Hip Arthroplasty for Hip Fracture Cohort

The THA for Hip Fracture Cohort includes patients with a Principal Diagnosis of hip or femur fracture and Principal Procedure of THA. Patients also receiving an organ transplant and/or with other complicating diagnoses are excluded.

To leverage this cohort:

  • Profile filters: In the Profile Editor, add the cohort as a profile filter. With this option, you can further customize the profile with additional filters.
  • Statistical Process Control: Add a Statistical Process Control section to a scorecard and select the cohort from the dropdown. Within this section, the cohort is not customizable and must be used as-is. When drilling into a chart in the SPC section, you can select to create a profile of the encounters you're drilling into so you can analyze and customize further.

Cohort inclusions

To be eligible for the Hip Arthroplasty for Hip Fracture cohort, the encounter must have:

  • An ICD-10 Principal Diagnosis Code for a hip or femur fracture
  • An ICD-10 Principal Procedure Code for a hip joint replacement (note that pinned or medically-treated fractures are clinically different, so they are NOT included in this cohort)

Cohort exclusions

Encounters with any of the following conditions are excluded from the cohort:

  • Any ICD-10 Procedure Code for an organ transplant
  • Any ICD-10 Diagnosis Code for severe trauma

Contact Support for a full list of the excluded ICD-10 codes.

Statistical Process Control (SPC) measures

The following measures pertain to this cohort in the Statistical Process Control section of scorecards.

Key measures

  • Length of Stay (LOS)
  • 1 to 30 Day Readmission Rate Forward
  • Charges - Principal Procedure (sum of OR Charges on the day of the Principal Procedure)

Adverse events

These measures flag the encounter if the condition is present. The adverse events are aggregated in the Adverse Event bar chart.

  • Any PSI
  • Any HAC
  • Usage - ICU
  • Usage - Blood Use
  • AMI within 7 days of index admission
  • Pneumonia within 7 days of index admission
  • Sepsis within 7 days of index admission
  • Surgical site bleed within 30 days of index admission
  • Pulmonary embolism within 30 days of index admission
  • Mortality within 30 days of admission
  • Mechanical complications within 90 days of index admission
  • Periprosthetic joint/wound infection with 90 days of index admission
  • Unexplained Cardiac Arrest
  • Reaction to Anesthesia