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Joint Replacement Learning Community

Letter of Intent

The Institute for Healthcare Improvement (IHI) is pleased to organize a learning community to measure and improve costs and outcomes for joint replacements.

The deadline to submit a letter of intent is April 10, 2015.Submissions willbe accepted on a rolling basis and organizations will receive a response within two weeks. Enrollment in the community is capped and qualified organizations will be accepted in the order in which their application was received. Please email your letter of intent to IHI Project Coordinator Leigh Carrollat .

If you are applying to the Joint Replacement Learning Community with more than one hospital from your hospital system, please indicate the name of the hospital(s) in the Additional Comments section. Each hospital must submit a separate Letter of Intent.

Organization Information

Organization name:

City, State, Zip:

Facility type: Choose an item.

Parent system (if applicable):

The orthopedic surgeons at your organization areprimarily employed:Choose an item.

If employed in a hybrid, please explain:

Approximate number of primary hip and knee replacement procedures performed in 2013:

  • Hip or knee replacement with major complication or comorbidities (MS-DRG 469):
  • Hip or knee replacement without major complication or comorbidities (MS-DRG 470):

Brief description of why your organization is interested in participating:

Please allocate your interest in the following areas by distributing 100 points across the four main topics that will be covered in the learning community:

  • Measuring the costs of care at your institution / 100
  • Implementing clinical and patient reported outcomes / 100
  • Exploring reasons for variation in cost and outcomes among participating organizations / 100
  • Developing a plan for improvement to close the gap / 100

100_TOTAL

Applicant Contact Information

Name:

Title:

Email address:

Phone number:

Address:

Please indicate the senior and clinical leaders committed to supporting this project:

Executive Sponsor Name

Orthopedic Surgeon Champion Name

How did you hear about the Joint Replacement Learning Community (website, referral, email, etc)?

Additional Comments (Optional).

If you are applying for the Joint Replacement Learning Community with more than one hospital from your hospital system, please indicate the name of the hospital(s) in below. Each hospital must submit a separate Letter of Intent.

Please email your letter of intent to IHI Project Coordinator Leigh Carroll at .