PreHab Before Your Hip or Knee Replacement 

With PeerWell's PreHab program, recovery begins before joint replacement surgery

"It's been a long, a long time comin, but I know-oh-oo-oh, change gon' come, oh-ooh—oh yes it will" - Sam Cooke We can all agree, healthcare is changing. The shift away from fee-for-service reimbursements towards value-based care is fundamentally altering the ways in which care providers and hospitals operate. Hospitals are having to rethink processes and systems that had become old hat and rewrite how things are done. Two main factors are leading this shift: 1. Changes in Reimbursement At the core, the ripple effect of the regulations imposed by CMS, like MACRA, APMs, and ACA, echo throughout hospital systems nationwide.

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"I can't get no satisfaction, I can't get no satisfaction, 'Cause I try and I try and I try and I try" -Rolling Stones As an administrator, decision-maker or front-line worker, you don’t need to be told that the technology that powers your hospital is dated, bulky, and inflexible. With the rapidly changing landscape of modern day healthcare, hospital leaders are forced to find ways to adapt to changes in reimbursement models, mass industry consolidation, and shifting patient volumes and expectations. However, leveraging existing hospital technology and vendor solutions to actively respond to the obstacles that crop up as a result of these changes can feel impossible.

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For many, choosing a surgeon and the right hospital for an upcoming joint replacement surgery is stressful. However, feeling confident in your surgeon and hospital is a major part of feeling prepared your procedure. In California, top joint replacement surgeons are abundant. Pair this with the fact that Southern California has some of the best orthopaedic hospitals in the country, and you’ve got pick of the litter when it comes to your surgery. Obviously insurance coverage, where you live in Southern California, and any special requirements will help determine where you get your hip or knee replacement. However, we thought it’d be helpful to put together a list of hospitals in SoCal with excellent joint replacement programs.

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Throughout your knee replacement recovery, you’ll likely be monitoring, obsessing over, and measuring one thing: range of motion. Chances are your doctor and physical therapist will give you range of motion milestones to hit and chances are it won’t be easy to get there. Gaining back knee flexion (bending), extension (straightening), adduction (movement towards middle of the body), abduction (movement away from middle of the body), rotations (inward and outward) must be worked towards. It not something that happens overnight. When thinking about range of motion (ROM), that irritating saying, “no pain, no gain” comes to mind. To hit your range of motion goals after knee replacement surgery, you’re going to have to work through some pain and dedicate yourself to improvement.

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Whether you see your surgery scar a badge of honour, a marker of your new life, or something to be self-conscious about, this new addition may take some getting used to. For some, the adjustment to a “scarred life” is easy while others mourn the loss of their unmarked body. We hope that all joint replacement recipients can come to appreciate their scars and all that they represent. Read on as we discuss scar size, breakdown the different scars for hip and knee replacements, look at the scar healing process, and share tips on healing faster.

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Needing a hip or knee replacement may be scary but having one done can offer a much fuller life. However, if a joint replacement could be avoided all together, it's safe to say that most people wouldn’t be lining up for one. The real question is: Can one really avoid an impending joint replacement? Can you stop a hip or knee replacement that's barreling down the tracks from arriving at the station? We did some research and spoke to our medical advisors for answers. The conclusion: postponing the need for a joint replacement is possible. However, in terms of a magic cure that can undo the osteoarthritis or bone degradation plaguing your joints—there simply isn't one (sorry).

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Told to lose weight before surgery? Here's why you should and here's what you can do today to shed the extra pounds that are putting you at risk.

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Finding the best hospital in the Los Angeles area for your hip replacement or knee replacement surgery isn’t easy. There are a lot of great hospitals in the LA area and a lot of well, not-so-great hospitals. Whether you're located in The Valley, Hollywood, Downtown, the Westside or in the Beach Cities, having peace of mind in choosing the best hospital can bring you greater confidence in the procedure ahead, and ultimately, can affect how seamless your recovery goes. We believe that working with the best surgeon and finding the best hospital for your joint replacement surgery, is a key part of the preparation and PreHab process.

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The joint replacment bundle (also known as CCJR or CJR) affects 800+ hopsitals this year, and counting. What does this mean for these CJR mandated hospitals? Get back to basics with this introductory post on the fundamentals of bundled payments.  

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