Columbus Community Hospital Introduces New Concept in Joint Replacement Surgery
Columbus Community Hospital is changing the way patients and their families think about and experience Joint Replacement Surgery with the introduction of Surge, a comprehensive program that is based on a national best practice model for shoulder, hip and knee replacements, and structured around the fundamental principles of wellness.
“This is not your typical hospital program or hospital stay,” according to Physician Champion Dr. Richard Cimpl. Dr. Cimpl is an orthopedic surgeons who, along with the administrative and clinical team at Columbus Community Hospital, developed this innovative program to improve outcomes and provide a superior experience for individuals having hip or knee replacement surgery.
“First and foremost, we do not see our patients as being sick,” Dr. Cimpl explained. “Instead, we see our patients as healthy individuals who are coming to the hospital because they have hip or knee pain, and want to live a better quality of life by having joint replacement surgery. “
This fundamental concept of wellness is executed throughout the entire program, which incorporates advanced, minimally invasive, analgesic, and rapid-recovery surgical techniques —with an environment that maximizes patient recovery through education, a culture of early mobility, family involvement, and group interaction.
The Surge Center Experience
Each patient chooses a coach—usually a family member or loved one—who is an active participant in their care before, during and after discharge from the hospital. Both patient and coach are required to attend a pre-operative class three to four weeks prior to surgery, where they meet their Surge team, in addition to learning in detail about the procedure, what to expect in the hospital, and how to care for oneself after discharge.
One person—Patient Experience Manager—oversees the patient’s entire stay, and is their resource before, during and after discharge. All staff at Surge Center receive special training, and are chosen to work on the unit because of their expertise; positive, upbeat nature; and high motivational skills. Coaches learn the program right along with their loved one, and provide encouragement and support every step of the way.
The fundamental concept of wellness is also demonstrated throughout the individual’s stay in the hospital. Patients do not wear hospital gowns, but rather are expected to bring comfortable clothes—t-shirts, shorts, etc.—to wear during the day. Patients also follow an aggressive daily schedule that begins at 6 a.m. the morning after surgery on a unit devoted only to individuals having joint replacement surgery. Each day, patients receive a daily newsletter—Shoulder Scoops, Knee Keys or Hip Hints, depending on their surgery—with their breakfast, letting them know the agenda for the day, along with tips on how to care for themselves later. Two group therapy sessions are held daily—one in the morning, and a second in the afternoon—in the Surge Ortho Suite located on the unit. Group therapy is supplemented by individual in-room sessions. Motivational posters are located throughout the halls, and provide a guide for patients to measure their success. Patients compete with one another on distance walked each day with progress tracked on a large exercise board posted in a common area. This exercise board provides visual reinforcement of goals. Patients find the camaraderie both challenging and rewarding.
Care doesn’t end after discharge or graduation. Graduates receive calls from the Surge staff within 72 hours of discharge, and again one to two weeks later. Reunions for Surge graduates and their coaches are held quarterly with surgeons and their entire team.
The End Result: Better Outcomes
We will evaluate each patient on multiple clinical, functional, and patient satisfaction criteria. These outcomes will be analyzed during monthly performance improvement team meetings, and enable Columbus Community Hospital to become an efficient and cohesive team. So, when we say we offer better outcomes, we have the data to prove it.
If you have any questions please call:
Dona J. Kudron RN, BSN
Patient Experience Manager