Comprehensive Care for Joint Replacement

Call for more information: 770-219-5257

Leer en Español »

Northeast Georgia Medical Center is participating in a New Care Improvement Initiative from Medicare

Northeast Georgia Medical Center is participating in the Comprehensive Care for Joint Replacement (CJR) model. Medicare designed this model to encourage higher quality care and greater financial accountability from hospitals when Medicare beneficiaries receive lower-extremity joint replacement procedures (LEJR), typically hip or knee replacements. Northeast Georgia Medical Center’s participation in the CJR model should not restrict your access to care for your medical condition or your freedom to choose your health care providers and services. All existing Medicare beneficiary protections continue to be available to you. 

The CJR model aims to help give you better care.

The CJR model aims to support better and more efficient care for beneficiaries undergoing LEJR procedures. A CJR episode of care is typically defined as an admission of an eligible Medicare beneficiary to a hospital participating in the CJR model for an LEJR procedure. This model uses episode payment and quality measurement for an episode of care associated with LEJR procedures to encourage hospitals, physicians, and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization through recovery. Under the CJR model, Northeast Georgia Medical Center can earn additional payments from Medicare if we meet the high quality goals set by Medicare, while keeping hospital costs and care spending under control. If we don’t meet these quality and cost goals, we may have to repay Medicare.

Medicare is using the CJR model to encourage Northeast Georgia Medical Center to work more closely with your doctors and other health care providers that help patients recover after discharge from the hospital including, but not limited to, nursing homes (skilled nursing facilities), home health agencies, inpatient rehabilitation facilities, and long-term care hospitals. If you require a stay in a Skilled Nursing Facility (SNF) to assist with your recovery from surgery and if, and only if, it is clinically appropriate, the CJR model permits Northeast Georgia Medical Center to discharge you to a high quality SNF sooner than the three days Medicare usually requires to cover a SNF stay.

Medicare will monitor your care to ensure you and others are receiving high quality care.

Northeast Georgia Medical Center entered into financial arrangements with collaborating health care providers and suppliers who are engaged in care redesign with the hospital and who may furnish health care services to you during your episode of care. Under these arrangements, Northeast Georgia Medical Center may share payments received from Medicare as a result of reduced episode spending and hospital internal cost savings with collaborating providers and suppliers. Northeast Georgia Medical Center may also share financial accountability for increased episode spending with collaborating providers and suppliers.

The following list includes health care providers and suppliers that have established a financial arrangement with Northeast Georgia Medical Center in order to share in financial rewards and/or losses in the CJR model:

Longstreet Clinic Orthopedics

www.longstreetclinic.com/orthopaedics/orthopaedics-sports-medicine

Derek Ronald Moore, MD
Barry G. Munn, MD

Gainesville Office:
655 Jesse Jewell Parkway SE
Gainesville, GA 30501
Phone: 678-207-4500

Braselton Office:
1270 Friendship Road
Suite 110
Braselton, GA 30517
Phone: 678-207-4500

Specialty Clinics of Georgia - Orthopedics, PC

www.scg-ortho.com

John Vachtsevanos, MD
W. David Weiss, MD
Gary Davis, III, MD
Kris Wheeler, MD
C. Cullen Scott, MD
Filippo Chillemi, MD

Gainesville Office:
1240 Jesse Jewell Parkway
Suite 300
Gainesville, GA 30501
Phone: (770) 532-7202

Braselton Office:
1241 Friendship Road
Suite 110
Braselton, GA 30517
Phone: (770) 532-7202  

NGPG Orthopedic Surgery & Sports Medicine                

www.ngpg.org/orthopedics 

Mark Hazel, MD
Darrell Scales, MD
Shan Sharif, MD
Gregory Woods, MD

Gainesville Office:
1315 Jessee Jewell Parkway SE
Gainesville, GA 30501
Phone: (770) 848-6190

Braselton Office:
1404 River Place
Braselton, GA 30517
Phone: (770) 848-6190

NGPG Orthopedic Trauma & Reconstructive Surgery

http://www.nghs.com/trauma-acute-care-orthopaedic-surgery-tacos

Brandon Bruce, MD
Greg Herzog, MD
Fernando H. Serna, MD

Gainesville Office:
1315 Jesse Jewell Parkway NE
Gainesville, GA  30501

It’s your choice which hospital, doctor, or other providers you use.

You have the right to choose which hospital, doctor, or other post-hospital stay health care provider you use.

For an explanation of how patients can access their health care records and beneficiary claims data, please visit https://www.healthit.gov/patients-families/blue-button/about-blue-button.

Get more information

If you have questions or want more information about the Comprehensive Care for Joint Replacement (CJR) model, call Northeast Georgia Medical Center at (770) 219-5257 or 770-848-1380 OR call 1-800-MEDICARE. You can also find additional information at https://innovation.cms.gov/initiatives/cjr.

The Beneficiary Notice Applies to Patients Having Medicare Part A and B as Their Primary Insurance.

NGMC 208811-03130 A (1/1/18)

 

Copyright ©2020 Northeast Georgia Health System, Inc. | 743 Spring Street Gainesville, GA 30501 | (770) 219-9000

mode_comment
COVID-19 questions?
Questions about COVID-19?
Our chatbot can answer simple COVID-19 questions.
minimize

Hi there! I can help quickly answer common questions about COVID-19. Please pick one of the options below.

Sent by: Northeast Georgia Health System
  • I don’t feel well. What should I do?
  • How can I help?
  • How can I prevent COVID-19?
  • What is NGHS doing for the COVID-19 crisis?

If you have a fever and cough or difficulty breathing, these steps will help you find the care you need and limit the spread of Coronavirus (COVID-19) in our region:

  • Call before you come

    Please call your doctor's office or an urgent care clinic for advice about where you should go for treatment.

  • Call 9-1-1 for emergencies

    Calling 9-1-1 is always the fastest and most efficient way to get proper treatment for medical emergencies.

  • Consider staying home and taking advantage of an E-Visit

    When symptoms strike, connect with a provider through an E-Visit instead of traveling to the urgent care or the doctor’s office.

    Learn more about E-Visits from these area practices:

We want to thank our community and local businesses for their amazing generosity during this time. Here are some ways you can support our community and staff:

  • Donate items and resources

    We are currently receiving donations of items and other resources through the Foundation. Learn how to donate resources and other needed items by clicking here.

  • Sew Masks for Healthcare Workers

    Many people in our community are sewing masks for our healthcare workers. We have created some mask sewing instructions and information about drop-off locations. Get detailed mask-making instructions here.

  • Send a Digital Letter

    We would like your help making digital letters for the residents at New Horizons Nursing home. Email a letter to NewHorizonsAdmin@nghs.com and we will hand them out to our residents and staff to enjoy.

There is currently no vaccine to prevent COVID-19, so the best way to avoid infection is to avoid exposure. Here are simple steps you can take to lower your risk of catching or spreading illness:

  • Wear a mask – a cloth face cover can protect other people in case you are infected. Everyone should wear a cloth face cover in public settings and when around people who don’t live in your household. Continue to keep about 6 feet between yourself and others. The cloth face cover is not a substitute for social distancing.
  • Avoid close contact – maintain 6 feet of distance between yourself and people who don’t live in your household. If someone in your household is sick, maintain 6 feet of distance from them as well.
  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use a hand sanitizer that contains at least 60% alcohol.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Wash your hands or use hand sanitizer after touching tissues.
  • Clean and disinfect frequently touched surfaces to help prevent the spread of germs
  • Monitor your health daily –  Watch for fever, cough, shortness of breath, or other symptoms of COVID-19. Follow CDC guidance if symptoms develop.

Learn more by visiting the CDC COVID-19 website.

In late January, NGHS created a Coronavirus Task Force including leaders from across the system to begin preparing for the possibility that our facilities and staff may see patients with COVID-19.

We have been following the guidance of the CDC and are working to ensure staff are diligent in following standard protocol to ask patients about their travel history. In the event that additional preparation is needed, this team will move swiftly to follow any new guidance.

About COVID-19 Testing:

NGHS has the ability to coordinate testing at some of our locations. Please call your doctor's office or urgent care clinic for advice about whether testing is right for you. Recently we implemented a new E-Visit specific to the Coronavirus.

Learn more about E-Visits from these area practices:

Reset cached