Moderator: Gregory L. Whitcomb, DC
Despite advancements in diagnostic and surgical technologies, axial conditions persist as an escalating, costly and not infrequently a vexing clinical problem with major ramifications for personal quality-of-life, societal productivity and health insurance and disability systems.
These factors have caused health-system emphasis on improved outcomes and reduced costs. Strategies such as ACO driven clinical pathways, pay for performance (P4P) and bundled or episode-based reimbursement are forging new, or newly thought, relationships in spine care.
Historically, patient care roles served to separate providers with arguably negative consequences. Administrative and market pressures now make it clear that multi-disciplinary care integration will redefine the perioperative experience. This symposium is intended to provide an evidence-informed view of optimal perioperative patient care.
Upon completion of this session, participants should gain strategies to:
- Critically evaluate extant perioperative spine care programs in the context of best-available evidence;
- Effectively discriminate high-quality preoperative care and identify what constitutes truly “failed” nonsurgical care;
- Address the augmentative utility of presurgical rehabilitation;
- Incorporate preoperative psychological screening and/or evidence-informed patient education regarding the pre- and postoperative surgical experience;
- Optimize immediate and transitional postoperative care with an emphasis on early patient reactivation.
Agenda
- Perioperative Team Care: Why the Surgeon Needs to Know
Jeffrey Wang, MD
- Establishing a Perioperative Team: Defining Players and Roles
Michael L. Reed, DPT, OCS
- What Does Evidence-Based Rehabilitation Look Like and When Has It Failed?
Julie Fritz, PT, PhD
- Identifying the Role of Rehabilitation for Spinal Surgery Candidates
Evan Johnson, DPT
- Is It the Back, the Head or Both: The Utility of Presurgical Psychological Screening Perioperative Counseling
Sherri Weiser, PhD
- Seamless Postoperative Care: Guiding the Transition From Early Pain Management to Active Care
Matthew Smuck, MD
- Putting It All Together: A Surgeon’s Perspective on the Practical Benefits of Team-Based Perioperative Care
Edward Dohring, MD
- Moderated Open Panel and Participant Discussion: The Future of Perioperative Care: Where Are We Headed and Who Should Be Involved?
Faculty Panel