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Registered nurses (RNs) in orthopaedic offices provide care management using principal care management (PCM) to optimize patient outcomes. This model supports patients and families, enhancing recovery and practice revenue.

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Area of Science:

  • Orthopaedic nursing
  • Healthcare management
  • Patient care coordination

Background:

  • Orthopaedic procedures require comprehensive pre- and postoperative care.
  • Current care models may not fully address patient and family support needs in ambulatory settings.
  • Integrating care management can optimize patient journeys.

Purpose of the Study:

  • To describe a team-based care model utilizing registered nurses (RNs) in orthopaedic offices.
  • To demonstrate the application of principal care management (PCM) principles led by RNs.
  • To outline RN actions, coding, and billing strategies for revenue generation.

Main Methods:

  • Implementation of a co-located RN care management model within orthopaedic practices.
  • Utilizing billing elements of principal care management (PCM).
  • Case study analysis of RN interventions and financial viability.

Main Results:

  • RN-led PCM optimizes pre- and postoperative patient conditions.
  • Enhanced patient and family support in ambulatory surgery centers and orthopaedic offices.
  • Potential for revenue generation to sustain RN roles.

Conclusions:

  • Team-based care with RNs in orthopaedic settings improves patient recovery and function.
  • Principal care management (PCM) is a viable framework for orthopaedic nurse-led care.
  • This model supports financial sustainability for integrating RNs into practice.