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Archive Surgical Construction 2020

Laying the Foundation for Total Joints

Increased demand for hip and knee replacements is the driving force behind the building of new ortho-only facilities.

Daniel Cook

Daniel Cook, Editor-in-Chief


Pamela Bevelhymer, RN, BSN, CNOR
GROWTH POTENTIAL Investing in a joint replacement program will separate your facility from the competition and set it up for the future of orthopedic care.

Taylor Cera, MBA, the chief operating officer at Youngstown (Ohio) Orthopaedic Associates, remembers enjoying eggs and toast on a lazy Saturday morning when his cellphone rattled on the table, alerting him to a message that would begin to test his building knowledge more than his business acumen. “One of our surgeons texted to tell me they wanted to start performing total joints,” says Mr. Cera.

That was back in 2015, when the surgeons Mr. Cera worked with leased operating space in a 3-OR surgery center. As demand for total joints steadily increased and interest in the program grew within the community, the surgeons decided they needed a space to call their own, where knee and hip replacement patients would receive world-class care in ORs outfitted with the latest surgical equipment.

Fast forward to present day. Mr. Cera is the administrator of The Orthopaedic Surgery Center in Boardman, Ohio, a $7 million, 4-OR orthopedic-centric facility that opened on New Year’s Day to accommodate the increasing number of joint replacements the surgeons performed: 50 hip, knee and shoulder replacements in 2015, 130 in 2019 and a projected 150 to 170 this year. Those numbers should only increase moving forward now that, after years of speculation, Medicare has added total knees to the list of payable ASC procedures. Total hips have been removed from the inpatient-only list and should soon join knees on the list of procedures approved for reimbursement at ASCs.

“Total joints are money-making procedures and insurers would rather pay our facility thousands of dollars less for the same procedures that cost $20,000 to $40,000 at the local hospital,” says Mr. Cera. “Insurance companies want low-cost, high-quality care, and patients want to undergo successful surgeries and recover at home. Outpatient total joints programs meet those needs.”

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