ILLINOIS BONE & JOINT INSTITUTE

IMPROVES EFFICIENCY AND REDUCES

COSTS WITH PINPOINTCARE
About Illinois Bone & Joint Institute
Founded in 1990, Illinois Bone and Joint Institute (IBJI) is one of the largest orthopedic group
practices in Illinois. With more than 90 physicians in every orthopedic specialty, IBJI offers care
for children and adults from a team of accomplished and respected orthopedists. IBJI has
20 locations throughout Chicago and the north suburbs.

The Problem
Effective January 1, 2014, IBJI elected to participate in the Centers for Medicare and Medicaid
Services (CMS) Bundled Payments for Care Improvement (BPCI) Model 3 initiative for major
joint replacement (DRGs 469 and 470). This initiative combines payment for the physician,
hospital and other post-acute care providers into a single payment, creating an incentive for
providers to lower the overall cost of care through efciency and care coordination.
Knee or hip replacement surgery often requires care from multiple providers, including acute
care, skilled nursing facility (SNF), home health and physical therapy, which has the potential
for fragmented and disjointed care. Additionally, post-acute care is a critical aspect of a
patients recovery from a major joint replacement.

The Solution

By gathering and sorting

patient and surgery
specific information that
feeds into the Pinpoint
platform, IBJI is able to
create an individualized
care plan which it can
use to monitor and
subsequently manage
cases in a real time
environment rather than
retrospectively.

- Andre Blom

Director of Rehabilitation
Services, IBJI

In September 2013, IBJI chose PinpointCare as its platform for

patient engagement, care coordination and management of the
BPCI initiative. PinpointCare is a cloud-based, exible software-asa-service (SaaS) solution that facilitates ongoing communication
between the care team in settings other than the physicians ofce.
The goal is to involve patients in the creation of a customized care
plan and effectively monitor health status, assess risk and improve
time to recovery.

With PinpointCare, IBJI is able to coordinate care

with 50+ post-acute care partners and contracted
providers, including hospitals, SNFs, home health
facilities and physical therapy practices, at
minimal cost without being on the same EMR.

Figure 1

Using PinpointCare, IBJI is able to complete a dynamic, personalized pre-op evaluation for each patient undergoing
a joint replacement surgery (Figure 1). This enables better management of care across the continuum for high-risk,
potentially costly patients (Figure 2).

The Solution (continued)

Each post-acute care partner or contracted provider involved in a
patients care plan is then able to access the PinpointCare system to
facilitate patient management throughout the continuum (Figure 3).

Figure 2

PinpointCare plays two primary roles to aid in IBJI's

success. First and foremost, Pinpoint helps manage
the outliersit's essential for case management.
The second component is Pinpoints ability to
facilitate communication among the 50+ partners
and managing care across the continuum.

- Chad Beste

Partner, PBC Advisors LLC

Figure 3

The Results
IBJI managed 2,458 patients in PinpointCare from October 2013 through October 2014. Since launching PinpointCare, IBJI has experienced
improved efciency and cost reduction in the following areas:

REDUCING SNF

Reduced costs by
an average of
18% per case
(per DRG)

DAYS

Reduced average
length of stay for
partner SNFs by
6 days

LOWERING COSTS

18%

LOWER READMITS

14%

Lowered costly
hospital readmits
by 14%

Increased patients
initiating directly
to Home Health
by 17%

PATIENTS TO HH

17%

SAVED OVER

MIL

Saved approximately $1,000

per case since
program launch

The Future
IBJI will migrate to version 2.0 of the PinpointCare solution in early 2015. The revised version will enable improved workow, additional
exibility to account for unexpected events (e.g. readmissions) and enhanced reporting tools through all phases of the care continuum. IBJI
anticipates continued clinical and nancial success through this partnership with PinpointCare.