice management strategies by AAHKS members.

Methods: During the annual AAHKS meeting, a survey was conducted using an audience response system. The moderator queried AAHKS members with respect to a variety of practice management issues. The survey included both multiple choice and yes or no questions. The answers were collected in a central database and provided to the audience in real time.

Results: The survey responses provided valuable information with respect to the practice activity of AAHKS members. A total of 47% of AAHKS members are in private practice, and fee for service remains the major form of compensation for 39% of the membership. Participation in bundled-payment programs was 46%. A minority (22%) had performed a total joint arthroplasty in an outpatient surgery center.

Conclusion: This survey of AAHKS members' practice patterns provided interesting data. Future surveys should determine potential changes in practice activity related to private practice, fee for service compensation, the use of outpatient surgery centers for total joint arthroplasty, and surgeon participation in bundled-payment programs.

Keywords: ancillary income; fee for service; practice management; total hip arthroplasty; total knee arthroplasty.

MeSH terms

  • Adult
  • Aged
  • Ambulatory Surgical Procedures
  • Arthroplasty, Replacement, Hip / economics
  • Arthroplasty, Replacement, Hip / methods
  • Arthroplasty, Replacement, Hip / statistics & numerical data*
  • Arthroplasty, Replacement, Knee / economics
  • Arthroplasty, Replacement, Knee / methods
  • Arthroplasty, Replacement, Knee / statistics & numerical data*
  • Health Expenditures
  • Humans
  • Knee
  • Knee Joint
  • Middle Aged
  • Orthopedics / economics
  • Orthopedics / organization & administration*
  • Orthopedics / statistics & numerical data
  • Practice Management / economics
  • Practice Management / organization & administration
  • Practice Management / statistics & numerical data*
  • Private Practice
  • Registries
  • Societies, Medical
  • Surgeons
  • Surveys and Questionnaires
  • United States