What is Total Knee Replacement (TKR)?

Why is TKR done?

TKR is performed to relieve arthritis-associated knee pain, maintain, or improve knee function and improve the quality of life.

Value-Based Health Care Benefits

What are Value Driven Outcomes (VDO)?

Value Driven Outcomes is a simple concept of improving care for patients with the aim to drive down costs. Its fundamental factors are based on overall patient wellness and preventive measures. Achieving this goal involves making adjustment in terms of how patients receive medical treatment, taking into consideration of overall wellness, quality of care, and preventive screenings. This ultimately results in better healthcare outcomes.

At Pantai Hospital Kuala Lumpur, we aim to make healthcare proactive rather than reactive, preventing problems from occurring before they start. In view of that, we had designed a Value Driven Outcomes (VDO) framework for Total Knee Replacement (TKR), in which pre-set quality indicators were used to determine cost rationalisation.

TKR Quality Indicators (benchmarks)

1. Prophylactic Antibiotic received within 1 hour prior to surgical incision

   Prophylactic antibiotic administration, along with proper sterile surgical techniques reduces the risk of postoperative infections, leading to better patient outcomes. Failure to provide adequate infection prophylaxis can possibly lead to septic arthritis, which is a knee joint infection that can delay the recovery time post-surgery and limits functional abilities.

2. No Blood Transfusion given during Intraoperative or Postoperative TKR

   TKR can result in substantial perioperative blood loss requiring allogenic blood transfusion. Minimising blood loss intraoperatively is crucial, as it is associated with numerous adverse effects. Reducing these adverse events can improve surgical outcomes, resulting in faster patient recovery.

3. No Complications during arthroscopic TKR index admission

   Complications of TKR can vary from minor to life-threatening events. TKR complication rates can be minimised by appropriate patient selection, pre-operative patient optimisation, meticulous surgical techniques and attentive post-operative managements. Reporting of complications aid in assessing surgical outcomes and measuring the quality of healthcare.

4. No 20 Group-Wide Serious Reportable Events (SRE) Categories reported

   To monitor, evaluate and review the various serious reportable events occurring in the hospitals and to take corrective actions to address identified issues. This will help to prevent the recurrence of similar events, allowing for cross-learning and identifying key areas for improvement.

Where does Pantai Hospital Kuala Lumpur stand- Against International Benchmark

Against International Benchmark

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