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Treat Your Patients Like Valued Guests, Or Else

By | News

By Lisa D. Ellis

The last time you went on vacation, you probably enjoyed five-star treatment from
the staff at the hotels and restaurants you visited. But while customer service is
paramount when it comes to dining and accommodations, most health care systems
don’t think to treat their patients like valued guests.

The High Cost of Not Making Patients Feel Valued

The danger is that if you’re not following the hospitality industry’s example, you
may be leaving patients feeling disappointed in their overall experiences. This can
be costly — especially if your dissatisfied patients then go online and give your
physicians or service lines bad ratings, according to Kim Mott, marketing and
customer service manager for Florida Orthopaedic Institute.

With most patients today shopping for health care online and comparing physicians
and organizations, it’s more important than ever to make sure physicians and
health care administrators are listening to what people are requesting, and respond
accordingly, Mott stresses.

Sharing Florida Orthopaedic Institute’s Experiences

Mott and her colleague Donna Bossuyt, director of marketing and customer service
for the Florida Orthopaedic Institute, recently shared their experiences at the 2018
annual conference held by the Society for Healthcare Strategy and Market
Development (SHSMD).

Mott points out that that the institute’s journey in this area began a few years ago,
when its leadership recognized that while the organization already had a stellar

reputation for providing world-class care, its patient reviews were not living up to
its high quality of care.

Part of the problem was that the organization had grown a great deal in recent
years, expanding from just a dozen orthopaedists working in one office and one
hospital to now including more than 40 physicians, 25 mid-level providers, 15
fellows, and more than 600 professional staff members working in 10 offices, two
surgery centers, two orthopaedic urgent cares, and 19 regional hospitals. Such
growth made managing the patient experience a much more complicated process.

The Need to Be Patient Centric

Another problem was with that the expanded organization was focusing on the
physicians and their needs instead of putting the patients first.

“When we look to the hospitality field, it’s clear that we can’t be physician-centric,
but rather, we must be patient-centric to be successful,” Mott stresses

In practical terms, this meant that, with the support of the c-suite, she and Bossuyt
needed to help physicians reframe their service delivery to operate with the attitude
of a high-end hotel that wants to please the people it serves.

“I ask our physicians to think about staying at the Marriott or Ritz Carlton. How can
we compare our interactions to that?” she asks.

Responding to Patient Feedback

The real key to success, though, was finding the best mechanism to capture online
feedback from patients on what works well — and what needs to change. Rather
than trying to follow all of the websites where patients can rate the organization,
Mott now uses a tool from Binary Fountain.

“This allows us to put all of our listings into one dashboard. When a patient posts a
new review, I get an email that shows where it’s posted, who wrote it, and when,
so I can respond right away,” Mott says. Currently she gets between 10 and 25
reviews a week, with 10 percent or less containing negative feedback. Patients can
share their stories on Florida Orthopaedic Institute’s website or other review sites.

Providing Concrete Feedback for Physicians

Having a way to organize reviews also provides a great way to show physicians
what people think of their service and where they are unhappy. This has been an
important motivator to help the medical staff really focus on the patient experience.

“When we receive a complaint, I can show physicians this is the perception they are
giving to patients,” she explains. “We never accuse physicians of anything when we
get a bad review but ask to hear their side of the story and use this as a catalyst to
talk about what patients want. This helps to remind everyone that we are trying to
provide a better customer experience,” she adds.

Strengthening Personal Interactions

For many physicians, personal interactions are not something they learned in
medical school, so this can require taking a fresh approach to patient care. “I meet
with the entire medical team, not just the doctor, and educate them that
prospective patients are shopping online for health care services, using websites
like Google, Healthgrades, and RateMD. If a patient sees a bad review, this can
deter the patient from coming to our practice. We have to actively play a role in
asking all of our patients to share their stories online. These group conversations
also provide us with coachable moments for the teams,” she says.

When necessary, Mott also shadows physicians who have gotten bad reviews or
complaints to see any missed opportunities during patient exams for making a
deeper connection.

For example, she recently shadowed one physician who consistently received
patient complaints and found that he showed up late for his appointments, did not
introduce his team to the patients and their families, didn’t express empathy, and
showed his frustration with the computer system.

While the doctor initially seemed reluctant to change his ways, ultimately the
feedback was very helpful to him. Several months later, Mott shadowed him again
and she saw he had incorporated some of the suggestions and showed real
improvement in his style. He also was no longer getting bad reviews from patients.

Feedback Can Help Doctors Do Their Job Better

While no one likes to hear criticism, at the end of the day, doctors who get
feedback on how to improve patient relations are able to express more compassion
to patients.

“They got into the medical profession because they cared,” Mott points out.
Therefore, being able to put this caring into their daily practice ultimately helps
them do their job better and have a deeper impact. Mott says she tries to stress
this concept, so physicians can see the bigger picture.

While they have not formally tracked the results of their efforts to elevate patient
service, Mott says that the good reviews and ratings are paying off in improving the
institute’s online profile.

What You Can Do

For organizations looking to step up their patient satisfaction in a similar way, Mott
offers these three tips to guide their efforts:

  1. Use a tool to streamline your patient reviews in a way that makes it easy to
    track them and to respond to the reviewer in real time. She responds to both
    positive and negative reviews right away, so people feel that their voice is being
    heard and they matter.
  2. Share tangible feedback with physicians and their teams in an organized
    fashion, such as through team huddles, where everyone can come up with an
    orchestrated way to integrate the information into their daily operations. Often
    breaking down the criticism into several concrete bullet points can make it
    easier to digest.
  3. Be sure to follow up with physicians to see how any changes they have put into
    practice are working. Customer satisfaction should be the focus of an ongoing
    conversation that an organization has with its staff. Remember that people’s
    needs and desires change over time, so this should always be a work in
    progress.

Lisa D. Ellis is a contributing writer for Strategic Health Care Marketing. She is a journalist
and content development specialist who helps hospitals and other health care providers and
organizations shape strategic messages and communicate them to their target audiences.
You can reach her at lisa.ellis@strategicHCmarketing.com.

“When we receive a complaint, I can show physicians this is the perception they are
giving to patients,”

Kim Mott, marketing and customer service manager for Florida Orthopaedic Institute

Sickles High School Athletes Awarded ‘Athlete of the Week’ Honors

By | News

Patch

January 29, 2019
BY: Florida Orthopaedic Institute

Sickles High School Athletes Awarded ‘Athlete of the Week’ Honors

Tampa, Fl. – Jan. 29, 2019 – Florida Orthopaedic Institute (FOI) is proud to announce Sybil Pun and Jed Durda from Sickles High School as the ‘Athletes of the Week’ for the week ending February 1, 2019.

Pun was chosen by the Girls’ Soccer head coach, George Arroyo, for her passion and guidance, noting that her influence leaves a last impression on those around her.

“Sybil’s positive influence, work ethic and love for the game has made her the player and student that she is today,” Arroyo said. “I believe that Sybil will be an asset to any college she attends. I also know that she will make an impact in college, but above all, her influence will bring a tremendous amount of joy to anyone she meets. She is a team leader by example and not by words. She is very hard on herself, but gentle in the way she speaks to her teammates, coaches, parents and anyone she comes in contact with.”

Pun has found that practice, does in fact, make perfect and that perseverance is the key to her success.

“I have already started reaching for my goals,” Pun said. “By practicing every day, doing the same moves over and over and asking my coach to teach me new techniques, I’ve begun my training into being someone my team can depend on to take them all the way.”

Golf head coach, Joey DiPompo, selected James, aka Jed, Durda to be an athlete of the week due to his character and commitment to others.

“Jed shows tremendous leadership not only on the golf course, but in the classroom,” said DiPompo. “He excels in academics, extracurricular activities and also balances working a job and volunteering on a weekly basis. Jed leads by example and really takes in underclassmen and shows them the right way to do things. He is one of the best players I have coached, both on the golf course and academically.”

Planning ahead and having role models to learn from are two methods that Durda uses to accomplish his goals.

“I was motivated to work hard at golf and better my scores by envisioning the feeling of winning,” Durda said. “I am also fascinated by the best athletes and golfers in the world and want to reach their level one day. As for academics, I have always been good in the classroom and just want to continue my previous successes and further develop my efficient study habits.”

Durda and Pun both believe in taking an active part in setting yourself up for success and becoming someone that can be depended upon in the face of certain struggles.

“The most important thing I have learned is that perseverance is the most important trait a person can have,” Durda said. “Never giving up shows one’s commitment and only builds confidence to keep going.”

Pun followed, “Be the hardest worker out there. When you work hard and show the coach that you really want it, you become someone the coach can depend on which helps secure your future.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view last week’s award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 10 office locations in Bloomingdale, Brandon, Brooksville, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute.

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Tampa Bay Orthopaedic Patients Will Have Simple Quick-Access To Book appointments

By | News

FOR IMMEDIATE RELEASE:

Media Contact
Donna Bossuyt
813-480-4591
dbossuyt@floridaortho.com

Tampa Bay Orthopaedic Patients Will Have Simple Quick-Access To Book appointments

Leading Florida Orthopaedic Practice Will Utilize DocASAP Online Scheduling Across Digital Channels for Enhanced Patient Access

Tampa, Fl. – Jan. 29, 2019 – Florida Orthopaedic Institute (FOI) announced today that it is partnering with DocASAP to enhance patient access. Florida Orthopaedic Institute has selected DocASAP to provide its leading online scheduling solution for all of the practice’s physicians.

As the first orthopedic practice in the Tampa Bay area to onboard DocASAP, Florida Orthopaedic Institute is spearheading a new standard in patient access for orthopedic practices across the state of Florida. With DocASAP, patients can seamlessly access physician and physician assistant’s schedules and book appointments from their mobile device, tablet or desktop on a 24/7 basis.

What sets this partnership apart from other online scheduling implementations is the breadth of access channels available. Patients can access these features through Florida Orthopaedic Institute’s website. Additionally, patients will have options to book appointments with FOI physicians through Google My Business, Facebook, Twitter and Instagram.

“We are devoted to providing the highest level of care and access for our patients. Offering round-the-clock access in almost every sub-specialty is part of that commitment,” said Dr. Roy Sanders, MD, president of Florida Orthopaedic Institute. “As we continue to grow, it is clear we need a tool that will help us meet patients where they are and also ensure that our patients are matched with a provider that meets their clinical needs and availability. DocASAP’s capabilities help us connect with new patients and strengthen relationships with current patients.”

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 9 office locations in Bloomingdale, Brandon, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute.

About DocASAP

DocASAP is working to close gaps in healthcare access, improve the patient experience and boost provider performance through technology. Our intelligent patient-provider matching and online appointment scheduling solution connects patients with the right healthcare providers to improve population and community health. Our robust analytics and data insights help healthcare providers improve staff utilization and service offerings, all while improving patient experience. Some of the most well-known healthcare providers rely on DocASAP every day to extend their brand to the patients that need them most. To learn more, visit our website and blog.

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Lennard Athletes Awarded ‘Athlete of the Week’ Honors

By | News

Patch

January 24, 2019
BY: Florida Orthopaedic Institute

Lennard Athletes Awarded ‘Athlete of the Week’ Honors

Tampa, Fl. – Jan. 24, 2019 – Florida Orthopaedic Institute (FOI) is proud to announce Esteban Gonzalez and Aniah Rasool from Lennard High School as the ‘Athletes of the Week’ for the week ending January 25, 2019.

Gonzalez was nominated by Cross Country coach Kristen Still, who admired the commitment and perseverance that the young student-athlete displayed throughout his time at Lennard.

“Esteban was the cross country team captain this season,” Stillwell said. “We chose him because he is a natural leader that works hard to make sure everyone feels included. Last season he mentored a freshman who ended up qualifying for States. Esteban was there to cheer him on the entire time. After our season ended, he invited the team out for a group run over the Thanksgiving holiday. He knew the team would be stronger next year with consistent practice.”

Taking a deeper look into the meaning of being a leader, Gonzalez found that it is not all about personal success.

“This year, I decided to start training myself to be in the mindset of a leadership role,” Gonzalez said. “A good leader knows that they have made an impact when everyone is successful. I’m proud to say that, for the first time in eight years, Lennard High School’s boys’ team qualified for the Regional Level Competition.”

Rasool was recognized by Girls’ Soccer head coach Vanessa Escobar, who appreciated the junior’s tenacity and resilience.

“Aniah’s aggressive play and pure determination helped her team to a 4-0 win over Brandon, scoring all four goals,” said Smith. “She took eight shots on goal and connected with four, also stealing the ball twice. It seemed Aniah would not settle for a good game. She wanted to help her team win, and that is what she did.”

After discovering the effort involved in obtaining goals, Rasool set herself on a path of achievement.

“I want to reach my goals of being successful and accomplished in life,” Rasool said. “Early, I realized that if I don’t work hard enough, I won’t be able to do what I really want. Having a good head on my shoulder and the right mindset has put me where I am today. I will continue to follow the path of life and gain the experience to help me reach that goal.”

In the midst of certain trials and frustrations, Gonzalez and Rasool remind others to remain grounded and to not let obstacles block the path towards a goal.

“Kindness goes a long way,” Gonzalez said. “Using kindness to build trust and relationships is far more effective than trying to be controlling.”

“Everything happens for a reason,” Rasool continued. “If you’re going through a rough patch, there are probably smiles and rainbows on the other side of the door.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view last week’s award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 10 office locations in Bloomingdale, Brandon, Brooksville, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute.

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Fixing, salvaging radial head after fracture may prevent severe future injuries

By | News

Healio

BY: Casey Tingle
January 16, 2019

Fixing, salvaging radial head after fracture may prevent severe future injuries

WAIKOLOA, Hawaii — When faced with a radial head fracture, surgeons should fix it when possible and replace it when not salvageable to avoid more severe injuries, according to a presenter at Orthopedics Today Hawaii.

According to Mark A. Mighell, MD, type 2 radial head fractures can be treated either operatively or nonoperatively, with most able to be treated nonoperatively.

“Even when they are displaced 2 mm to 5 mm it is usually that portion of the radial head that is not supported with the strong subchondral bone,” Mighell said in his presentation.

When performing internal fixation, Mighell noted the plates need to be placed in the safe zone and either headless or 2 mm screws should be placed off the articular margin.

Surgeons should not perform tenuous fixation on a type 3 radial head fracture, according to Mighell.

“Plating provides the greatest torsional rigidity vs. pins, but … if you place the lag screws like Graham King has shown us, you can get more stability to that construct, also,” Mighell said.

For radial head arthroplasty, he noted all bony fragments should be removed from the elbow and to resect a minimal amount of bone.

“Do not get crazy with cutting down the neck of the radius to get down to where you need to be,” Mighell said. “You want to deliver the proximal radius and avoid injury to the [posterior interosseous nerve] PIN.”

One mistake Mighell noted he sees is when surgeons place too big a piece of metal in the radial head.

“You should replace what you took out,” he said. “You are not sticking a big hunk of metal in. That does not make your elbow any more stable.”

He added the height of the radial head “should be the same as the lesser sigmoid notch of the coronoid,” and the radial length should be within about 2.5 mm.

“If you get it too much more than 2.5 [mm] you are going to overstuff the lateral side of the joint, the consequences of which are that the medial side narrows … and they get arthritic change,” Mighell said. – by Casey Tingle

Reference:

Mighell MA, et al. Should you be trying to save the radial head? Presented at: Orthopedics Today Hawaii; Jan. 13-17, 2019; Waikoloa, Hawaii.

Disclosure: Mighell reports he is on the speakers bureau and is a paid consultant for DJO Surgical and Stryker, and receives research support as a primary investigator from DJO Surgical.

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Speaker discusses intraoperative, postoperative rotator cuff complications

By | News

Healio

BY: Casey Tingle
January 16, 2019

Speaker discusses intraoperative, postoperative rotator cuff complications

WAIKOLOA, Hawaii — In a presentation at Orthopedics Today Hawaii, Mark A. Mighell, MD, discussed intraoperative and postoperative complications in rotator cuff repair and how to handle these complications.

In patients with cysts or poor-quality bone, Mighell said in his presentation that it is important to get the tendon to heal. He noted nonoperative treatment is ideal because a tear associated with a cyst is not traumatic in nature. However, when surgery is needed for a large cyst, Mighell said to take care of the poor-quality bone.

For patients with poor tissue quality, Mighell noted previously published literature has shown good results infusing the tendon with fiber tape.

He advised to always be prepared in the event of a large rotator cuff tear that is medialized to the glenoid and the tissue is immobile.

“Always be prepared to have something there available and, in this case, we chose to use one of those dermal grafts,” Mighell said.

He continued, “That means you are looking at your MRI scan [and] you are doing preoperative planning. You do not want to get into surgery and then find you cannot fix the tendon.”

When performing superior capsular reconstruction to repair large rotator cuff tears with immobile tissues, Mighell recommended using a graft in which the medial dimensions are 30 mm, the lateral dimensions are 40 mm and the length is about 50 mm. He also noted that surgeons should create holes large enough to pass sutures through without becoming tangled or flipped.

“I always like to incorporate the infraspinatus, whether I put an anchor in or do a side-to-side to repair it,” Mighell said.

For postoperative complications, Mighell noted stiffness becomes a real problem in 3% to 5% of cases. Although most patients who are stiff early on have better outcomes, according to Mighell some patients may need to undergo capsular release due to adhesions and scarring around the subscapularis and thickening of the anterior capsular. He cautioned to perform the release gently so as not to retear the rotator cuff.

“The last thing you want to do is manipulate your patient that you just fixed a rotator cuff and tear out your rotator cuff repair,” Mighell said. – by Casey Tingle

Reference:

Mighell MA, et al. Rotator Cuff Repair Complications. Presented at: Orthopedics Today Hawaii; Jan. 13-17, 2019; Waikoloa, Hawaii.

Disclosure: Mighell reports he is on the speakers bureau and is a paid consultant for DJO Surgical and Stryker, receives royalties from DJO Surgical and receives research support as a primary investigator for Stryker.

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Tampa Prep Students Awarded ‘Athlete of the Week’ Honors

By | News

Patch

January 17, 2019
BY: Patch

Tampa Prep Students Awarded ‘Athlete of the Week’ Honors

Tampa, Fl. – Jan. 14, 2019 – Florida Orthopaedic Institute (FOI) is delighted to announce Payton Hendrix and Kobe Prince from Tampa Preparatory School as the ‘Athletes of the Week’ for the week ending January 18, 2019.

Hendrix was nominated by Girls’ Basketball Head Coach, Erin Knight, who found true leadership qualities within their team captain.

“Payton is competing in her fifth season with the Varsity Girls’ Basketball team,” Knight said. “She consistently shows the Tampa Bay area what it means to be a Tampa Prep Terrapin. She leads by example, encourages and positively impacts her teammates. I couldn’t think of anyone more deserving.”

Nearing the 1,000 points scored milestone, Hendrix also has her focus on preparing a young and upcoming team for their own successes.

“My personal goal is to be a positive role model for my underclassman teammates,” Hendrix said. “We are a young team and the next few years look really promising for Prep. I strive to demonstrate a strong work ethic, outstanding teamwork and positive sportsmanship. I want to look back a year or two from now and know that I contributed to the success of the team for this year and the years to come.”

Prince was nominated by Doug Smith, the Boys’ Soccer Head Coach. Smith recognized the contributions made by the impressive senior star.

“Kobe is a senior leader on our team,” said Smith. “He scored three goals to help us win two big district games. He scored two against Tampa Catholic to put us over 3-1 and he scored one against Clearwater Central Catholic to give us the 2-1 victory.”

As a dedicated athlete and a determined entrepreneur, Prince is motivated by his desire to combine both art and athletics.

“I have infused my love for art into my passion for sports,” Prince said. “This includes my spirit to finish and produce a short film focusing on the life of an innovative athlete. I am planning on executing an exhibition of environmentally sustainable art, fashion and informative photography to market my brand, ‘SIKO’.”

With extensive workloads before them, both Hendrix and Prince advise to keep a level head, push through boundaries and continue moving forward.

“When you have a bad day or an off game, move on from it.” Hendrix said. “Don’t beat yourself up. Reflect for a moment on what you can do better, adjust when you need to and move on.”

Prince followed, “Love and passion allows for a more enjoyable path to achieving my dreams and goals. I can’t progress without failure present along the way and, through that, it makes the process all the more worth it.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view last week’s award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 10 office locations in Bloomingdale, Brandon, Brooksville, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute.

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Outpatient total shoulder replacement: Pick the right patients, set the proper mindset

By | News

Healio

BY: Kristine Houck, MA, ELS
January 9, 2018

Outpatient total shoulder replacement: Pick the right patients, set the proper mindset

KOLOA, Hawaii – With many compelling reasons for outpatient total shoulder replacement surgery, orthopedic surgeons need to be aware that one of the biggest factors for success is the mindset of the patients, said a presenter at Orthopedics Today Hawaii 2018, here.

“Some of outpatient surgery is the way we explain this to patients,” Mark A. Mighell, MD, said. “By doing this and by having a well-organized team, there are certain patients who would benefit greatly.”

Mighell said a successful outpatient total joint replacement program needs to have buy-in from multiple stakeholders. The programs also need centers of excellence; a dedicated shoulder team; established pathways for postoperative issues; cooperation from anesthesia and administration teams; and implant and vendor costs. Patient selection is also key, he said.

“Patient selection – this is where the rubber meets the road,” he said. “You have to pick the right patients.”

Studies have shown the best candidates are patients younger than 70 years, patients with a BMI of less than 35 kg/mand the absence of significant cardiopulmonary comorbidities, he said. Patients must have private insurance, as outpatient shoulder replacement cannot be offered to patients with governmental insurance. Mighell said published studies have shown no significant differences in complications and no significant differences in readmission rates between properly selected patients. He also advised surgeons to have mechanisms in place to mitigate blood loss. Other critical issues are enhanced, pain control procedures and having the proper infrastructure to address postoperative management issues.

“You want to make sure your patient can get in touch with you,” he said. – by Kristine Houck, MA, ELS

Reference:

Mighell MA. Outpatient shoulder arthroplasty: How to ensure success and safety. Presented at: Orthopedics Today Hawaii 2018; Jan. 7-11, 2018; Koloa, Hawaii.

Disclosure: Mighell reports he receives royalties from NewClip Technics; is a consultant for and is on the speakers bureau for DJO Surgical and Stryker; and does contracted research for Stryker.

Newsome Students Awarded ‘Athlete of the Week’ Honors

By | News

Patch

January 8, 2019
BY: Patch

Newsome Students Awarded ‘Athlete of the Week’ Honors

Tampa, Fl. – Jan. 7, 2019 – Florida Orthopaedic Institute (FOI) is proud to recognize Newsome High School’s Garrett McGovern and Emma Stuck as the ‘Athletes of the Week’ for the week ending January 11, 2019.

Jeff Shotwell, the Boys Swimming Coach, praised McGovern on his accomplishments in the water.

“Garrett recently won an individual State Championship in the 4A State Swim Meet,” Shotwell said. He continued with, “He won the 200 IM and his time qualified him for All-American consideration. Garrett is a team player in an otherwise individual sport.”

Between multiple AP classes, swimming and his social life, McGovern believes in maintaining a state of balance. Through giving every aspect of his life the utmost effort, he accomplishes his goals.

“Keep your life balanced,” McGovern said. “The moment you let one part of your life consume you is when you go into a panic.”

Girls Soccer Head Coach, Denis Vukorep, nominated Stuck and recognized her leadership attributes.

“Emma is a junior on our soccer team and a relentless worker,” said Vukorep. “She is the first to go collect balls and cones during and after practices. She plays out of position to do what is best for our team. As a very talented athlete, she stays humble and treats everyone the same.”

Stuck believes that hard work, staying proactive and being selfless are the keys to reaching goals.

“The way to success is showing up every day ready to work at school and play my best at practice,” Stuck said. “When I miss school for athletic functions, I make sure to get caught up. Getting help and asking questions is always important. To win State, I try to engage my teammates and rely on them because it is a team effort. I think that makes it better for all of us.”

McGovern and Stuck rely on the act of balancing lifestyles and focusing on each task in front of them.

“Stay focused and stay positive,” Stuck said. “Knowing what you really want to accomplish and then taking the specific steps to get there will take you wherever you want to go.”

Florida Orthopaedic Institute’s Athlete of the Week campaign is designed to focus on student-athletes, recognizing them for their hard work and dedication both on and off the field. The Athlete of the Week award can be earned by displaying one of the following characteristics:

Team Player: Athletes who are nominated for excellence in team play are chosen by a coach who feels the athlete does his or her best to put direction into action, makes a significant contribution to the team and continuously works to improve his or her skills, attitude and training.

Leadership: Athletes who earn the award in recognition of excellent leadership must exemplify strong relationship building skills, show excellent initiative and serve as role models for his or her peers.

To view last week’s award winners, please follow this link.

Florida Orthopaedic Institute

Founded in 1989, Florida Orthopaedic Institute is Florida’s largest orthopedic group and provides expertise and treatment of orthopedic-related injuries and conditions, including adult reconstruction and arthritis, chiropractic services, foot and ankle, general orthopedics, hand and wrist, interventional spine, musculoskeletal oncology, orthopedic trauma, physical medicine and rehabilitation, physical and occupational therapy, sports medicine, shoulder and elbow, spine and chiropractic services, among others. The organization treats patients throughout its surgery centers in North Tampa and Citrus Park, two orthopaedic urgent care centers in South Tampa and Brandon, and 10 office locations in Bloomingdale, Brandon, Brooksville, Citrus Park, North Tampa, Northdale, Palm Harbor, South Tampa, Sun City Center and Wesley Chapel. For more information, please visit: FloridaOrtho.com and ‘like’ us on Facebook: facebook.com/Florida.Orthopaedic.Institute.

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How Seniors Can Truly Benefit from Low-Impact Workouts

By | News

50 Plus Life

January 3, 2019
BY: Christopher W. Grayson

How Seniors Can Truly Benefit from Low-Impact Workouts

Activity is vital at any life stage. It helps children develop correctly, keeps adults healthy and reduces the impact of old age in seniors.

Elders that stay active can enjoy various benefits to their well-being, even from low-impact workouts.

Still, it isn’t always easy to keep motivated to work out, especially during these cold winter days. To avoid loss of motivation, seniors should always keep in mind how beneficial exercise can be for them.

Let’s have a look at how seniors can genuinely benefit from low-impact workouts, as well as what the best low-impact workouts are.

Better Mental Health

Whichever form of exercise you choose, it’s sure to produce endorphins.
Activities in nature will further increase the impact of the “feel good” hormone, ensuring you’ll feel satisfied and happy afterward. Nature walks or hikes, cycling, and yoga can serve you well in reducing bad moods and improving your overall mental health.
Exercise has an exceptionally positive impact on insomnia and other sleeping problems, which are common in seniors.

Better Physical Health

Regular activity prevents or lowers the risk of many illnesses and keeps your body strong and healthy. Working out improves the immune system, which is especially crucial for elders, as they are more vulnerable to diseases.
But low-impact workouts don’t only keep diseases at bay. They also reduce the risk of falling by improving strength, flexibility, balance, and coordination. Even the most basic, low-impact exercise, such as walking, can help, as long as it’s done regularly.

More Social Engagement

One of the best things about exercise is that it doesn’t have to be a solitary activity. Likeminded seniors can get together for walks or hiking.
Having company usually improves accountability as well, so you’ll be more motivated to keep up with your workout habits.
Another right way to stay active while enjoying company is signing up for dancing or a fitness class. By maintaining social ties, you’ll keep loneliness at bay as well.

Improved Brain Function

According to multiple studies, physical activity also has a positive influence on cognitive function. Exercise improves and fine tunes our motor skills, which, in turn, keep our mind sharp.
Active seniors have less risk of dementia, regardless of whether they’ve always been active or not. What matters is that you stay physically active.

Best Low-Impact Exercises

Sometimes seniors can find the idea of exercise intimidating due to fear of falling or injury. It is precisely why low-impact workouts are recommended, as they are relatively easy compared to full-blown workout routines.
Walking is the easiest one to get into and provides a full-body workout. The same goes for swimming, which is considered one of the safest solutions for exercising when joint health is in question.
Stretching and yoga are great for building flexibility and balance or maintaining them in old age. Alternatively, you might want to take up cycling, dancing, or tai chi.

Ultimately, staying active is one of the best ways to ensure a good quality of life even if you’re well into your senior years.

Christopher W. Grayson, M.D., Florida Orthopaedic Institute, is board certified by the American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopedic Surgeons and American Association of Hip and Knee Surgeons. Grayson is the author of multiple articles in peer-reviewed journals.