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Plus symbol Readmissions after total joint surgery are costly

Smith+Nephew may be able to help you lower your risk of readmissions1—and raise your confidence—through our Episode of Care Assurance Program.

Did you know? 




Is the national average cost of a hospital stay due to a total knee arthroplasty (TKA) or total hip arthroplasty (THA) readmission2






Plus symbol We have a solution

Introducing our Episode of Care Assurance Program (eCAP)

If, during the 90 days immediately following an in-patient procedure where a Smith+Nephew primary hip or knee total joint system, PICO Single Use Negative Pressure Wound Therapy (NPWT), and ACTICOAT Flex 7 Silver-Coated Antimicrobial Barrier Dressings were used, your patient is readmitted to the same facility as a result of a surgical site infection or to revise the Smith+Nephew implant, we’ll refund to purchaser its costs for such readmission up to, but no exceeding, the purchase price paid (net of rebates or other discounts) for the total hip or knee system, PICO and ACTICOAT products.


Note: ACTICOAT FLEX is cleared for use with NPWT for up to 3 days.

PICO 7 Single Use NPWT System



ECAP ortho products

Left to right: JOURNEY II Total Knee System, LEGION Total Knee System, R3 Acetabular System, POLARSTEM Cementless Stem System

An eCAP success story: nearly zero readmissions4

97.3% decrease

Decrease in readmissions achieved by Provider PPI for total joint arthroplasties conducted under eCAP4†

Compared to published national average data.

Ask your representative how to sign up for our eCAP program today.

Program details:

  • The eCAP warranty is limited to in-patient procedures only.
  • The Smith+Nephew total hip or knee system, PICO System and ACTICOAT Dressing must have been used in a manner consistent with the products’ labeling and Instructions for Use.
  • The readmission must result from a failure of the total hip or knee system, the PICO System, or the ACTICOAT Dressing to perform as expected (consistent with the products labeling). You must complete and provide to Smith+Nephew a readmission report for each claim made under the eCAP warranty.
  • You may make only one valid warranty claim per patient.
  • To participate in eCAP, the facility or health system must have a signed contract in place. This is a separate form, required in addition to any pricing agreement.
  • Additional terms and conditions apply.

Want to get started with PICO?

If you would like a company representative to contact you to learn how you can provide PICO sNPWT therapy for your patients please click to learn more.

Are you a patient with questions?

Do you have questions about your PICO sNPWT therapy? Find out information on what PICO sNPWT is and how you can get back to your daily life.

Billing questions?

Our reimbursement helpline provides you with information concerning questions regarding coding, payments and coverage for PICO sNPWT.

  1. Patange Subba Rao SP, Karlakki S. Use Of Negative Pressure Wound Therapy Dressings (NPWTd) In Exudating Wounds Following Elective Hip And Knee Replacement Procedures: A Specialist Elective Orthopaedic Hospital Experience. Paper presented at: EFORT; 2019; Lisbon.
  2. Clair AJ, Evangelista PJ, Lajam CM, Slover JD, Bosco JA, Iorio R. Cost analysis of total joint arthroplasty readmissions in a bundled payment care improvement initiative. J Arthroplasty. 2016;31(9):1862-1865
  3. Zmistowski B, Restrepo C, Hess J, Adibi D, Cangoz S, Parvizi J. Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors. J Bone Joint Surg Am. 2013;95(20):1869-1876.
  4. Smith & Nephew’s Episode of Care Assurance Program (eCAP) reduces hospital readmission by 97% following total joint replacement surgery [press release]. surgery/. Published January 18, 2018. Accessed May 4, 2018.

†Highmark Health has worked with Smith & Nephew for the eCAP program. These are the results of a 14-month report of TKA, THA, and TJA procedures.

The eCAP program is most effective in conjunction with value-based bundled payment models. These models combine payment and quality measurement to encourage hospitals, physicians and post-acute care providers to improve the quality and coordination of care from initial hospitalization through recovery. They include Bundled Payment for Care Improvement models (BPCI and BPCI-A) and Comprehensive Care for Joint Replacement (CJR)