BPCI Advanced Participation Readiness Assessment

Answer honestly based on your current capabilities — this determines whether BPCI Advanced is a financial opportunity or a financial risk for your organization right now.

1. Do you currently have visibility into your hospital's all-in episode costs (including post-acute and readmissions) within 30 days of the episode closing?

No — we see this data only at CMS reconciliation, months later Partially — we have internal cost data but not post-acute claims Yes — we have near-real-time all-in episode cost tracking

2. What is your current 90-day readmission rate for your top surgical episode types (LEJR, spinal fusion)?

Above 15% — higher than national average 10–15% — around national average Below 10% — better than national average

3. Do you have formal performance agreements with your top 3–5 SNF partners?

No — patients go to whichever SNF they or their family chooses Informal — we have preferred SNFs but no formal agreements or performance tracking Formal — we have performance-based preferred SNF contracts with quality metrics

4. Do your orthopedic or surgical physicians regularly review their individual episode cost data compared to peers?

No — physicians don't see episode-level cost data Occasionally — data shared in committee meetings, not regularly Yes — individual surgeon scorecards reviewed at least quarterly

5. Does your hospital have a dedicated bundled payment program manager or coordinator?

No — this role doesn't exist; responsibilities are split across multiple teams Partially — someone has these responsibilities but it's not their primary role Yes — a dedicated FTE owns bundled payment operations and data

6. What is your hospital's current average SNF length of stay for LEJR episodes?

More than 14 days — significantly above benchmark 10–14 days — near national average Fewer than 10 days — or we've shifted substantially to home-first discharge

BPCI Advanced Readiness Score: —

Score: 0 / 12 points · —

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