Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Orthopedics - August 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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treat that talent fairly. Every surgeon who becomes a partner in our organization gets the same contract I have, and there are no financial secrets in terms of productivity and profitability. That transparency lets us keep our talent forever. We joke that working at Rothman is a life sentence. What do you think of the movement of more complex cases to outpatient ORs? I've seen the entire spectrum of care. When I performed the first total hips in Philadelphia in the 1970s, we'd admit patients 2 days before surgery and keep them 3 weeks post-op. Patients were hospitalized for nearly a month, so we became very good friends. Now outpatient orthopedics is the future of surgery because it's cost effective and it's generally good for patients to recover at home. What other trends do you see in the evolution of health care? We're entering a time when things are going to change radically in terms of quality care delivered at lower cost and with a focus on patient-centeredness. One of our driving principles is delivering health care without requiring patients to come to an ivory tower in the city. We have more than 30 satellite locations in suburban population centers because convenience is a very strong driver of excellent patient care. Where are significant cost-saving opportunities within bundled payments that cover entire episodes of care? Physical therapy is a prime example. Of a typical $30,000 bundle for a total hip replacement, $6,000 goes to covering the cost of rehabbing. We helped develop a company that provides physician therapy over A U G U S T 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 8 7

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