Archive ORX Session Previews 2017

Beyond the Basics in Outpatient Total Joints

Advanced lessons from one of the nation's top same-day joint replacement programs.

David Uba, MBA


OR Excellence

At last year's OR Excellence, the team from Excelsior Orthopaedics in Amherst, N.Y., talked to a capacity crowd about building a total joints program from the ground up. They've since taken their own program to the next level and opened a brand new 28,000-square-foot surgery center to keep up with the skyrocketing demand for outpatient total joints. Excelsior's business and clinical leaders are excited to return to the conference and share the secrets to their continued success. Their highly interactive workshop, "Beyond the Basics: Advanced Level Lessons in Total Joint Success," will teach you how to develop profit-generating bundled payments, put proven perioperative protocols in place and create ways to connect with potential patients. David Uba, MBA, Excelsior Orthopaedics' CEO, recently discussed how Excelsior continues to grow its practice and the many keys to success his team plans on sharing with facility leaders during the exclusive pre-conference session.

Demand for outpatient total joints continues to grow. It's expected that approximately 3 million patients will undergo outpatient hip and knee replacements by 2030. Already, between 10% and 12% of our total knee cases are being done in the surgery center. We're waiting, along with everyone else, for Medicare to remove knees from the inpatient-only list. I keep hearing that's going to happen this year, but, then again, I also heard that last year. There's a groundswell of evidence to support the safety and efficacy of same-day joint replacements and it's becoming the standard of care within our community, so it doesn't make sense for Medicare to keep it on the list for much longer. When it finally does come off, demand will increase even more. We have a lot of Medicare managed care in our market, so even if pure Medicare decides not to pay for the procedures at a substantial rate, the local payers will likely be more than happy to have us perform them on an outpatient basis.

David Uba, MBA

speaker profile
David Uba, MBA
arrow CEO of Excelsior Orthopaedics and the Buffalo Surgery Center in Amherst, N.Y.
arrow Has an MBA in healthcare management and marketing.
arrow His professional background in managed care helps him negotiate practice-friendly bundled payments with local payers.
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