OR Excellence - Where Leaders Meet, Learn and Grow Together

Hyatt Regency New Orleans
New Orleans, Louisiana
October 3-5, 2019

A. Beyond the Basics: Advanced
Level Lessons in Total Joint Success

Wednesday, Oct 11, 8:30-11:30 AM

OR Excellence 2017

Take your outpatient total joints program to the next level. Learn how to enhance outcomes, maximize profits and attract new patients to capitalize on surgery's hottest specialty. Nearly a million patients undergo same-day knee and hip procedures in the United States each year, and by 2030, that number will triple. Whether you're in an ASC or an acute-care facility, this advanced course will show you how to build and grow a successful same-day total joint program from the team at Excelsior Orthopedics in Amherst, N.Y., one of the leading same-day total joint programs in the country.


CME Credits: 3 (Applied for)
CASC Category: Delivery of Patient Care

About the speaker(s):

OR Excellence 2017

Andrew Stoeckl, MD, Excelsior Orthopedics

OR Excellence 2017

Nicholas Violante, DO, Excelsior Orthopedics

OR Excellence 2017

David Uba, MBA, CEO of Excelsior Orthopedics

OR Excellence 2017

Jeannette Moretti, RN, CNOR, Administrator of the Buffalo Surgery Center


Q/A with the speaker(s):

A conversation with ORX presenter Andrew Stoeckl, MD

Q: What sparked your interest in launching a total joints initiative?

Dr. Stoeckl — My background is in sports medicine, and the knee replacements I performed were primary an inpatient procedure. I was curious if they could be done safely and effectively in our practice's surgery center. I met with the center's clinical and business leaders to put a plan in place to make it happen.

Ironing out the pain control plan and figuring out patient selection are the relatively easy steps. The hard part is managing all the behind-the-scenes details.

Q: What puts surgical facilities at risk of events like these?

Dr. Stoeckl — Absolutely. I focused on a select group of knee replacement patients who I operated on at the local hospital — the ones who were doing really well post-op day 1 — and envisioned what we'd have to do to ensure they could be cared for in the outpatient setting.

Q: What's the first building block of a successful program?

Dr. Stoeckl — It's essential to first identify patients who are good candidates for outpatient joint replacement. You must assess their comorbidities, the amount of support they'll have at home during the post-op recovery phase and whether or not they're narcotic naïve.

Q: What type of patients are prime candidates?

Dr. Stoeckl — NPatients receive anti-inflammatories and we place abductor canal blocks, which provide good analgesia and let patients retain good motor function. Injections of bupivacaine liposome at the joint have been a huge part of our pain control success. We also administer tranexamic acid to decease hemarthrosis, which in turn lessens post-op bruising and swelling at the joint.

Q: So how do you manage patients' pain?

Dr. Stoeckl — Great teams know you have to practice together as a team, because you have to learn how to anticipate each other, you have to understand each other's body language and you have to understand how people are thinking. Great athletes don't practice on their own. They practice as a team. And great musicians practice as a team. The whole point with great sports teams and great orchestras is they work together so they can function effectively as a team. We don't do that in health care.


I'm very interested in ORX2019! Please contact me with more information!