“Creating the best clinical outcomes doesn’t just happen in the operating room. It begins well before and continues well after that.”
- Albert Reff, MD
Continuum of Care
In this era of healthcare reform, fewer complications and improved clinical outcomes are going to drive reimbursement for both hospitals and physicians. Albert Reff, MD, a fellowship-trained orthopaedic surgeon at Providence Little Company of Mary Medical Center Torrance, already has taken the first step in ensuring this high quality by partnering with clinical staff to develop a team approach to joint replacement care.
“When you take a team approach to providing care, everyone is encouraged to contribute and innovate; to learn and promote the best practices across the whole patient experience continuum, rather than in singular, isolated segments. That helps promote the best outcomes, every time for every patient. With that kind of program, you can show consistently strong outcomes,” Dr. Reff says.
First, before joint replacement is discussed, each patient’s case is reviewed to ensure that nonsurgical remedies have been tried. “When we first encounter patients, we make sure they have tried conservative treatments that might give enough relief to make them happy and content,” Dr. Reff says.
When conservative measures are fail, joint replacement may be the next option.
Providence orthopedic surgeon Dr. Reff performs minimally invasive hip and knee replacements using newer techniques that utilize both smaller incisions on the outside and less cutting into muscles and ligaments on the inside. In fact, minimally invasive joint replacement results in:
• Less post-operative pain
• Faster soft tissue healing
• Less scarring
• Quicker recovery
Improved Pain Control
Dr. Reff points out that pain is often a concern for patients, and he incorporates modern multi-model pain control techniques as part of the integrated continuum of care approach. Pain medications administered prior to surgery can calm nerve pathways, making it easier to manage pain post-surgery.
“As a result of this early pain intervention, many patients are able to manage their entire post-operative stay without narcotics,” he says. “The goal for the patient is to be able to have pain relief and resume as many normal activities as soon as possible.”
At Providence Little Company of Mary Torrance, Dr. Reff utilizes computer navigation, which he likens to GPS. “This means greater accuracy in each bone cut and can help result in a better-aligned joint,” he says.
Contact Dr. Reff to learn more about joint replacement options.