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SELECTED PUBLICATIONS

Bundled Payments

  • Bosco J, Shah P, Iorio R, Slover J, Torrance A: Optimizing the OR for bundled payments: A case study. Bulletin American College of Surgeons, 2015: 99, 11:29-36.
  • Iorio R, Clair AJ, Slover J, Bosco JA, Zuckerman J. Early Results of Medicare’s Bundled Payment Initiative for a 90-Day Total Joint Arthroplasty Episode of Care. J Arthroplasty. February 2016; 31(2): 343-350.
  • Hutzler L, Yoon RS, Mahure SA, Bosco JA. Economic Impact of Non-Modifiable Risk Factors in Orthopaedic Fracture Care: Is Bundled Payment Feasible? J Orthop Trauma. 2017 Mar;31(3):175-179.
  • Yoon RS, Mahure SA, Hutzler LH, Iorio R, Bosco JA. Hip Arthroplasty for Fracture vs Elective Care: One Bundle Does Not Fit All. J Arthroplasty. 2017 August: 32(8): 2353-2358.
  • Alfonoso A, Hutzler L, Robb B, Beste C, Blom A, Bosco J. Similar Cost Savings of Bundled Payment Initiatives Applied to Lower Extremity Total Joint Arthroplasty Can Be Achieved Applying Both Models 2 and 3. HSS Journal 2017. (2017). 13:267-270.
  • Download Bundled Payment White Paper
  • Slover J, Mullaly K, Karia R, Bendo J, Ursomanno P, Galloway A, Iorio R, Bosco J. The Use of The Risk Assessment and Prediction Tool in Surgical Patients in a Bundled Payment Program. Int J Surg. 2017 Feb;38:119-122.
  • Iorio R, Bosco J, Slover J, Sayeed Y, Zuckerman JD. Single Institution Early Experience with the Bundled Payments for Care Improvement Initiative. J Bone Surg Joint Surg Am. 2017 Jan 4;99(1):e2.
  • Mahure S, Hutzler L, Yoon R, Bosco J. Economic Impact of Nonmodifiable Risk Factors in Orthopedic Fracture Care: Is Bundled Payment Feasible? J Orthop Truama. 2017 Mar;31(3):175-179.
  • Jubelt L, Goldfeld K, Blecker S, Chung W, Bendo J, Bosco J, Errico T, Frempong-Boadu A, Iorio R, Slover J, Horwitz L. Early Lessons on Bundled Payment at an Academic Medical Center. J Am Acad Orthop Surg. 2017 Sep;25(9):654-663.
  • Elbuluk A, Iorio R, Egol K, Bosco J. The Surgical Hip and Femur Fracture Treatment Model: Medicare’s Next Orthopedic Bundle. JBJS Rev. 2017 Oct;5(10):e2.
  • Behery O, Kouk S, Chen K, Mullaly K, Bosco J, Slover J, Iorio R, Schwarzkopf R. Skilled Nursing Facility Partnerships May Decrease 90-Day Costs in a Total Joint Arthroplasty Episode Under the Bundled Payments for Care Improvement Initiative. J Arthroplasty. 2018 Mar;33(3):639-642.
  • Bronson W, Kingery M, Hutzler L, Karia R, Errico T, Bosco J, Bendo J. Lack of Cost Savings for Lumbar Spine Fusions After Bundled Payments for Care Improvement Initiative: A Consequence of Increased Case Complexity. Spine (Phila Pa 1976). 2019 Feb 15;44(4):298-304.
  • Bosco J, Harty J, Iorio R. Bundled Payment Arrangements: Keys to Success. J Am Acad Orthop Surg. 2018 Dec 1;26(23):817-822.

Cost

  • Slover JA, Rubash HA, Malchau, Bosco JA: Cost Effectiveness Analysis of Custom Total Knee Cutting Blocks. Journal of Arthroplasty. 2012: 27(2): 180-185.
  • Schwarzkopf R, Sagebin FM, Karia R, Koenig KM, Bosco JA, Slover JD.: Factors Influencing Patient’s Willingness to Pay for New Technology in Joint Replacement. Journal of Arthroplasty. March 2013; 28(3): 390-94.
  • Bosco J, Alvarado C, Slover J, Iorio R, Hutzler L. Decreasing Total Joint Implant Costs and Physician Specific Cost Variation Through Negotiation. Journal of Arthroplasty. April 2014; 29(4): 678-80.
  • Hutzler L, Kraemer K, Palmer N, Albert D, Bosco J. Cost Benefit Analysis of Pregnancy Testing in Orthopaedic Surgery. Bulletin of the NYU Hospital for Joint Diseases. 2014 July; 72(2): 164-66.
  • Ramos N, Wang E, Karia R, Hutzler L, Lajam C, Bosco J. Correlation Between Physician Specific Discharge Costs, LOS, and 30-day Readmission Rates: An Analysis of 1,831 Cases. Journal of Arthroplasty. 2014 September; 29(9): 1717-22.
  • Adrados M, Lajam C, Hutzler L, Slover J, Bosco J. The Effect of Severity of Illnesses on Knee and Hip Replacement Costs in New York State: A Review of 172,738 Cases. Journal of Arthroplasty. 2015 January; 30(1): 12-14.
  • Boas R, Ensor K, Qian E, Hutzler L, Slover J, Bosco J. The Relationship of Hospital Charges and Volume to Surgical Site Infection After Total Hip Replacement (THR). American Journal of Medical Quality. 2015 May/June; 30: 283-88.
  • Alvarado CM, Bosco JA. Understanding and Controlling Cost in Total Joint Arthroplasty. Bulletin of the NYU Hospital for Joint Diseases. 2015;73(2):70-77.
  • Evangelista P, Aversano M, Koli E, Hutzler L, Inneh I, Bosco J, Iorio R. Effect of Tranexamic Acid on Transfusion Rates Following Total Joint Arthroplasty: A Cost and Comparative Effectiveness Analysis. Orthop Clin North Am. 2017 Apr;48(2):109-115.
  • Collins K, Chen K, Ziegler J, Schwarzkopf R, Bosco J, Iorio R. Revision Total Hip Arthroplasty-Reducing Hospital Cost Through Fixed Implant Pricing. J Arthroplasty. 2017 Sep;32(9S0:S141-S143.
  • Elbuluk A, Old A, Bosco J, Schwarzkopf R, Iorio R. Strategies for Reducing Implant Costs in the Revision Total Knee Arthroplasty Episode of Care. Arthroplast Today. 2017 Apr 15;3(4):286-288.
  • Boylan M, Bosco J, Slover J. Cost-Effectiveness of Preoperative Smoking Cessation Interventions in Total Joint Arthroplasty. J Arthroplasty. 2019 Feb;34(2):215-220.

Ethics

  • Bronson W, Fewer M, Godlewski W, Slover J, Caplan A, Iorio R, Bosco JA. The Ethics of Patient Risk Modification Prior to Elective Joint Replacement Surgery. J Bone Joint Surg Am, 2014 Jul 02;96(13):e113. 96(13):e113. PMID: 24990987
  • Maoz G, Phillips M, Bosco J, Slover J, Stachel A, Inneh I, Iorio R: The Otto Aufranc Award: Modifiable versus Nonmodifiable Risk Factors for Infection After Hip Arthroplasty Clin Orthop Relat Res. 2015 Feb; 473(2): 453-9.
  • Mercuri J, Iorio R, Zuckerman J, Bosco J. Ethics of Total Joint Arthroplasty Gainsharing. J Bone Joint Surg Am. 2017 Mar  1;99(5):e22.
  • Humbyrd C, Hutzler L, DeCamp M. The Ethics of Success in Bundled Payments: Respect, Beneficence, and Social Justice Concerns. Am J Med Qual. 2019 Mar/Apr;34(2):202-204.

Preventing Infections

  • Bosco JA, Haas J, Slover J: Perioperative Strategies for Decreasing Infection: A Comprehensive Evidenced Based Approach. JBJS Am, 2010;92(1): 232-239.
  • Bosco JA, Haas J, Slover J: Perioperative Strategies to Reduce Surgical Site Infections: An Evidenced Based Approach: Instructional Course Lecture. 2010;59;619-28.
  • Schwarzkopf R, Takemoto R, Immerman I, Slover J, Bosco JA: Prevalence of Staphylococcus Aureus Colonization in Orthopaedic Surgeons and Their Patients: A Prospective Cohort Controlled Study. J Bone Joint Surg Am. 2010 Aug 4;92(9); 1815-9.
  • Hadley SC, Immerman IG, Hutzler L, Slover J, Bosco JA. Staphylococcus Aureus Decolonization Protocol Decreases Surgical Site Infections for Total Joint Replacement. Arthritis, vol. 2010, Article ID 924518, 4 pages, 2010. doi: 1155/2010/924518.
  • Lorraine H. Hutzler, Staphylococcus aureus Screening and Decolonization and Orthopaedic Surgical Site Infection- A Review of Literature and Single Institution Experience. J. Orthopaedics 2011; 8(3)e8. URL: http://www.jortho.org/2011/8/3/e8.
  • Glait SA, Schwarzkopf R, Gould S, Bosco J, Slover J: Is repetitive intraoperative splash basin use a source of bacterial contamination in total joint replacement? J Orthopedics. 2011 Sep 9;34(9).
  • Ramos N, Skeete F, Haas JP, Hutzler L, Slover J, Phillips M, Bosco J. Surgical Site Infection Prevention Initiative Patient Attitude and Compliance. Bulletin of the NYU Hospital for Joint Diseases 2011; 69(4):312-15.
  • Immerman I, Ramos NL, Katz GM, Hutzler LH, Phillips MS, Bosco JA. The Persistence of Staphylococcus aureus Decolonization after Mupirocin and Topical Chlorhexidine: Implications for Patients Requiring Multiple or Delayed Procedures. Journal of Arthroplasty. June 2012; 27(6):870-76.
  • Campbell K, Phillips M, Stachel A, Bosco JA, Mehta S: Incidence and risk factors for hospital-acquired Clostridium difficile infection among inpatients in an orthopaedic tertiary care hospital. Journal of Hospital Infection, Available online 9 January 2013: http://dx.doi.org/10.1016/j.jhin.2012.11.009.
  • Mehta S, Hadley S, Hutzler L, Slover J, Phillips M, Bosco J. Impact of Pre-operative S. aureus Screening and Decolonization on Hospital Acquired S. aureus Burden. Clinical Orthopaedics and Related Research. July 2013; 471(7): 2367-71.
  • Norton T, Skeete F, Dubrovskaya Y, Phillips M, Bosco JA, Mehta S. Orthopedic Surgical Site Infections: Analysis of Causative Bacteria and Implications for Antibiotic Stewardship. Am J Orthop, 2014 May. 43(5):E89-92.
  • Maslow J, Hutzler L, Cuff G, Rosenberg A, Phillips M, Bosco J. Patient Experience with Mupirocin or Povidone-iodine Nasal Decolonization: Results of a Randomized Controlled Trial. Orthopaedics. 2014 June. Volume 37-Issue 6: e576-e581.
  • Catanzano A, Phillips M, Dubrovskaya Y, Hutzler L, Bosco J. The Standard One Gram Dose of Vancomycin is not Adequate Prophylaxis for MRSA. Iowa Orthopaedic Journal. 2014 July; Volume 34: 111-17.
  • Phillips M1, Rosenberg A, Shopsin B, Cuff G, Skeete F, Foti A, Kraemer K, Inglima K, Press R, Bosco JA: Preventing surgical site infections: a randomized, open-label trial of nasal mupirocin ointment and nasal povidone-iodine solution Infect Control Hosp Epidemiol. 2014 Jul;35(7):826-32.
  • Campbell KA, Stein S, Looze C, Bosco JA: Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice. J Am Acad Orthop Surg. 2014 Dec;22(12):772-781
  • Slover J, Phillips M, Iorio R, Bosco JA: Is Routine Antibiotic Prophylaxis Cost Effective for Total Joint Replacement Patients? J Arthroplasty. 2014 Nov 10. pii: S0883-5403(14)00816-X. doi: 10.1016/j.arth.2014.11.001
  • Crowe, Brooks; Payne, Ashley; Evangelista, Perry J; Stachel, Anna; Phillips, Michael S; Slover, James D; Inneh, Ifeoma A; Iorio, Richard; Bosco, Joseph A. Risk Factors for Infection Following Total Knee Arthroplasty: A Series of 3836 Cases from One Institution. Journal of Arthroplasty. 2015. DOI: 10.1016/j.arth.2015.06.058
  • Bosco JA, Bookman J, Slover J, Edusei E, Levine B. Principles of Antibiotic Prophylaxis in Total Joint Arthroplasty: Current Concepts. J Am Acad Orthop Surg. 2015 Aug;23(8):e27-e35.
  • Campbell K, Cunningham C, Hasan S, Hutzler L, Bosco J. Risk Factors for Developing Staphylococcus aureus Nasal Colonization in Spine and Arthroplasty Surgery. Bulletin of the NYU Hospital for Joint Diseases. 2015; 73(4): 276-81.
  • Vaswani R, Karia R, Hutzler L, Bosco J. The Relationship Between Hospital-Specific Hip Arthroplasty Surgical Site Infection Rate and the Overall Hospital Infection Rate. Bulletin of the NYU Hospital for Joint Diseases. 2017 September;75(3):207-9.
  • Hutzler L, Williams J. Decreasing the Incidence of Surgical Site Infections Following Joint Replacement Surgery. Bull Hosp Jt Dis (2017). 2017 Dec; 75(4):268-73.

Quality and Value

  • Tagadaya M, Macapobre R, Rich E, Bosco JA: The Impact of the Use of Paddle Pagers on Family Member Anxiety During the Intraoperative Period. Journal of PeriAnesthesia Nursing – June 2012 Vol. 27, Issue 3, Page e43, DOI: 10.1016/j.jopan.2012.04.019.
  • Katz G, Ong C, Hutzler L, Zuckerman J, Bosco J. Instructional Course Lecture 63: Applying Quality Principles to Orthopaedic Surgery. March 2014. ISBN/ISSN: 9781625521293.
  • Bosco JA, Stein S, Sachdev R , Shapiro R, Zuckerman J. Use of Metrics in Quality Management. Instructional Course Lectures 63, 2014. 473-85.
  • Day M, Hutzler L, Karia R, Vangsness K, Setia N, Bosco J. Hospital Acquired Conditions After Orthopaedic Surgery Do Not Affect Patient Satisfaction Scores. Journal for Healthcare Quality. 2014 November; 36(6): 33-40.
  • Stein S, Day M, Karia R, Hutzler L, Bosco J. Patients’ Perception of Care Correlates with Quality of Hospital Care: A Survey of 4605 Hospitals. American Journal of Medical Quality. 2015 July/August; 30: 382-388.
  • Vaswani R, Hutzler L, Bosco J. Measuring Quality in Ambulatory Orthopedic Surgery. American Journal of Medical Quality. 2016 March; 31(2): 187-189.
  • Bookman J, Romney D, Hutzler L, Slover J, Iorio R, Bosco J. The Etiology of Improved Outcomes at High Volume Centers: Learning Theory and the Case of Implant Flashing. Bulletin of the NYU Hospital for Joint Diseases. 2016 Jun; 74(2):155-9.
  • Sibley RA, Charubhumi V, Hutzler LH, Paoli AR, Bosco JA. Joint Replacement Volume Positively Correlates with Improved Hospital Performance on Centers for Medicare and Medicaid Services Quality Metrics. J Arthroplasty. 2017 May;32(5):1409-13.
  • Download 2017 Quality and Outcomes Report
  • Chen K, Harty J, Bosco J.  It is a Brave New World: Alternative Payment Models and Value Creation in Total Joint Arthroplasty.  Creating Value for TJR, Quality and Cost-Effectivness Programs. J Arthoplasty. 2017 Jun;32(6):1717-1719.

Readmissions

  • McCormack R, Ramos N, Hutzler L, Slover J, Bosco J. An Analysis of Causes of Readmission After Spine Surgery. Spine. June 2012; 37(14):1260-6.
  • Nacke E, Ramos N, Stein S, Hutzler L, Bosco J. When Do Readmissions for Infection Occur After Spine and Total Joint Procedures? Clinical Orthopaedics and Related Research. February 2013; 471(2):569-73.
  • Jordan C, Goldstein R, Michels R, Hutzler L, Slover J, Bosco J. A Comprehensive Program Can Reduce Hospital Readmission Rates after Total Joint Arthroplasty. American Journal of Orthopaedics. November 2012; 41(11):E147-51.
  • McCormack R, Michels R, Hutzler L, Slover J, Bosco J. 30-Day Readmission Rates as a Measure of Quality: Causes of Readmission after Orthopaedic Surgeries and Accuracy of Administrative Data. Journal of Healthcare Management. January-February 2013; 58(1):64-76; discussion 76-7.
  • Mahoney A, Bosco JA 3rd, Zuckerman JD: Readmission after Shoulder Arthroplasty. J Shoulder Elbow Surg. March 2014; 23(3): 377-81.
  • Ramos N, Karia R, Hutzler L, Brandt A, Slover J, Bosco J. The Effect of Discharge Disposition on 30-day Readmission Rates After Total Joint Arthroplasty. Journal of Arthroplasty. April 2014; 29(4): 674-77.
  • Bosco J, Karkenny A, Hutzler L, Slover J, Iorio R. Cost Burden of 30-Day Readmissions Following Medicare Total Hip and Knee Arthroplasty. Journal of Arthroplasty. May 2014; 29(5): 903-05.
  • Kiridly D, Karkenny A, Hutzler L, Slover J, Iorio R, Bosco J. The Effect of Severity of Disease on Cost Burden of 30-day Readmissions Following Total Joint Arthroplasty (TJA). Journal of Arthroplasty. 2014 August; 29(8): 1545-47.
  • Hunter T, Yoon R, Hutzler L, Band P, Liublinksa V, Slover J, Bosco J. No Evidence for Race and Socioeconomic Status as Independent Predictors of 30 Day Readmission Rates Following Orthopaedic Surgery. American Journal of Medical Quality. 2014 May 22. doi: 10.1177/1062860614534882. [Epub ahead of print]
  • Minhas SV, Chow I, Feldman DS, Bosco JA, Otsuka NY: A Predictive Risk Index for 30-Day Readmissions Following Surgical Treatment of Pediatric Scoliosis. J Pediatr Orthop. 2015 Feb 26. PMID: 25730378. DOI: 10.1097/BPO.0000000000000423.
  • Maslow J, Hutzler L, Slover J, Bosco J. Etiology of Readmissions Following Orthopaedic Procedures and Medical Admissions: A Comparative Analysis. Bulletin of the NYU Hospital for Joint Diseases. 2015; 73(4): 269-75.
  • Liu J, Paoli A, Mahure S, Bosco J, Campbell K. Preoperative Bariatric Surgery and the Risk of Readmission Following Total Joint Replacement. Orthopedics. 2018 Mar1;41(2):107-114.
  • Kim K, Anoushiravani A, Chen K, Li R, Bosco J, Slover J, Iorio R. Perioperative Orthopedic Surgical Home: Optimizing Total Joint Arthroplasty Candidates and Preventing Readmission. J Arthroplasty. 2019 Jan 18. [Epub ahead of print].

Safety

  • Tayrose G, Newman D, Slover J, Hunter T, Jaffe F, Bosco JA: Rapid Mobilization Decreases Length-of-Stay in Joint Replacement Patients. Bulletin of the NYU Hospital for Joint Diseases. 2013: 71(3):222-26.
  • Yoon R, Alaia M, Hutzler L, Bosco J. Using “Near Misses” Analysis to Prevent Wrong-Site Surgery. Journal for Healthcare Quality. 2015 March/April; 37(2): 126-32.
  • Alaia M, Patel, Levy, Davidovitch R, Bosco JA : The Incidence of Venous Thromboembolism (VTE) After Hip Arthroscopy. Bulletin of the NYU Hospital for Joint Diseases. 2014. 72(2): pp. 154-58
  • Inneh, Ifeoma A; Iorio, Richard; Slover, James D; Bosco, Joseph A 3rd. Role of Sociodemographic, Co-morbid and Intraoperative Factors in Length of Stay Following Primary Total Hip Arthroplasty. Journal of Arthroplasty. 2015. DOI: 10.1016/j.arth.2015.06.054
  • Minhas, Shobhit V; Chow, Ian; Bosco, Joseph; Otsuka, Norman Y. Assessing the Rates, Predictors, and Complications of Blood Transfusion Volume in Posterior Arthrodesis for Adolescent Idiopathic Scoliosis. Spine. 2015. DOI: 10.1097/BRS.0000000000001019
  • Hutzler L, Kraemer K, Iaboni L, Berger N, Bosco J. Can Flash Sterilization be Eliminated? A One Hospital Experience. Association of periOperative Registered Nurses Journal. December 2013; 98(6): 597-607.
  • Alaia MJ, Khatib O, Shah M, Bosco JA, Jazrawi L, Strauss EJ. The utility of plain radiographs in the initial evaluation of knee pain amongst sports medicine patients. Knee Surg Sports Traumatol Arthrosc. 2014 May 16. [Epub ahead of print] PMID: 24832691
  • Charen D, Qian E, Hutzler L, Bosco J. Risk Factors for Postoperative Venous Thromboembolism in Orthopaedic Spine Surgery, Hip Arthroplasty, and Knee Arthroplasty Patients. Bulletin of the NYU Hospital for Joint Diseases. 2015; 73(3): 198-203.