Quality Ratings Among the Highest in the Nation
The Evarts Joint Center was awarded the Gold Seal of Approval from the Joint Commission, the nation's leading organization for setting health care standards. The Gold Seal means that our program adheres to the most rigorous standards for quality in hip and knee replacement.
What does it take to earn the Gold Seal? A Joint Commission investigator examined every aspect of our patient experience including surgery, nursing, pharmacy, transport and radiology. The investigator also examined all of the protocols we use to provide consistent high-quality care. Several patients were followed throughout their stay to observe the quality of their care. Staff members were examined for adherence to the joint center's protocols.
Highland Hospital is recognized by Aetna Institutes of Quality® for providing exceptional quality and value to Aetna members for total joint replacement surgery. Highland earned this designation after a thorough review of orthopaedic surgical volume, quality and clinical outcomes and reporting, the results of patient satisfaction surveys, and a consideration of the wide range of orthopaedic services available.
Rigorous Standards Lead To Better Outcomes
Training and Experience
The Evarts Joint Center has a multidisciplinary team of medical professionals that are specially trained and dedicated to caring for joint replacement patients.
Expertise in Procedures
All joint replacement procedures are technically demanding, but minimally invasive techniques require special dexterity and skill. All of our surgeons are board-certified, have received extensive training, and are among a select group in New York State who routinely perform all types of joint procedures.
Precise Alignment and Positioning
Computers help surgeons take precise measurements to match the surface of implants to the interior surfaces of the body. They also enable less invasive procedures by enhancing visualization. A better fit may extend the life of a joint replacement by reducing uneven wear and increase range of motion. The Evarts Joint Center is one of the first joint centers in the country to use computer assisted joint surgery.
To reduce the risk of infection, patients are given antibiotics prior to and after surgery. The surgical suites at the Evarts Joint Center are outfitted with ultra-clean air systems including helmet exhaust systems for operating room personnel. We employ meticulous operating room discipline for skin preparation, draping, and instrument preparation.
Key Quality Measures
Number of Joint Replacements Procedures Performed
Studies have shown that there is a relationship between the number of joint replacement procedures performed at a hospital and quality outcomes. Since 2004, our surgeons have performed thousands of joint replacement procedures.
The standard incision size for conventional hip surgery has been from 8 to 12 inches. The size of the incision will be determined by the surgeon and the patient’s specific circumstances. Surgeons at the Evarts Joint Center are often able to perform surgery using an incision of 6 inches or less.
Length of Stay
In 2010, the average length of stay for elective hip replacement at Highland Hospital was 3.43 days. For knee replacement, our average length of stay was 3.22 days. Our numbers are lower than the average length of stay of similar hospitals reported by the University Health System Consortium.
Prevention of Blood Clots
Because of the body's normal response to surgery and the reduction in activity that usually follows surgery, blood clots, or thrombus, can be a common complication. At Highland Hospital, treatments, such as blood thinning medications, early mobilization, physical therapy, range-of-motion exercises, elastic stockings, and intermittent pneumatic compression devices are available to patients to help prevent blood clots.
State-Of-The-Art Facility and Comprehensive Services
Dedicated operating room for orthopaedic surgery
Three surgical suites dedicated to joint replacement
Clinical pathways of care/guidelines for total hip replacement
Physical therapy available more than once a day
Pre-hospital assessment and patient education programs
Discharge planning and coordination with home health programs