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JBJS Webinar: Patient Discharge after Knee Replacement: How Soon Is Safe?

Start Date:10/1/2019

Start Time:8:00 PM EDT

Duration:60 minutes

Abstract:

For many patients and payers, getting out of the hospital as quickly as possible after a knee replacement is very important. Both patients and surgeons want to make sure the timing of hospital discharge doesn’t adversely affect safety. For orthopaedic surgeons, excellent patient outcomes are the top priority. The latest one-hour complimentary webinar from JBJS will reveal clinical practices that increase the odds of achieving all of those goals.
By exploring data from their JBJS study comparing complication rates after outpatient and inpatient knee-replacement procedures, co-authors Nelson SooHoo, MD and Armin Arshi, MD emphasize that outpatients must receive the same attention to infection prevention, thromboprophylaxis, and rehabilitation as inpatients.
Kurt Spindler, MD and Robert Molloy, MD will then delve into findings from another JBJS study that suggests that hospital site, surgeon, and day of the week of surgery are more accurate predictors of length of hospital stay after knee replacement than patient factors such as age, BMI, and comorbidities.
Moderated by Daniel Berry, MD of the Mayo Clinic, the webinar will also feature expert commentaries on the two author-led presentations. Joseph Moskal, MD will comment on the outpatient-surgery paper and Ronald Delanois, MD will weigh in on the length-of-stay paper.
The webinar will conclude with a 15-minute live Q&A session during which attendees can ask questions of all the panelists.
Seats are limited, so REGISTER NOW.

CME credit will be available for surgeons and PAs attending this event live for a minimum of 50 minutes. Directions to claim your CME credits will be sent out within 48 hours of the broadcast.

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

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Speakers

Daniel J. Berry, MD

JBJS Webinar Moderator
LZ Gund Professor of Orthopedic Surgery,
Mayo Clinic

Dr. Berry attended Harvard Medical School, then performed his orthopedic surgery residency in the Harvard Combined Program.  He performed a six-month fellowship in surgery of the hip in Bern, Switzerland and Paris, France, and another fellowship in Adult Reconstruction at Mayo Clinic, Rochester, Minnesota.  In 1991 Dr. Berry joined the Mayo Clinic staff and served as Chairman of the Department of Orthopedic Surgery at Mayo Clinic from 2005-2014, where he is currently the L.Z. Gund Professor of Orthopedic Surgery.

Nelson SooHoo, MD

JBJS Author
Professor and Residency Program Director
UCLA David Geffen School of Medicine


Dr. SooHoo is a Professor and Residency Program Director for the UCLA Department of Orthopaedic Surgery. He has been committed to resident and medical student education during his career at UCLA and remains immersed in curriculum design for all levels of students, medical providers, and physician learners.  Dr. SooHoo has been involved in academic research for his entire career with an emphasis on orthopaedic surgical outcomes.

Armin Arshi, MD

JBJS Author
Resident Physcian
UCLA Health

Dr. Arshi is a resident physician in orthopedic surgery at UCLA Medical Center. Prior to this, he earned both his bachelor’s degree in bioengineering and medical degree from UCLA. Dr. Arshi’s clinical interests are in primary, complex, and revision hip and knee arthroplasty. His research interests include arthroplasty outcomes, biomechanics, and joint preservation.

Kurt P. Spindler, MD

JBJS Author
Vice-Chair of Research, Orthopaedic & Rheumatologic Institute (ORI)
Co-Director Musculoskeletal Research Center
Director, Clinical Outcomes, Orthopaedics
Professor CCLCM of CWRU
Cleveland Clinic Foundation

 

Dr. Kurt Spindler’s career started with 22.5 years at Vanderbilt University Medical Center in Nashville, Tennessee, where he was head team physician for Vanderbilt University, the director of Vanderbilt Sports Medicine, and Professor and Vice Chair of the Department of Orthopaedic Surgery and Rehabilitation. He was awarded the Schermerhorn Endowed Chair in Orthopaedics and was recognized as the SEC team physician of the year in 2007.

For the past five and a half years, he has been at Cleveland Clinic as Vice-Chair of Research and Director of Clinical Outcomes. He led the development of a scientifically valid, cost-effective and scalable clinical outcome tracking system, OME, to transform clinical practice and research.

Dr. Spindler has been and is an active member and a leader in numerous regional, national, and international orthopaedic and sports medicine professional organizations. He has published over 200 peer-reviewed publications and presented over 600 talks principally on clinical outcomes, evidence-based medicine, and knee ligament healing. He has received the Kappa Delta award in 2012, 2019 and the AOSSM O’Donoghue award in 2001, 2014, 2017. He is a NIH funded researcher since 2006 with five competitively funded grants and has been active reviewer for the NIH and served as a permanent member of two NIH on study sections.

Robert Molloy, MD

JBJS Author
Vice-Chair and Center Director of Adult Reconstruction
Cleveland Clinic

Robert Molloy, MD is the Vice Chairman of the Department Orthopaedic Surgery and also serves as Center Director of the Adult Reconstructive section at the Cleveland Clinic in Cleveland, OH.  In these roles, Bob works as part of a multidisciplinary team of physicians, nurses, Advanced Practice Providers, and administrators to maximize the quality of care delivered to patients receiving hip and knee replacements across all of Northeast Ohio. In collaboration with other members of the section, Bob helped to develop the Hip and Knee Carepath, which has resulted in significantly better outcomes for patients across 13 hospitals spanning Ohio and Florida.  In addition, he is actively involved in the research efforts within the section, with over 50 peer reviewed publications encompassing all aspects of hip and knee related care and helped to develop a system, OME, which prospectively tracks patient reported outcomes on patients receiving total hip and knee arthroplasties in the Cleveland Clinic health system.  

Bob has also served as the medical director of supply chain for the Cleveland Clinic since 2016. As medical director, he helps bridge the gap between supply chain specialists and clinicians to ensure decision related to implants and supplies do not have a negative effect on patient care.   As part of supply chain, he helps clinicians minimize variation in an effort to raise the quality of care delivered across all service lines while simultaneously helping to combat the rising cost of healthcare. 

Bob completed his undergraduate degree at Michigan State University and received his medical degree at Wayne State University.  After graduation, he completed his residency at the Cleveland Clinic, and then went on to the Otto Aufranc Fellowship in Adult Reconstruction at the New England Baptist hospital in Boston, MA.   

Joseph Moskal, MD, FACS

JBJS Commentator
Chairman, Department of Orthopaedic Surgery
Chief of Adult Reconstruction
Senior Vice President
Carilion Clinic
Professor and Chair, Department of Orthopaedic Surgery
Virginia Tech Carilion School of Medicine
Institute for Orthopaedic and Neurosciences

 

Dr. Joe Moskal is Professor and Chair of the Department of Orthopaedic Surgery at the Virginia Tech Carilion School of Medicine as well as Chairman of the Department of Orthopaedic Surgery and Senior Vice President at Carilion Clinic. He has served on several committees for the American Academy of Orthopedic Surgeons including chairman of the AAOS Scientific Exhibits Committee, is on the AAHKS Board serving as the current chair of the Education Committee and is a former president of the Virginia Orthopaedic Society.  Dr. Moskal has over 100 publications in referred journals and several book chapters. His clinical practice focuses primarily on total hip and knee arthroplasty.

Ronald E. Delanois, MD

JBJS Commentator
Rubin Institute for Advanced Orthopaedics

Ronald E. Delanois, M.D., is a board-certified, fellowship-trained orthopedic surgeon who has more than 20 years of experience with complex hip, knee and shoulder reconstructive surgery. He is the division director of the Center for Joint Preservation and Replacement, the director
of Hip, Knee and Shoulder Surgery, and also the director of the Research Division and Research Fellowship Program. His emphasis is on diagnostic, arthroscopic and joint preserving procedures for the hip, knee and shoulder.

He served 24 years in the United States Air Force; for eight years he was the division head of the Adult Reconstructive Service at the Naval Medical Center Portsmouth.

Dr. Delanois and his team deliver advanced orthopedic solutions to patients who suffer from a multitude of joint aliments. He has performed thousands of arthroscopic and reconstructive procedures. He is involved with the latest cutting-edge technology that allows the patient to return to a full and active lifestyle in the shortest amount of time.

Charles R. Clark, MD (Host)

JBJS Host
Dr. Michael Bonfiglio Professor
University of Iowa
Carver College of Medicine
University of Iowa Healthcare
Deputy Editor, JBJS

Dr. Clark is the Dr. Michael Bonfiglio Professor of Orthopaedics and Rehabilitation at the Carver College of Medicine and a tenured Professor of Biomedical Engineering at the College of Engineering, both at the University of Iowa. He served on the Board of Directors of the AAOS, where he chaired the Spine Committee and Clinical Policy Committee. He also served on the Board of Directors of the AOA. He is Past President of the Cervical Spine Research Society and the Association of Bone and Joint Surgeons. Dr. Clark’s clinical practice focuses primarily on total hip and knee arthroplasty as well as cervical spine surgery.

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