Image of Joint Replacements + Bundled Payments: What Every Therapist & Nurse Ne
Live Webcast

Joint Replacements + Bundled Payments: What Every Therapist & Nurse Needs to Know for Optimal Treatment and Reimbursement


Faculty:
Mark Huslig
Duration:
Full Day
Format:
Audio and Video
Product Code:
LWC063750
Brochure Code:
PLW72105
Media Type:
Live Webcast - Also available: Digital Seminar


Description

The challenges you face with patients undergoing outpatient total joint arthroplasty are steadily growing, especially in the era of Medicare’s bundled payments initiatives.

Ever evolving surgical techniques mean not every LE arthroplasty can be treated the same. There’s less time in the hospital, so you must be diligent to recognize and manage comorbidity dangers.

You’re pushed to find opioid-sparing approaches for your patients. Add to this Medicare’s new bundle payment model and you might find yourself overwhelmed, stressed, and ready to make a job change.

Don’t let the new Medicare value-based paradigm get the best of you and your practice.

Learn the best strategies for optimizing the episode of care by improving patient safety and outcomes. Better recognize and manage high-risk patients, avoiding readmission or a lapse in his or her recovery.

Find creative ways to stay within your budget under the 90 days allotted to your care. Learn all the ins and outs on how you and your facility can overcome the challenges and experience the reward from bundled payments.

Take your care and ultimately your facility to the next level in this timely live webcast.

Sign up today to position yourself to succeed in the era of bundled payment initiatives for the total joint episode of care!

Credits


*

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.


Case Managers

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 6.25 CE contact hour(s).


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours.


California Nurses

PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider Number 17118 for 6.0 contact hours. Full attendance is required. No partial contact hours will be issued for partial attendance. 


Florida Nurses

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This course qualifies for 6.0 contact hours. 


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Full attendance at this activity qualifies for 6.3 contact hours. Full attendance in the activity is required; no partial contact hours will be issued for partial attendance. These contact hours are used for your license renewal. Please email cepesi@pesi.com with your license number, include the webcast title, speaker name and date. PESI must have this number on file in order for your hours to be valid for the webcast.


Nursing Home Administrators

This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 6.25 clock hours and 6.25 participant hours. Full attendance is required; no partial credits will be offered for partial attendance.


Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.


Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.3 continuing education credits.


Physical Therapists & Physical Therapist Assistants

This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. This certificate is proof of your attendance. Please retain it in your records or use for submission as proof of completion when required.


California Physical Therapists & Physical Therapist Assistants

California Physical Therapists

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This course will qualify for 6.25 continuing competency hours.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This course qualifies for 6.0 CE Credit Hours.


Indiana Physical Therapists & Physical Therapist Assistants

This course has been approved by the Indiana Chapter of the APTA for 6.25 hours. Approval #: 006987887C1224. Expires 09/18/2020.


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This course qualifies for 7.6 contact hours. 


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216-000071. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Wisconsin Physical Therapists & Physical Therapist Assistants

6.25 contact hours have been approved by the Wisconsin Physical Therapy Association. You must attend at least 80% of the seminar to receive a certificate of attendance.


Other Professions

This activity qualifies for 380 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Handouts

Faculty

Mark Huslig Related seminars and products: 1

PT, MHA


Mark Huslig, PT, MHA, is the administrative director for Mercy Central Region of Therapy Services. Mercy Health system ranks among the top five in Truven Health Analytics and is a medical destination site for total joint arthroplasty.

Mr. Huslig has more than 30 years of experience in the management of occupational, physical, and speech therapy, and is a certified ASTYM provider. He is an expert in Medicare and Medicaid regulations, specifically on issues related to payment reform initiatives. Mr. Huslig has successfully integrated at-risk payment methodologies contracting into rehabilitative services.

He is a member of the American Physical Therapy Association and section member for Health and Policy, Orthopedics and Private Practice, along with serving as adjunct faculty for Missouri State University’s Occupational Therapy Program.

Speaker Disclosures:

Financial: Mark Huslig is an adjunct faculty member at the Missouri State University. He has an employment relationship with Mercy Hospital. Mr. Huslig receives a speaking honorarium from PESI, Inc.

Non-financial: Mark Huslig has no relevant non-financial relationship to disclose. 


Additional Info

Program Information

CD/DVD

Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.


Additional Resources

To order the book, Opioid Use Disorder, please visit our product store.

To order the book, Ortho Notes: Clinical Examination Pocket Guide, 4th Edition, please visit our product store.


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Objectives

  1. Examine how to transition to outpatient total joint replacements and the economics, protocols, and payment challenges you face.
  2. Classify the impact of technology in total LE joint arthroplasties on how you treat your patient.
  3. Design a plan of care in the face of comorbidity dangers to avoid readmission or lapse in recovery time.
  4. Analyze the restrictions for return to sports in hip and knee arthroplasty.
  5. Classify how reimbursement works for total joint arthroplasty under bundled payment initiatives.
  6. Utilize ways to avoid hip instability and limb length discrepancy after total hip arthroplasty.
  7. Apply new strategies for managing problematic stiff knee replacement. 

Outline

NAVIGATING LOWER EXTREMITY ARTHOPLASTY AND COMPLEX CARE

KNEE ARTHROPLASTY: WHY NOT ALL TOTAL KNEES ARE SURGICLALY BALANCED

  • Manage extensor mechanism complication
  • Manage the stiff knee
  • Etiology of post-op extension and flexion deficits
  • Unicompartmental knee arthroplasty (UKA) outcomes
  • Long fixation components for valgus stress knee replacements
  • Muscle activation patterns during walking and associations with TKA tibial implant migration
  • CPM (Continuous Passive Motion) and implications under bundled payments
  • Use of cryoneurolysis in multimodal pain management protocol
  • Psychological comorbidity factors associated with non-compliance
  • Restriction for return to sport
HIP ARTHROPLASTY: HOW TO AOVID DEFICITS AFTER THA
  • Direct anterior approach’s effect on readmissions rates
  • Reversible thalamic atrophy
  • Avoid hip instability and limb length discrepancy
  • Gait asymmetry
  • Spinal instrumentation and impact on hip dislocation
    • THA patients with fixed spinopelvic alignment from standing to sitting at higher risk
    • Lumbar fusion involving the sacrum increases dislocation risk 8-fold
  • Effects of piriformis tendon repair failure
  • Electormyographic analysis implications
    • Effects on gluteus medius and gluteus maximus
  • Restriction for return to sport
EVERYTHING YOU NEED TO KNOW ABOUT BUNDLE PAYMENTS
  • Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)
  • Breaking down Medicare’s role in value-based reimbursement
    • Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?
    • How your regional location affects the cost variation in Medicare spending for total joint replacements?
  • Impact on post-acute care practice settings
POTENTIAL PAYOFF FROM BUNDLING
  • How to case cost analysis in bundled payments
    • What’s the relationship of implant cost to total surgical case cost?
  • Latest on performance benchmarking
  • Why hospital quality scores matter
  • How to create orthopedic physician report cards
  • What is allowed by Medicare in gain-sharing with hospitals
  • Minimize narcotic use with patients
  • The latest news in how CMS will pay for post-acute rehab services
  • The role of tele-rehab in total joint cases
KEYS TO IMPROVE PATIENT OUTCOMES
  • Tools used in risk stratifying patients prior to surgery
  • Quality tools and templates
  • What outcome reporting does Medicare require
  • The American Joint Replacement Registry data to improve outcomes
  • How to influence hospitals into collaborating and gain-sharing
  • Medicare waivers under the bundled payment programs
  • Beneficiary rights

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Rehab Managers
  • Case Managers
  • Nursing Home Administrators
  • Skilled Nursing Facility Administrators
  • Home Health Agency Administrators and Managers
  • Rehab Nurses

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