Patient Outcomes
The Orthopaedic Center of Excellence believes transparency is necessary for our patients when deciding about their care. The study of outcomes across a patient population offers the ability to determine associations between treatment regime and function, complication rates, and quality of life--what works and what needs to be improved.
As a patient, it is important to know outcomes. Nothing can be more important than knowing the experience level of your surgeon, hospital, rehabilitation and anything else tied to your future experience. Quality health care is what you deserve, make sure you get it.
Generally speaking with surgeons, the more you do something, the better you become. Our surgeons have served the Central Florida community for over 35 years and do over 400 joint replacements a year. When seeking a surgical opinion, do not be afraid to ask your surgeon for their results. If they are unwilling or cannot provide you with results, be cautious about proceeding.
In addition, you can go to Florida Health Finder for information about hip and knee replacements and other procedures in Florida's hospitals, including health outcomes, pricing, physician volume, and educational information. If you review the data, you will see that our surgeons are top performers, with Dr. Royce Hood being one of the leaders in Volusia County and Dr. Mark Hollmann being the highest volume knee replacement surgeon in Central Florida.
Presenting data is important and relevant. Below are some of the outcomes of top measures tied to our Orthopaedic Center of Excellence.
Walking distance at the time of patient discharge is an important measure of how well our patients are able to move around after surgery. Since we started our Orthopaedic Center of Excellence, our average walking distance at discharge has improved greatly. In 2010, our average walking distance at the time of discharge was 562 feet, and in 2011 was 594 feet. Our goal is for our patients to walk a cumulative distance of 300 ft by the time they are discharged from the hospital.
We measure the range of motion of our patients who have a total knee replacement. Extension range of motion, or how far the knee can straighten, is very important to allow proper walking patterns and weight bearing. Our average knee extension range of motion improved from an average of 5.5 degrees in 2008 to 1.2 degrees in 2011. The closer to zero, the better the knee can straighten. Our goal is for patients to measure less than 7.0 degrees knee extension by the time they are discharged from the hospital.
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We measure the range of motion of our patients who have a total knee replacement. Flexion range of motion, or how far the knee can bend, is important to allow normal mobility with sitting, walking up and down stairs, getting in and out of a car, etc. Our average knee flexion range of motion improved from an average of 73.4 degrees in 2008 to 89.6 degrees in 2011. Our goal is to have at least 90 degrees of flexion range of motion by discharge.
Pain control is a very important aspect of the care we provide to our orthopaedic patients. Our goal is that all patients will rate their pain at a 3 or lower (on a 0-10 scale), meaning that their pain is under control and they are tolerating it well. We have implemented many new pain control methods since we opened our Center of Excellence and our average pain at the time of discharge for 2011 is 1.9/10 as compared to 3.2/10 in 2007.
PATIENT SATISFACTION:
We strive to provide high quality service and to anticipate our patient's needs in our Joint Replacement Program. A reflection of our performance is in our patient satisfaction, or HCAHPS scores. For the 4th quarter of 2011, we averaged 87.2% overall satisfaction in our program, which places us above the state and national averages of 85.9% and 86.5%, respectively.
