Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Orthopedics - August 2019

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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2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 9 Orthopedics To Our Readers There's a lot to be excited about in orthopedics. Skilled surgeons are fixing shoulders, knees and hips with the help of skilled professionals inside and outside of the OR because how well patients are prepared for surgery impacts how well they'll recover. Business continues to boom in total joints, and surgeons and facili- ties are capitalizing on the bundled payment model to increase revenues and deliver cost-effective care. Read all about it in this year's Manager's Guide to Orthopedics, which explores the many ways technology and teamwork continue to move the specialty forward. Cover design by Ethan Anderson | Photo by Pamela Bevelhymer, RN, BSN, CNOR o u t p a t i e n t s u r g e r y . n e t 11 4 On Point Surgery's Trendsetting Specialty Louis Levitt, MD, MEd 11 Set Up for Success in Total Knees Staff and surgeons at the St. Cloud (Minn.) Surgical Center tap into technology and teamwork to achieve excellent outcomes. Daniel Cook | Executive Editor 20 Anesthesia's Role in Total Joints Advancement Optimized pre-procedure care, efficiency- minded sedation and masterful pain management prepare patients for speedy recoveries. Girish P. Joshi, MBBS, MD, FFARCSI 27 How We Achieve Zero Joint Infections Our hip and knee replacement patients head home with healthy, healing scars. Ronald Singer, MD 35 Positioning Pointers From the Pros Orthopedic surgeons offer their top tips for optimizing access during hip, knee and shoulder procedures. Jared Bilski | Senior Associate Editor 42 Get On Board With Bundled Payments You can deliver quality outcomes at lower costs — and profit, too — by managing every aspect of an episode of care. Joe Paone | Senior Associate Editor 51 Should You Be in the Business of Fixing Fractures? Outpatient trauma care is a cost-effective and patient-satisfying option for repairing minor breaks. Kendal Gapinski | Contributing Editor 58 There's a Smarter Way To Handle Fluid Waste Closed systems take the risk, expense and frustration out of keeping OR floors dry. Adam Taylor | Senior Associate Editor 67 What's New in Arthroscopic Visualization Give your surgeons a crystal clear view of what's happening, when it's happening. Dan O'Connor | Editor-in-Chief 71 Fixing Stray Pets to Help Them Find Loving Homes Q&A with John Keating, MD, SFOA, a "human" orthopedist with a heart for helping animals. A u g u s t 2 0 1 9 CONTENTS

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