Innovations in Orthopaedics - What every Case Manager Should Know - Webinar
Please join CMSNE for this exciting webinar to be held on Thursday, June 17th, Noon - 5:30 PM. Cost for CMSA/CMSNE members/NH Adjusters $40, non-CMSNE members $60 for registration. This webinar offers 4.75 RN, CCM and NH Insurance Adjustors credits (1.5 of CCM credits are ethics eligible*)
Orthopaedics is defined as the branch of medicine dealing with the correction of deformities of bones or muscles. This vast collection of bones and muscles bring about a diverse set of treatment options and technological advancements to address these issues. The opening of this conference will take look at new and innovated treatments for the ankle, spine, hip and knee, Exploring the use of outpatient surgical centers, 3D printed implants, radiofrequency, stimulators and the use of CBD as options for consideration. Understanding the indicators and outcomes of these treatments will guide the attendee to advocate for appropriate treatment for their client. The closing session will discuss and provide tools for managing today’s complex care considerations utilizing the Five C’s – recognizing the five common threads of client individuality: capacity, competence, coping, and choice all leveraged by use of quality communication in an effort to advocate ethically for the clients attendees serve.
12:00 - 12:15 PM Welcome - Dr. Robert Heaps, NHOC
12:15 - 1:05 PM Evolution of Outpatient Joint Replacement in the U.S. - Dr. Eric Benson, NHOC
Session Summary: This session will explore the epidemiology and history of joint replacements in the United States over the past 6 decades. Discussion will include new, innovative and less invasive outpatient joint replacement options that occur in a surgical center rather than hospital and allow the patient to go home the same day. Benefits associated with outpatient replacement discussed will include reduced pain, lower infection risk, better recovery outcomes at home and less healthcare cost.
-Discuss the epidemiology of joint replacement
-Cite the history of joint replacement in the U.S.
-Explain the evolution and benefits of outpatient joint replacement
-Discuss potential future considerations in outpatient joint replacement treatment options.
1:05-1:10 PM Break - Sponsor
1:10-2:00 PM Technological Advances in the treatment of Ankle injuries - Dr. Bryan Bean, NHOC
Session Summary: The ankle bones allow humans to walk, run, jump and perform a variety of other actions. When the ankle is injured, unstable or in a bad position, surgery is needed to repair the injury. No matter the type of ankle surgery, the main goal is to rebuild and support the ankle so that it can return to a normal shape and function. This session will provide a cursory review of the anatomy and function of the ankle and explore through patient case studies new and innovative technological advances for the treatment of complex injuries.
- Describe the anatomy and function of ankle bones.
- Describe treatment of some of the most common ankle injuries
- Discuss appropriate candidates and outcomes for talus replacement with 3D printed implant.
- Discuss appropriate candidates and outcomes for Peroneal tendon injury
2:00-2:05 PM Break - Sponsor
2:05-2:55 PM Cannabidiol (CBD) – What Case Managers Need to Know - Natalie Cote, Pharmacist, Performix Pharmacy
Session Summary: Hemp derived cannabidiol (CBD) is readily available over-the-counter. The growth of CBD in the supplement market has exploded in recent years with various proclaimed benefits. Despite commonly being marketed for pain, anxiety and other conditions, evidence of its effectiveness is not completely clear. Understanding various formulations being marketed and other key issues will help case managers advocate for their patients’ needs.
-Compare and contrast the different formulations for cannabidiol.
-Identify key concerns associated CBD supplements.
-Evaluate common scenarios where patients may express interest in CBD as part of their treatment plan.
-Explain how to anticipate and address common barriers to treatment in order to advocate on behalf of clients.
2:55-3:00 PM Break - Sponsor
3:00-3:50 PM Treatment Options and Interventions for Spine Injuries - Dr. Christian Klare NHOC
Session Summary: Back pain is one of the most common health issues Americans face, with over 30 million people, of all ages, suffering annually. Back pain is also the leading cause of disability globally, it’s the number one reason why people miss work, and it can happen to anyone. This session will review of basic anatomy and function of the spine. Discussion will include treatment options that can lead to decrease pain and ultimately increase the patient’s quality of life.
- Discuss the basic anatomy and function of the spine.
- Cite indicators and outcomes for the use of ESI.
- Cite indicators and outcomes for the use of RFA.
- Cite indicators and outcomes for the use of Spinal Cord Stimulators.
3:50 – 3:55 PM Break - Sponsor
3:55-5:25 PM The Five C’s of Care Considerations: Engaging Case Management Ethical Excellence*- Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CCTP, CMHIMP, CRP, EFS Supervision Strategies, LLC
Session Summary: The latest generation of industry disruptors confront case managers with ethical dilemmas at every turn. Each practice setting, client condition, and circumstance has unique issues mandating attention. Specialty populations and addressing end-of-life care can make for complex
dynamics when case managing patients and their families. Yet, amid the individuality of each client situation lies consistency of five common threads: capacity, competence, coping, and choice all leveraged by use of quality communication. This presentation, will be guide you through the Five C’s, and provide the tools to manage today’s complex care considerations. Engage in a session to foster case management excellence, through providing quality, safe, and ethically sound care coordination.
-Distinguish and define the five common threads of client care considerations
-Identify population-based considerations that challenge case management ethical excellence
-Understand industry guidelines for discharge planning
-Explain why end-of-life care can pose ethical pitfalls for case managers
-Present the challenges of working with traumatic brain injury populations
-Identify the healthcare challenges experienced by the LGBTQ population
-Discuss the importance of capturing meaningful outcome measures
-Apply the CCMC Code of Professional Conduct, Principles 1-5, Underlying Values, Section 1 - The Client Advocate, Section 3-Case Manager/Client Relationships (S10)
* This session offers 1.5 CCM ethics credits.
5:25 PM Closing remarks
Special thanks and appreciation to conference sponsors, their support has allowed CMSNE the opportunity to bring a quality educational program to our membership. Acceptance of support from these sponsors in no way implies endorsement of their products and/or services by CMSNE or the program’s accreditation agencies.
Bryan A. Bean, MD is a fellowship-trained foot and ankle specialist. He particularly enjoys treating traumatic injuries, sports injuries, tendon disorders, complex deformity, revision procedures, and arthritis of the foot & ankle (including ankle replacements), but he enjoys treatment of all foot and ankle conditions, including bunions, hammertoes, and the manifestations of diabetes.
He realized he wanted to become an orthopaedic surgeon during his 3rd year of medical school. He entered medical school with an early interest in oncology but after starting surgical rotations, he gravitated toward orthopaedics. Observing orthopaedic patients progress rapidly through all phases from diagnosis to treatment to recovery and the corresponding patient-physician relationship was extremely satisfying.
“I realized orthopaedic surgeons could make an immediate and lasting impact on a patient’s function, pain and quality of life.”
Dr. Bean feels that greatest moments professionally come from interactions with his patients. He once treated a patient seeking a fifth opinion that had been written off by many of her previous providers. He was able to uncover a part of her story that others had not seen or spent the time to understand, and this ultimately led to her diagnosis and successful treatment.
“The patient was grateful I had taken the time to listen to all the details of her story and remain open to ideas that others had not considered.”
His road to a career in medicine was not traditional.
“Prior to medical school I had a career as a chemical engineer at a biotechnology company, Genentech, that made many life-saving and life-altering medicines. My desire to be closer to the patient-side of medicine led me to medical school.”
Eric R. Benson, MD is a fellowship-trained orthopaedic surgeon. He subspecializes as a total joint surgeon for knee and hip. His clinical interests are surgical treatment of Hip and Knee Arthritis, Joint Replacement, Sports Medicine, and Knee Arthroscopy.
Dr. Benson first became interested in orthopedics as a young athlete. “When I was 12 years old, I was a baseball pitcher. I was probably throwing too much and I went to see an orthopedic surgeon. That was my first experience with orthopedics. When I got to college I made the decision to pursue it.”
When it came time to deciding on a subspecialty, Dr. Benson chose adult reconstruction – hip and knee replacements – rather than sports medicine.
“What drew me to adult reconstruction was that the older patients, typically over 50, seemed to have more perspective on life. And to me they were the most fun patients to take care of. The procedures are very rewarding with a high likelihood of success.”
Dr. Benson is most proud of the fact that he has been in practice in the same community as a total joint surgeon for over 20 years and has done over 12,000 total hip and knee replacements since 1999.
“I’m now seeing the children of the people I treated 20 years ago and did hip and knee replacement on. They’re coming in for surgery themselves. It is really rewarding to get to know families through multiple generations.”
Natalie Cote, PharmD, has over 12 years of experience with pharmaceutical compounding. Her training started with hands on experience in a compounding pharmacy and continued through several experiential rotations and advanced training through Professional Compounding Centers of America and a specialized certification as a Pain Management Specialist. Natalie serves as a preceptor to students at local colleges of pharmacy. She specializes in pharmacy operations and development of compounded medication therapies.
At PerforMIX, Natalie continues to deliver optimal compounded medication therapies by pairing thoughtful collaboration with patients and providers with the highest quality compounding standards.
Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, DBH(s) is an award-winning industry thought leader who empowers healthcare's transdisciplinary workforce. Known and highly respected as 'The Ethical Compass of Professional Case Management', she is a sought out professional speaker and author with hundreds of offerings and publications to her credit. Ellen's work has achieved global acclaim. She is a national expert on the Social Determinants of Health and Mental Health, Workplace Bullying and Violence, Professional Ethics, Professional Case Management Practice, and Wholistic Case Management™. Ellen is a Licensed Clinical Social Worker, Board-certified Case Manager, Certified Clinical Trauma Professional, Certified Mental Health Integrative Medicine Provider, and Certified Rehabilitation Provider. Her academic affiliations include roles as subject matter expert for Western Governors University, and adjunct faculty for the University of Buffalo’s School of SW, and George Mason University’s Department of SW.
Christian M. Klare, MD is an orthopedic spine specialist who performs cervical, lumbar & thoracic spine surgery.
Dr. Klare first realized he wanted to be an orthopedic surgeon while he was in college.
“I spent the summer volunteering at an orthopedic surgeons office working as a scribe. I remember one patient who had such bad arthritis that their main complaint was they couldn’t keep up with or play with their grandkids. After a joint replacement, the patient came into a follow-up and showed us videos of them running around playing with the grandkids in the park.”
His favorite injuries to treat are lumbar and cervical disc herniations.
“When you see these patients in clinic, typically they have excruciating pain. They’re very uncomfortable and if they don’t respond to non-operative measures, surgery reliably takes their pain away. It’s always amazing to see them in the recovery room, finally pain-free”
One of Dr. Klare’s top priorities as a spine specialist is making sure his patients are comfortable with their treatment.
“I really like sitting down and talking with patients through all of their options. Its important to me that at the end of the visit the patient feels comfortable with the treatment plan that we decided on together.”