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Special Edition: Orthopedics- September 2020 - Subscribe to Outpatient Surgery Magazine

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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S houlder replacements were already moving strongly in the direction of out- patient facilities before the pandemic hit. Within the outpatient world, I've seen a steady move to freestanding centers as opposed to hospital-based outpatient departments (HOPDs). Now the pandemic is hasten- ing these shifts even more, as we try to keep patients away from hospitals that treat COVID-19 patients. I've done some elements of outpatient shoulder surgery since my career began in 2002, and we've come a long way. In the nearly two decades since, I've become much more comfortable performing shoulder surgeries inside ASCs, to the point where I now perform the vast majority of them at our cen- ters. I'm quite confident at this point that almost all the procedures I perform as a shoulder surgeon can be done in an ambulatory setting — provided the patients are medically appropriate. If you're running a surgery center that performs shoulder surgeries, or thinking of opening one, let me share some clinical and business ideas that have been successful for us: • Patient selection. You need to figure out which patients are most appropriate for your facility. We maintain strict exclusion criteria for our shoulder patients, with a particular focus on BMI and other significant comorbidities. For instance, a BMI of 40 2 2 • S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 2 0 BOLD SHOULDER Gregory Lervick, MD (left), feels comfortable performing all of his shoulder replacements in an ambulatory setting because of the specialization and consistency of staff and equipment. Gregory N. Lervick, MD | Minneapolis Tips for Taking On Total Shoulders Focus on these important factors to capitalize on a promising specialty. Ryan Shaver

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