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

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.