Identifying the right candidates for surgery is the first and most critical aspect of successful outpatient total joints programs. "Patient selection is everything," says Christopher P. Meyer, MD, a fellowship-trained orthopedic surgeon at Twin Cities Orthopedics (TCO), an independent provider group with locations across Minnesota and western Wisconsin.
He performs 10 to 12 joint replacements each week and attributes the success of TCO's total joints service line, which is part of the group's comprehensive EXCEL Orthopedic Surgery and Recovery Program, to clinicians' ability to track and analyze outcomes data, and use the information to select and optimize patients who will have favorable outcomes.
Gregory P. DeConciliis, PA-C, CASC, agrees with Dr. Meyer's assessment of the importance of patient selection, particularly for freestanding ASCs that perform total joints. "Safety is the top priority," says Mr. DeConciliis, the administrator at Boston Out-Patient Surgical Suites in Waltham, Mass. "ASCs have success with outpatient total joints because they've done an excellent job at selecting appropriate candidates for surgery."