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.
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.
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.