The Changing World of Total Joint Arthroplasty.- Understanding the Alternate Payment Plans.- Insurance Contracting.- Creating a Limited Stay Total Joint Program.- Preparing Your ASC for Same Day Joints.- Preparing Your Hospital for Same Day Joints.- Patient Risk Assessment and Optimization.- Enhanced Recovery after Surgery (ERAS): The Changing Practice.- The Pre-operative Clinical Pathway.- The Post-operative Clinical Pathway.- Anesthesia Considerations.- Efficiency in Hip Surgery.- Efficiency in Knee Surgery.- The Place for Innovative Technology.- Multimodal Pain Management.- Immediate Post-operative Rehabilitation.- Achieving Milestones in Post-acute Rehabilitation.- Peri-operative Patient Surveillance.- Achieving Satisfaction with Patient Reported Outcome Measures.- Choosing the Right Institutional Metrics.- The Use of Evidence for Process Improvement.
The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system.
This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies.
There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.
Giles R. Scuderi, MD, Northwell Health Orthopedic Institute, New York, NY, USA
Alfred J. Tria Jr., MD, Orthopedic Center of New Jersey, Somerset, NJ, USA
Fred D. Cushner, MD, Hospital for Special Surgery, New York, NY, USA