AOA/JBJS Joint Webinar: Managing Osteoarthritis—Moving from Volume to Value

Start Date:4/12/2018

Start Time:8:00 PM EDT

Duration:60 minutes


According to the CDC, in 2013, the total national arthritis-related medical care costs and earnings losses among adults were $303.5 billion, or 1% of the 2013 US Gross Domestic Product.

One response to statistics like that is the notion of “value-based health care.” How far has the orthopaedic community moved from a volume/fee-for-service-based model to one in which patients achieve the best possible musculoskeletal outcomes, payers expend the fewest possible dollars, and providers throughout the episodes of care are fairly compensated for their skill and compassion?

On Thursday, April 12, 2018 at 8:00 pm EDT, the American Orthopaedic Association (AOA) and The Journal of Bone & Joint Surgery (JBJS) will host a complimentary one-hour webinar that will try to answer these thorny questions. Three experts on cost, quality, and value in orthopaedics will discuss the cost drivers behind the problem, where arthritis management stands currently, and where the value-based care bandwagon is heading.

Kevin G. Shea, MD, FAOA, an expert in developing clinical practice guidelines, will discuss the crucial differences between “irrational variation” and “rational, patient-centered variation.” He will also emphasize the concept of orthopaedic care as an investment in patients and society, with a calculable “return on investment.”

Antonia Chen, MD, MBA, director of arthroplasty research at Brigham and Women’s Hospital, will demystify the different attempts to measure and improve the quality of joint replacement — the surgical treatment of choice for end-stage osteoarthritis. She will discuss different payment models utilized throughout the years for joint replacement, along with newer initiatives taking preoperative considerations into account.

Finally, Gregory A. Brown, MD, PhD, FAOA, a Tacoma, Washington-based surgeon specializing in knee reconstruction, will peer into a future where health insurance changes drastically, where patients are empowered with more information but may have fewer choices, and where robust orthopaedic registries help surgeons engage in evidence-based shared decision making with their patients.

Moderated by Douglas Lundy, MD, MBA, FAOA, orthopaedic trauma surgeon at Resurgens Orthopaedics, this webinar will include a 15-minute live Q&A session during which attendees can ask questions of the panelists.

CME Available
The Journal of Bone and Joint Surgery Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Journal of Bone and Joint Surgery Inc. designates this live webinar for 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you are unable to attend, an on-demand version will be posted on the JBJS Orthopaedic Education Center within 1 week of the live webinar and available free of charge.

For questions regarding CME, please contact

If you're already registered for the AOA/JBJS Joint Webinar: Managing Osteoarthritis—Moving from Volume to Value webcast, click below:



Douglas W. Lundy, MD, MBA, FAOA

Webinar Presenter
Resurgens Orthopaedics

Dr. Lundy is co-president of Resurgens Orthopaedics in Atlanta, Ga., specializing in patients with multiple injuries and complex fractures. He practices at WellStar Kennestone Hospital, where he is co-chair of the WellStar Musculoskeletal Service Line and past chief of surgery.

After graduating from the Medical College of Georgia, Dr. Lundy completed his postgraduate training at Georgia Baptist Hospital in Atlanta and Vanderbilt University Medical Center in Nashville. In 2014, he received an MBA from Auburn University.

Dr. Lundy is President-Elect of the American Board of Orthopaedic Surgery and was the Treasurer and Chair of the Oral Examination Committee. He is the chief financial officer-elect for the Orthopaedic Trauma Association (OTA) and previously served on the OTA's Board of Directors as chair of the OTA Health Policy Committee, and on the AAOS Board of Specialty Societies.

Committed to political advocacy and improving high-quality patient care, Dr. Lundy served as treasurer of the AAOS Orthopaedic PAC, a member of the Council on Advocacy, Communications Cabinet and as past chair of the Medical Liability Committee.

Dr. Lundy also is very involved in foreign medical missions in Eastern Europe, Haiti, Asia, and especially sub-Saharan Africa.

Kevin G. Shea, MD, FAOA

St. Luke’s Clinic

Kevin G. Shea practiced in Boise, Idaho from 1998-2018, and will join the Faculty at Stanford University in 2018. Fellowships include AO/Switzerland (Reinhold Ganz – Hip, Trauma/Hand – Diego Fernandez, Sports – Hans Staubli), Pediatric Orthopaedics (San Diego), Ilizarov (Italy), and AOSSM Traveling Sports. Practice interests include cartilage recovery/OCD, sports medicine, and pediatric trauma. Research foci include pediatric knee anatomy/3D modeling of surgery, and evidence-based analysis of injury prevention programs. His background in quality improvement includes development of clinical practice guidelines, surgical site infection prevention, health system supply chain optimization, financial/value decision analysis in health systems, and development of variation reduction approaches in health care. He is actively involved in national quality committees for AAOS and POSNA, a founding member of the ROCK OCD Study Group, and PRISM (Pediatric Research in Sports Medicine). When not working, he is somewhere cycling, running, or exploring the backcountry with family, friends, and labs.

Antonia F. Chen, MD, MBA

Director of Research, Arthroplasty Services
Brigham and Women’s Hospital
Harvard Medical School

Antonia F. Chen MD, MBA, is an accomplished orthopaedic surgeon and researcher. She is currently the Director of Arthroplasty Research at Brigham and Women’s Hospital at Harvard Medical School. She was the Associate Director of Research at the Rothman Institute in Philadelphia, an Associate Professor at Thomas Jefferson University, and the Director of Medical Education Curriculum, Musculoskeletal Studies at the Sidney Kimmel Medical College. She received her BS from Yale University and her MD from Rutgers Medical School, where she graduated with Distinction in Research and was inducted into the Alpha Omega Alpha Medical Honor Society. Antonia received her MBA from Rutgers Business School and is a member of the Beta Gamma Sigma Honor Society. She completed her orthopaedic residency at the University of Pittsburgh and her fellowship in hip and knee arthroplasty at the Rothman Institute. She is on the editorial board of 6 journals and is the president of the Musculoskeletal Infection Society. She has authored over 100 publications, 35 book chapters, and 2 books, has won multiple research awards, and has presented all over the world.

Gregory A. Brown MD, PhD, FAOA

Franciscan Orthopedic Associates

Gregory A. Brown, MD, PhD is a board-certified orthopaedic surgeon specializing in knee joint reconstruction and sports medicine. His knee focus includes knee arthroscopy, anterior cruciate ligament reconstruction, osteotomies (bone realignment procedures), unicompartmental/total knee replacements, revision knee replacements, and fractures near joint replacements (periprosthetic fractures). His doctoral thesis at the Massachusetts Institute of Technology researched knee biomechanics. His active memberships include the American Orthopaedic Society for Sports Medicine (with ongoing research in the prevention of anterior cruciate ligament injuries) and the American Association of Hip and Knee Surgeons (AAHKS). His research regarding hip and knee replacements received awards from the AAHKS (2008) and the Orthopaedic Research and Education Foundation/Current Concepts in Joint Replacement (2014).

Dr. Brown developed his expertise in orthopaedic trauma (fractures) at a Level I trauma center in St. Paul, MN. He was an Assistant Professor at the University of Minnesota from 1999-2014. He is an active member of the Orthopaedic Trauma Association, an Associate Editor for the Journal of Orthopaedic Trauma, and lectures nationally on fracture management.

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