Patient Outcomes
The Orthopaedic Center of Excellence believes transparency is necessary for our patients when deciding about their care. The study of outcomes across a patient population offers the ability to determine associations between treatment regime and function, complication rates, and quality of life--what works and what needs to be improved.
As a patient, it is important to know outcomes. Nothing can be more important than knowing the experience level of your surgeon, hospital, rehabilitation and anything else tied to your future experience. Quality health care is what you deserve, make sure you get it.
Generally speaking with surgeons, the more you do something, the better you become. Our surgeons have served the Central Florida community for over 35 years and do over 400 joint replacements a year. When seeking a surgical opinion, do not be afraid to ask your surgeon for their results. If they are unwilling or cannot provide you with results, be cautious about proceeding.
In addition, you can go to Florida Health Finder for information about hip and knee replacements and other procedures in Florida's hospitals, including health outcomes, pricing, physician volume, and educational information. If you review the data, you will see that our surgeons are top performers, with Dr. Royce Hood being one of the leaders in Volusia County and Dr. Mark Hollmann being the highest volume knee replacement surgeon in Central Florida.
Presenting data is important and relevant. Below are some of the outcomes of top measures tied to our Orthopaedic Center of Excellence.
Gait Distance at Discharge for Total Hip Replacement Patients
Walking distance at the time of patient discharge is an important measure of how well our patients are able to move around after surgery. Since we started our Orthopaedic Center of Excellence, our average walking distance at discharge has improved greatly. Our goal is that >/= 80% of our patients will walk at least 150 feet during one session of therapy while in the hospital.
Knee Range of Motion after Total Knee Replacement
We measure the range of motion of our patients after a total knee replacement. Extension range of motion, or how far the knee can straighten, is very important to allow proper walking patterns and weight bearing. Flexion range of motion, or how far the knee can bend, is important to allow normal mobility with sitting, walking up and down stairs, getting in and out of a car, etc. Our goal is to have at least 75% of our patients reach 90 degrees of flexion range of motion by discharge.
Pre-Operative Education Class Attendance:
We track the attendance rates of our patients to the pre-operative education class. Research has shown that patients who attend this type of class prior to a total joint replacement have better outcomes, less pain, and improved levels of anxiety. In fact, many insurance plans now require this prior to a TJR surgery. Our goal is that at least 90% of our patients will attend one of our biweekly classes.
HIP Patients:
KNEE Patients:
Home Discharge after Total Joint Replacement:
Discharge directly to the home after Total Joint Replacement surgery is preferred as patients are able to heal in the comfort of their own home. Functional outcomes after surgery have improved dramatically in recent years due to advances in post-operative care, making home discharge both safe and desirable. Our goal is that at least 65% of our patients are able to be discharged directly home after total joint replacement.
HIP Patients:
KNEE Patients:
PATIENT SATISFACTION:
We strive to provide high quality service and to anticipate our patient's needs in our Joint Replacement Program. A reflection of our performance is in our patient satisfaction, or HCAHPS scores. In 2012, we have averaged 89.4% overall satisfaction in our program, which places us above the state and national averages for total joint replacement patient satisfacation of 85.9% and 86.7%, respectively.
