Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - 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.

Issue link: http://outpatientsurgery.uberflip.com/i/1025099

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Page 107 of 126

catheter-induced infections." • Decrease length of stay. Over a 3-year period, the hospital decreased length of stay for TKAs by almost a full day (0.8 day). Instead of asking a patient if he's picked his short-term care facility, caregivers excitedly tell patients that they can soon go home if they're well enough. Changing the patient's mindset and setting the expectation of a speedy discharge empowers the patient, says Ms. Wied. Gunder-sen also trained its physical therapists to get patients up and walking as soon as possible. What good is a fast discharge if you have to readmit the patient? Gundersen offers patients and caregivers day-of-discharge classes to help patients recover well at home. The classes focus on keeping up with assigned exercise routines, watching fluid intake and eating the right foods. "TJA patients who take control of their care drastically reduce their risks for readmission and complications related to infection or dehy- dration," says Ms. Wied. Playbook for success The team at Excelsior Orthopedics in Amherst, N.Y., one of the lead- ing same-day total joint programs in the country, has developed a "playbook" for success. The keys include: • Clinical protocols. Total joints have many moving parts where profits can go to die. Spell out everything, from pre-op orders and pre- op testing to post-op pain management and post-op labs. Then there are credentialing requirements and anesthesia (adductor block and general, for example) techniques to follow. Detail your perioperative and pain management protocols. Know what implants and supplies you're using and keep your preference cards current. There's more once you discharge the patient: prescriptions, durable medical equip- ment (DME) orders, discharge instructions, rehabilitation protocols, 1 0 8 • O U T PA 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 1 8

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