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Kebeh M, Dlott CC, Kurek D, Tung WS, Morris JC, Wiznia DH. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Payer Status and Medication Management-Part Six of the Movement Is Life Special ONJ Series. Orthop Nurs 2024; 43:195-201. [PMID: 39047269 PMCID: PMC11279383 DOI: 10.1097/nor.0000000000001039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/27/2024] Open
Abstract
This article is the sixth in the Movement is Life series and focuses on insurance coverage and medication management in the perioperative period, 2 tangentially related variables that affect patient outcomes. Our aim is to use current practices and literature to develop recommendations for nurse navigators' execution of preoperative optimization protocols related to payer status and medication management. Discussions with nurse navigators and a literature search were used to gather information and develop recommendations specific to optimizing payer status and medication management. Nurse navigators connected patients to resources and provided education regarding financial concerns and medications, and findings from the literature discussed insurance status among TJA patients. Nurse navigators can contribute to payer status and medication management optimization by providing patient education and resource referrals. In addition, we recommend conducting repeated medication reconciliation and developing awareness of financial resources and perioperative medication management guidelines.
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Affiliation(s)
- Martha Kebeh
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
| | - Chloe C. Dlott
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
| | - Donna Kurek
- National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL, USA
- OrthoVirginia, Chesterfield, VA, USA
| | - Wei Shao Tung
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
| | - Jensa C. Morris
- Hospital Medicine Service, Yale New Haven Hospital, New Haven, CT, USA
- Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT, USA
- Yale School of Medicine, New Haven, CT, USA
| | - Daniel H. Wiznia
- Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA
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Escalera C, Rodarte P, Navarro RA, Bolanos AA, Buerba RA, Payares-Lizano M, Santos EM, Gonzalez MH, Jimenez R. The American Association of Latino Orthopaedic Surgeons: Our History, Achievements, and Future Goals. J Bone Joint Surg Am 2024; 106:748-754. [PMID: 37820271 DOI: 10.2106/jbjs.23.00524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
ABSTRACT The mission of the American Association of Latino Orthopaedic Surgeons (AALOS) is to provide collegiality, advancement, education, and social justice for Latino orthopaedic surgeons and the minority populations they represent. We strive to enhance diversity within the field of orthopaedic surgery by increasing the visibility of AALOS, highlighting its core focus, and emphasizing its mission. The purposes of this article are to discuss the need for this organization and highlight its history and future goals. As AALOS recently celebrated its 15-year anniversary, we are excited to continue advancing the field of orthopaedic surgery and improving our patients' care.
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Affiliation(s)
| | - Patricia Rodarte
- Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Ronald A Navarro
- Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California
| | | | | | | | - Erick M Santos
- South Central Texas Bone and Joint Center, Corpus Christi, Texas
| | | | - Ramon Jimenez
- Orthopaedic Med-Legal Evaluations, Monterey, California
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Kebeh M, Dlott CC, Kurek D, Morris JC, Johnson CB, Wiznia DH. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Diabetes and Cardiovascular Disease-Part 3 of the Movement Is Life Special ONJ Series. Orthop Nurs 2024; 43:2-9. [PMID: 38266257 PMCID: PMC10832337 DOI: 10.1097/nor.0000000000000997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2024] Open
Abstract
Diabetes and cardiovascular disease are some of the most common risk factors for complications after total joint arthroplasty (TJA). Preoperative optimization programs are dependent on nurse navigators for coordination of interventions that improve patients' health and surgical outcomes. This article uses information regarding the current practices for diabetes and cardiovascular disease management to provide recommendations for nurse navigators when managing these risk factors prior to TJA. We consulted nurse navigators and conducted a literature review to learn about strategies for addressing diabetes and cardiovascular disease in preoperative optimization programs. Nurse navigators can play a critical role in addressing these conditions by providing patient education and implementing preoperative optimization protocols that incorporate discussion regarding guidelines for diabetes and cardiovascular disease management prior to surgery. This article shares recommendations and resources for nurse navigators to help address diabetes and cardiovascular disease as part of preoperative optimization programs.
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Affiliation(s)
- Martha Kebeh
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Chloe C Dlott
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Donna Kurek
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Jensa C Morris
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Charla B Johnson
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
| | - Daniel H Wiznia
- Martha Kebeh, BA, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Chloe C. Dlott, BS, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
- Donna Kurek, MSN, MHA, RN, ONC, CMSRN, National Association of Orthopaedic Nurses and Movement is Life, Chicago, IL; and OrthoVirginia, Chesterfield, VA
- Jensa C. Morris, MD, Hospital Medicine Service and Smilow Cancer Hospital, Yale New Haven Hospital, New Haven, CT; and Yale School of Medicine, New Haven, CT
- Charla B. Johnson, DNP, RN-BC, ONC, Franciscan Missionaries of Our Lady Health System, Baton Rouge, LA
- Daniel H. Wiznia, MD, Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT
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