BONEZONE

DEC 2016

Published by ORTHOWORLD Inc., BONEZONE delivers strategic sourcing & product commercialization solutions to orthopaedic device company decision makers and their partners.

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16 BONEZONE • December 2016 JOINT RECONSTRUCTION Five years ago, would joint recon folks anticipate that hos- pital solutions would account for nearly as many launches as devices would, in one year? A shifted focus to delivery of care seems to be the way to tweak hip and knee lines, now. In reviewing 2016 joint recon segment launches, three themes stood out: the aforementioned care delivery, surgical assistance tools and continued momentum in extremities. Focus: Healthcare Delivery Support All of the top five companies debuted initiatives to help providers address myriad components of an episode of care. DePuy Synthes introduced an exclusive strategic alliance with Value Stream Partners to facilitate customers' imple- mentation of bundled payment programs for hips and knees. (This builds on DePuy's U.S. ADVANTAGE Outpatient Solu- tions Program, offering implants and an outpatient-centric suite of education, training and support services.) Medtronic Orthopedic Solutions launched to support total joint replacement episodes of care, addressing the CMS Com- prehensive Care for Joint Replacement bundled payment ini- tiative. The model includes the launch of the value-based total knee arthroplasty system acquired with Medtronic's purchase of Responsive Orthopedics. Aspects of the model include coordination of patient man- agement and care teams across pre-op, acute and post-acute settings to reduce costs and improve efficiencies; remote patient monitoring tools; the FDA-cleared, U.S.-manufactured total knee implant plus the use of the Aquamantys system for bleeding control. Medtronic Orthopedic Solutions revenue will be reported as part of Medtronic's spine sales. Smith & Nephew introduced its eCap/Episode of Care Assurance Program, an initiative designed to mitigate risk associated with readmissions. eCAP pairs all Smith & Nephew primary total hip and knee reconstructive systems with PICO negative pressure wound therapy and ACTICOAT antimicro- bial barrier dressing. If a patient is readmitted within 90 days post-op for a surgical site infection or for implant revision due to product failure, SNN will pay a hospital's unreimbursed costs for the readmission up to the purchase prices of the implant, PICO and ACTICOAT. Stryker Performance Solutions offered two initiatives: Joint- COACH, a digital patient engagement and education platform, and Episode Performance Manager, a digital tool to translate raw claims data provided by Medicare into dynamic reports to compare performance of hospitals participating in CJR. In the U.S., Zimmer Biomet beta-launched Signature Solu- tions, a suite of clinical services and technologies to assist hos- pitals and medical practices with the transition to value-based healthcare models. Broad release is slated for 2017. Focus: Surgical Assistance in Hip and Knee These tools support surgeons throughout procedure plan- ning and execution. In essence, they are also supporting healthcare delivery as they are intended to make procedures reproducible and more precise. Brainlab introduced Auto-Knee, a new feature of TraumaCad 2.5 that supports pre-op planning of knee arthroplasty by automatically registering anatomical landmarks. Exactech announced the successful first U.S. revision knee procedure using the ExactechGPS Guided Personalized Surgery system. PRODUCT LAUNCH 2016: The Year in Products and Services What are you working on for 2017? How do your daily tasks align with overall growth objectives? We look forward to sharing your successes in these pages next year. Until then, let's reflect on what fueled momentum this year. Smith & Nephew NAVIO Robotics System Exactech Vantage Ankle Integra Cadence Ankle

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