Outpatient Hip and Knee Replacement

R. Michael Meneghini, MD, CEO - Indiana Joint Replacement Institute, Professor of Clinical Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, mmeneghini@injri.comLeonard T. Buller, MD, Indiana University Health Hip and Knee Center, Department of Orthopedic Surgery, Indiana University School of Medicine, Fishers, IN, USA

• Patient Selection for Same-day Discharge: Medical and Surgical Risk Assessment.- Medical Optimization and Risk Mitigation for Readmission.- Surgical Appropriateness for Outpatient TJA in an ASC.- Essential Components of Preoperative Education and Planning.- Multimodal Pain Management Protocols for THA and TKA.- Surgical Techniques and Protocols to Minimize Blood Loss and Postoperative Pain.- Anesthesia for Outpatient TJA: Anesthetic Techniques and Regional Blocks.- Threats to Same-day Discharge: Prevention and Management.- Is There an Optimal Place for Same-day Discharge: Hospital, ASC or “Other”?- Navigating the Limitations and Obstacles of TJA in a Free-standing ASC.- Same-day Discharge in the Hospital: Resources and Program Elements.- Discharge the Day of Surgery: Strategies to Optimize and Discharge Criteria.- Staying Connected with the Patient after Discharge: Strategies and Resources.- Physical Therapy after Same-day Discharge.- Strategies to Minimize Patient Anxiety, ER Visits and Readmissions Making the Transition to Outpatient: Resources and Pathway Changes.- Outcome Metrics: What to Measure Now and in the Future.- How to Mitigate Risk for Surgeons, Institutions and Patients.- Financial Considerations for Surgeons in the Outpatient Setting: Costs and Ownership Models.- Outpatient Hip and Knee Arthroplasty: Implications for Hospitals, ASC’s and Payers.