Moderators: Vasili Karas, MD, MS
Date recorded: February 18, 2020
This webinar provides an overview of current patient engagement platforms (PEP) utilized perioperatively and within the orthopaedic clinic. Practicing surgeons who are early adopters and pioneers of this technology discuss their experiences with different platforms and how these can be implemented into practice.
- Introduce currently available patient engagement platforms, their features and differences.
- Review a few platforms in detail in an “in my personal experience” format.
- Discuss what is on the horizon in patient engagement.
- Answer audience questions about implementation, use, and faculty experience with patient engagement.
Vasili Karas, MD, MS is an Assistant Professor of Orthopaedic Surgery at Rush University Medical Center in Chicago. He specializes in hip and knee reconstruction and has research interests in opioid sparing total joint arthroplasty, biomechanics of the prosthetic knee, and advanced techniques in replacement surgery. Dr. Karas completed his undergraduate degree is biology as well as business at the University of Notre Dame in South Bend, Indiana. He then went on to complete a medical school as well as a masters in Anatomy and Physiology at Rush University Medical Center in Chicago. He completed his orthopaedic training at Duke University Medical Center in Durham, North Carolina after which he returned to Rush to complete a fellowship in adult reconstruction. Dr. Karas has published over 40 peer-reviewed publications and continues to pursue an academic career including both basic science as well as clinical fields of study. He is committed to education of future leaders and surgeons through his participation in the Rush University Orthopaedic Residency as well as the AAHKS Education Committee as a member of the Young Arthroplasty Group.
2. Overview of PEP Cost and Implementation: What’s out there?
Joseph J. Kavolus, MD is a Clinical Instructor at Tufts Medical Center as an orthopaedic surgeon who specializes in hip and knee surgery. He graduated from Harvard University with a degree in evolutionary biology before attending medical school. After earning his medical degree from the Medical University of South Carolina, Dr. Kavolus completed his residency in orthopaedics at Duke University School of Medicine. He completed his fellowship in adult reconstruction at Brigham and Women’s Hospital.
3. How Can These Technologies Help My Practice?
Antonia F. Chen, MD, MBA is currently an Associate Professor at Harvard Medical School and the Director of Arthroplasty Research at Brigham and Women’s Hospital. She was the Associate Director of Research at the Rothman Institute in Philadelphia, an Associate Professor at Sidney Kimmel Medical College, and the Director of Medical Education Curriculum, Musculoskeletal Studies at the Sidney Kimmel Medical College and Thomas Jefferson University. She received her BS from Yale University and her MD from Rutgers Medical School, where she graduated with Distinction in Research and was inducted into the Alpha Omega Alpha Medical Honor Society. Antonia received her MBA from Rutgers Business School and is a member of the Beta Gamma Sigma Honor Society. She completed her orthopaedic residency at the University of Pittsburgh and her fellowship in hip and knee arthroplasty at the Rothman Institute. She is a Member-at-Large on the AAHKS Board of Directors and Vice Chair of the AAHKS Women in Arthroplasty Committee.
4. My Personal Experience with PEP at NYU Brigham and Women’s Hospital
Richard Iorio, MD is the Chief of the Adult Reconstruction and Total Joint Arthroplasty Service and the Vice Chairman of Clinical Effectiveness at Brigham and Women’s Hospital. He is the Richard D. Scott, MD Distinguished Chair in Orthopaedic Surgery. He was the William and Susan Jaffe Professor of Orthopaedic Surgery at New York University Langone Medical Center Hospital for Joint Diseases and Chief of Adult Reconstruction at NYU Langone HJD until June of 2018. He co-founded Labrador Healthcare Consulting Services, Responsive Risk Solutions and the Value Based Healthcare Consortium in 2015. Dr. Iorio is a national expert in hip and knee replacement and the treatment of osteonecrosis, physician and hospital quality and safety and a leader in the implementation of alternate payment paradigms in orthopaedic surgery. He is a graduate of Harvard University and Boston University School of Medicine. He completed his Orthopaedic Residency at Hahnemann University Medical Center and his Adult Reconstruction Fellowship at Columbia Presbyterian Medical Center. Dr. Iorio is the Second Vice President of AAHKS.
5. On the Horizon: PEPs of Tomorrow
Stefano A. Bini, MD received his BA from Stanford University, his MD from Columbia University’s College of Physician and Surgeons and completed Residency training at UCSF. Subsequently, he completed a Fellowship at the Rizzoli Orthopaedic Institute in Italy and obtained a second MD from the University of Florence. Prior to joining the faculty at UCSF, Dr. Bini worked at Kaiser Permanente as a joint replacement surgeon. Over the past decade, Dr. Bini has organized over a dozen conferences and learning labs nationally and internationally, presented over 110 scientific papers and has authored 23 research papers with a focus on leveraging large databases to help define best practices in hip and knee replacement surgery. He is active leader in professional associations and academia, including AAHKS and the American Association of Orthopaedic Surgeons. He is Chair of the AAHKS Digital Health and Social Media Committee. Dr. Bini is very committed to teaching and has received multiple teaching awards and recognitions.
Richard C. Mather III, MD, MBA is an Assistant Professor and Vice Chairman of Practice Transformation in the Department of Orthopaedic Surgery at Duke University School of Medicine. He has secondary appointments in the Department of Population Health Sciences, Duke Clinical Research Institute and Duke-Margolis Center for Health Policy. Dr. Mather is a health services researcher and decision scientist with a focus on economic analysis, health policy, health preference measurement and personalized decision-making. As director of Duke’s Practice Transformation Unit (PTU) he focuses on transforming how we care for patients organizationally, financially, and technologically to improve the value of healthcare and its experience. His clinical practice focuses on hip arthroscopy including both FAI and extra-articular hip endoscopy.
6. Questions and Answers: Vasili Karas, MD, MS
The American Association of Hip and Knee Surgeons (AAHKS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Hip and Knee Surgeons (AAHKS) designates this live activity 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.
Moderators: Bradford S. Waddell, MD and Charles S. Schumacher, MD
Date recorded: August 27, 2019
This webinar is intended to provide an update on current guidelines for coding and billing in joint replacement surgery to the members of the American association of Hip and Knee Surgeons (AAHKS). While reviewing the accepted CPT coding and billing protocols, we will focus on ways to maximize appropriate documentation and reimbursement to improve and sustain a viable arthroplasty practice.
- Review Clinical and Surgical Coding and Maximizing the Reimbursement for your Work
- Further the Surgeon’s Understanding of the Billing and Reimbursement Process
Dr. Brad Waddell is an assistant attending surgeon at Hospital for Special Surgery. His orthopedic training was completed at The Ochsner Clinic, followed by an adult reconstruction fellowship at HSS. Dr. Waddell completed the AAHKS Health Policy Fellowship once in practice and has a strong interest in improving value in orthopedic care. He enjoys spending time with his wife, Jenny, and his 2-year old son, Sutton.
2. Clinical Coding: How to Maximize the Potential of Your Office Visits and Hospital Consults
Dr. Louis Stryker is a total joint surgeon practicing in Grand Junction, Colorado. He completed his residency at the Mayo Clinic in Rochester, MN and his fellowship at the OrthoCarolina Hip and Knee Center. He is a former AAHKS Health Policy fellow, has served on the Advocacy Committee and is the current chair of the Practice Management Committee. He also serves on the AAOS Coding Coverage and Reimbursement Committee and is a past alternate advisor to the AMA CPT Editorial Panel for AAOS. He enjoys spending time with his wife and three children and all the outdoor activities provided by the Western Slope of Colorado.
3. Surgical Coding: Making the Most of Your Time in the OR
Dr. Frank Voss is associate professor of Orthopaedic Surgery at the University of South Carolina. He has been a member of AAHKS since 1997 and has served as their coding representative to AAOS since 2003. Since 2016, he also serves as the AAOS coding representative to the AMA CPT committee. This committee defines all medical procedures and determines whether they receive a code – orthopaedic surgery has more than half of the procedural codes. He has been teaching residents since 1993. He also enjoys outdoor activities and triathlons.
4. Billing: Who is Going to Fight for Your Reimbursements
Dawn Fulcher has been the Principal of Account Receivable Management, a full-service medical billing and collections company specializing in orthopedic trauma, sports medicine, joint replacement and pain management since 2006. After 10 years in a career in finance, Dawn transitioned over to medical collections overseeing over 100 practices from 1994 until 2006 when she opened Account Receivable Management offering both medical billing as well as collections. In 2016 Dawn co-founded MDCreds, offering credentialing services to medical providers nationwide and currently servicing over 400 providers. She enjoys spending time with family and is a travel enthusiast.
5. Questions and Discussion
Dr. Charles Schumacher is currently a private practice orthopaedic surgeon in south Louisiana. After completing his orthopaedic residency at Harvard, he went on to complete an adult reconstruction fellowship at Stanford. Dr. Schumacher’s training also included a traveling hip fellowship in Switzerland and a Value-Based Health Care Delivery Course at Harvard Business School. In addition to revision hip and knee surgery, he has a focus on health policy and resident education.
Click the following link to view faculty disclosures: Disclosure List.
Moderators: Jeri Ward, RN and Mary Ellen Sieben, RN
Date recorded: September 19, 2019
This webinar will provide information about how to start an Operation Walk chapter. Operation Walk is a global medical humanitarian organization that provides the gift of mobility through life-changing joint replacement surgeries at no cost for those in need. During each international surgical mission, Operation Walk volunteers educate in-country orthopaedic surgeons, nurses, physical therapists and other healthcare professionals on the most advanced treatments and surgical techniques for diseases of hip and knee joints. This creates a lasting contribution to patient care in developing countries.
- Learn how many people you need to start a team
- Learn how much money it takes to start a team
- Learn where can you travel on your mission trips
Moderator: Jeffrey B. Stambough, MD and Bryan D. Springer, MD
Date recorded: May 28, 2019
This webinar is introduced the American Joint Replacement Registry (AJRR). Faculty reviewed the history of AJRR, focused on current activities, future plans, ways to get involved and ways in which the data collected in the Registry can be used to improve arthroplasty practice.
- Review registry activity and purpose
- Identify registry uses, including tracking and improving performance
- Identify steps for getting involved with AJRR
Bryan D. Springer, MD
OrthoCarolina, Attending Orthopaedic Surgeon, Fellowship Director
Carolinas Medical Center, Associate Professor of Orthopaedic Surgery
Dr. Springer completed his residency in orthopaedic surgery at the Mayo Clinic, and completed his Fellowship in Adult Reconstruction of the Hip and Knee at the Harvard School of Medicine/Brigham and Women’s Hospital. He is Chair of the Education Council of AAHKS, Vice Chair of AJRR, and Vice Chair of the International Congress for Joint Replacement (ICJR). Dr. Springer is on the Editorial Board for the Journal of Arthroplasty, Clinical Orthopaedics and Related Research, and is an associate editor for Arthroplasty Today. He is as a member of the Knee Society and the Hip Society, and the past president of the Musculoskeletal Infection Society (MSIS). Dr. Springer is a recipient of many academic, leadership and professional awards. He was named to the next generation of leaders in total joint replacement in 2013, and in 2008, was a John Insall Travelling Fellow.
The American Joint Replacement Registry: Past, Present and Future
Kevin J. Bozic, MD, MBA
Dell Medical School at the University of Texas at Austin, Chair of Surgery and Perioperative Care
Dr. Bozic is a nationally recognized leader in orthopaedic surgery and value-based health care payment and delivery models. Prior to joining the Dell Medical School, he was the William R. Murray Endowed Professor and Vice Chair of Orthopaedic Surgery at the University of California San Francisco (UCSF) School of Medicine, and Core Faculty of the Philip R. Lee Institute for Health Policy Studies. He holds a Bachelor of Science degree in Biomedical Engineering from Duke University, where he graduated magna cum laude, and an MD with Thesis degree from UCSF. He completed his Orthopaedic Surgery Residency training in the Harvard Combined Orthopaedic Residency Program, and additional Fellowship training in Adult Reconstructive Surgery from Rush University Medical Center in Chicago. Dr. Bozic also holds a Masters of Business Administration from Harvard Business School (HBS), where he continues to serve as a Senior Institute Associate in Professor Michael Porter’s Institute for Strategy and Competitiveness.
What do Registries Tell Us and What Is the Best Way to Use Them?
David G. Lewallen, MD
Mayo Clinic, Professor of Orthopedic Surgery and Consultant in the Dept. of Orthopedic Surgery
Dr. Lewallen is a graduate of Gustavus Adolphus College. He recieved his MD degree from the University of Minnesota, and completed his residency as well as a master’s degree program in research in the Department of Orthopedic Surgery at the Mayo Clinic. He then completed a fellowship in Biomechanics Research at Beth Israel Hospital in Boston before returning to join the consulting staff at Mayo Clinic. His initial practice was focused on lower extremity problems, including both arthroplasty and trauma-related care, with a special focus on the hip and pelvis. Dr. Lewallen has had a career-long involvement with the Mayo Clinic Total Joint Registry, which has been active since 1969. He has many professional society involvements, being the the past president of AAHKS, the Hip Society, the Association of Bone and Joint Surgeons, and the Mid-America Orthopaedic Association. Dr. Lewallen was also heavily involved with the more than decade-long development of AJRR, and served for three years as the First Chair of the Board of Directors of AJRR after it was incorporated in 2009. In 2013, he transitioned to Medical Director of AJRR and continues to assist in efforts to establish a nationwide registry of arthoplasty procedures.
How Does it Work and What Does it Take to Get Involved?
Kristina M. Finney, MPH
American Academy of Orthopaedic Surgeons (AAOS), Director, Registries & Data Science
Kristina oversees operations of the American Joint Replacement Registry (AJRR) as well as leads the strategic direction of the growing AAOS Registry Program. Prior to this role, Kristina was program lead for the Integrated Health Model Initiative (IHMI), the leading healthcare interoperability effort at the American Medical Association (AMA). Kristina’s previous AMA experience includes working as a Senior Policy Analyst for the RBRVS Update Committee (RUC), where she led analysis of resource utilization, code valuation and payment policies. Her experience also includes working on telemedicine platforms at a specialty society, building and maintaining quality registries, and organizing patient safety and quality improvement initiatives. Kristina’s subject-matter expertise spans innovation in healthcare including digital medicine, value-based care, alternative payment models and outcome-based care models for clinical practice. Education: Clinical Research Fellowship – National Institutes of Health (NIH); MPH and Graduate Certificate – Washington University in St. Louis; BS – University of Florida
Questions and Discussion
Jeffrey B. Stambough, MD
University of Arkansas for Medical Sciences (UAMS), TJA Surgeon and Assistant Professor of Orthopaedic Surgery
Dr. Stambough went to Cornell University in Ithaca, NY for his undergraduate degree and received his medical degree from the University of Pennsylvania. He then completed his orthopaedic residency training at Washington University in St. Louis and most recently did a fellowship in hip and knee reconstruction at the OrthoCarolina Hip & Knee Center in Charlotte. Dr. Stambough’s clinical focus is on revision and primary joint replacement using time-tested techniques and approaches. His clinical and translational research interests involve investigating discrepancies in access and outcomes involving arthroplasty care as well as studying novel, cost-effective treatment strategies for joint infections and periprosthetic fractures.
Click the following link to view faculty disclosures: Disclosure List
Moderator: Brian M. Curtin, MD
Date recorded: March 26, 2019
This webinar included discussion of important anatomical references in both low and high dislocated hips, how to plan the surgery and which implant options are suitable. Faculty discussed the maximum acceptable lengthening, when and how to place the acetabular cup at the original anatomical site, and different techniques to work the dysplastic femur with or without shortening osteotomy at the subtrochanteric or distal level. Surgical tricks and tips are discussed by experienced surgeons.
- Characterize the anatomical abnormalities often encountered with management of the dysplastic hip.
- Describe several techniques beneficial in reconstruction of both the acetabulum and femur in patients undergoing total hip replacement with underlying severe hip dysplasia.
- Review and discuss long term outcome data following reconstruction techniques for hip dysplasia.
Presentations by an International Panel
Brian M. Curtin, MD (US)
OrthoCarolina. Member of the fellowship faculty and adjunct faculty with the Carolina’s Medical Center Orthopedic Surgery Department teaching arthroplasty to rotating residents. Active with both the AAOS and AAHKS serving on several committees. Chaired several resident arthroplasty cadaver courses and serves on the ICJR resident education committee. Awarded the Rothman-Ranawat Hip Society Traveling Fellowship in 2015.
2. What matters in dysplastic anatomical alterations and how to solve it: the importance of preoperative planning and implant selection
Luigi Zagra, MD (Italy)
Head of the Hip Department at IRCCS Istituto Ortopedico Galeazzi, Milan, Italy and Adjunct Professor at Università degli Studi of Milan. He is Past President of the Italian and of the European Hip Society. Vice Chairman of the Educational Committee and Member of the Executive Committee of EFORT. Chairman of the Scientific Committee of EHS. Member of the International Hip Society and of the International Committee of AAHKS. High volume orthopaedic surgeon, mainly focused on hip surgery including complex primary THA and revision, and knee arthroplasty.
3. How to perform the acetabular part in Crowe II, III and IV
Klaus-Peter Günther, MD (Germany)
Co-Director of the University Centre of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden. Professor and Chairman, Department of Orthopaedics, Technical University of Dresden. Vice-President of European Federation of Orthopaedics and Traumatology (EFORT). Steering committee member of the OMERACT/OARSI initiative “Outcome measures in osteoarthritis.” Executive Board member of European Federation of Orthopaedics and Traumatology (EFORT). Editor Orthopädie und Unfallchirurgie. Main areas of clinical research: epidemiology of hip osteoarthritis, joint preserving hip surgery and joint replacement.
4. How to deal with the dysplastic femur: osteotomy or not; which and where?
Mazhar Tokgozoglu, MD (Turkey)
Professor of Orthopedics and Traumatology at the Hacettepe University Faculty of Medicine in Ankara, Turkey. Chairman of the Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine. Member of the European Hip Society, International Hip Society, Turkish Arthroplasty Society, Turkish Society of Orthopedics & Traumatology. Editorial boards of the Hip International, Orthopedics Today Europe, Bone and Joint Journal. Areas of interest: primary and complex revision total joint arthroplasty surgery, management of prosthetic joint infections, hip preservation surgery and reconstruction after musculoskeletal tumor resections.
5. Long term results of acetabuloplasty and shortening osteotomies
Theofilos Karachalios, MD (Greece)
Professor in Orthopaedic Surgery, University of Thessalia, University General Hospital of Larissa, Hellenic Republic. Treasurer of the European Hip Society and member of the International Hip Society. Co-Editor-in -Chief of Hip International. 2015 Chairman of HAOST (Greek Orthopaedic Association). Elected EFORT treasurer in 2017.
Brian M. Curtin, MD (US) and panel
To view faculty disclosures, click the following link: Disclosure List.
Total Knee Arthroplasty in End Stages of Degenerative Disease: The Articulation in Primary Total Knee Arthroplasty - Recording
Moderator: Adolph V. Lombardi, Jr., MD, FACS
Co-Moderator: Jeremy M. Gililland, MD
Date recorded: December 18, 2018
The clinical presentation of end-stage degenerative disease of the knee requiring arthroplasty has various degrees of disease and deformity. Therefore, a continuum of constraint has been designed and developed to address the needs of patients undergoing primary total knee arthroplasty for treatment of end–stage degenerative joint disease. This symposium will review the indications, surgical technique, and clinical results of the various articulations available in total knee arthroplasty. Illustrative cases will be discussed and audience participation will be elicited via audience response questions.
- Describe the continuum of constraint in total knee arthroplasty
- Identify the indications for specific articulations in total knee arthroplasty
- Present the rationale and surgical techniques for the various degrees of constraint in primary total knee arthroplasty
- Review the clinical results of various articulations in primary total knee arthroplasty
- Review the pros and cons of various degrees of constraints in total knee arthroplasty 6. Understand the limitations of the various articulations available for total knee arthroplasty.
Presentations and Faculty
- God Gave You an ACL and a PCL, Keep Them: The ACL/PCL Preserving Knee
Alfred J. Tria, MD
- Respect the PCL: The Cruciate-Retaining Total Knee
Christopher L. Peters, MD
- Medial Stability is All You Need: The Medial Pivot Knee
C. Lowry Barnes, MD
- There is No Need for an ACL or PCL or Even a Spine-Cam: The Ultra-Congruent Knee
Michael P. Bolognesi, MD
- The Collateral Ligaments in Conjunction with a Spine-Cam Work the Best: The Posterior-Stabilized Knee
Giles R. Scuderi, MD
- At the End of the Day Stability Is a Requisite You Can’t Live Without: Indications for Varus/Valgus Constrained Knee and Primary Hinge
Adolph V. Lombardi Jr., MD, FACS
- Case Presentations with Questions and Answers
Adolph V. Lombardi Jr., MD
To view faculty disclosures, click the following link: Disclosure List.
Moderators: Adolph V. Lombardi, Jr., MD and Kevin D. Plancher, MD
Date recorded: September 25, 2018
This webinar took place on September 25, 2018. It included discussion of partial knee arthroplasty (UKA) and its increased growth in the last several years. Patient selection along with an understanding of which ancillary tests are necessary has generated much discussion on this topic. Medial and Lateral UKA can be a technically demanding procedure for the surgeon if not performed frequently. This symposium provided up to date information allowing for success in performing a unicompartmental knee arthroplasty and dispelled mistaken thoughts as to its outcome and longevity. Illustrative cases and audience participation were important aspects in this webinar.
- Describe the current indications and understand proper patient selection for medial and lateral unicompartmental knee arthroplasty.
- Identify the clinical presentation as well as radiographic evaluation and imaging studies which should be obtained preoperatively to determine patient selection for partial knee arthroplasty.
- Review Tips and tricks for a Medial Unicompartmental Knee Arthroplasty.
- Review Tips and tricks for a Lateral Unicompartmental Knee Arthroplasty.
- Plan the execution of a Revision of Partial Knee Arthroplasty to a Total Knee Arthroplasty.
Presentations and Faculty
- Selecting the Proper Patient for Medial and Lateral Unicompartmental Knee Arthroplasty.
Adolph V. Lombardi, Jr., MD
- What You Need to Know for Successful Execution of a Medial Unicompartmental Knee Arthroplasty.
Andrew A. Freiberg, MD
- What You Need to Know for Successful Execution of a Lateral Unicompartmental Knee Arthroplasty.
William Jiranek, MD
- How Successful are Partial Knee Arthroplasties: What Have We Learned from the Literature?
Michael E. Berend, MD
- Technique of Converting a Partial Knee Arthroplasty to a Total Knee Arthroplasty
Michael P. Bolognesi, MD
- Case Presentations with Q&A
Adolph V. Lombardi, Jr., MD
To view faculty disclosures, click the following link: Disclosure List.