Patient Optimization for Ambulatory Orthopaedic Total Joint Surgery: Utilizing RN-Led Team-Based Care

In this paper, we will describe a team-based care model using registered nurses (RNs) co-located in orthopaedic offices providing care management using billing elements of principal care management (PCM). RN-led PCM can be used to optimize the pre- and postoperative condition of our patients and support them and their families in ambulatory surgery centers and orthopaedic offices by providing care management (continuous monitoring, assessment, coordination, and engagement). Orthopaedic nurses can enhance our patient's ability to return to fully functioning lives after their orthopaedic procedures. Using a case, we will also describe the RN actions within PCM and methods of coding and billing to produce revenue to cover the costs of an RN in an orthopaedic office practice or other ambulatory settings.