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1. Examine how to transition to outpatient total joint replacements and the economics, protocols, and payment challenges you face.
2. Classify the impact of technology in total LE joint arthroplasties on how you treat your patient.
3. Design a plan of care in the face of comorbidity dangers to avoid readmission or lapse in recovery time.
4. Analyze the restrictions for return to sports in hip and knee arthroplasty.
5. Classify how reimbursement works for total joint arthroplasty under bundled payment initiatives.
6. Utilize ways to avoid hip instability and limb length discrepancy after total hip arthroplasty.
7. Apply new strategies for managing problematic stiff knee replacement. 

NAVIGATING LOWER EXTREMITY ARTHOPLASTY AND COMPLEX CARE
KNEE ARTHROPLASTY: WHY NOT ALL TOTAL KNEES ARE SURGICLALY BALANCED

• Manage extensor mechanism complication
• Manage the stiff knee
• Etiology of post-op extension and flexion deficits
• Unicompartmental knee arthroplasty (UKA) outcomes
• Long fixation components for valgus stress knee replacements
• Muscle activation patterns during walking and associations with TKA tibial implant migration
• CPM (Continuous Passive Motion) and implications under bundled payments
• Use of cryoneurolysis in multimodal pain management protocol
• Psychological comorbidity factors associated with non-compliance
• Restriction for return to sport

HIP ARTHROPLASTY: HOW TO AOVID DEFICITS AFTER THA

• Direct anterior approach’s effect on readmissions rates
• Reversible thalamic atrophy
• Avoid hip instability and limb length discrepancy
• Gait asymmetry
• Spinal instrumentation and impact on hip dislocation
  • THA patients with fixed spinopelvic alignment from standing to sitting at higher risk
  • Lumbar fusion involving the sacrum increases dislocation risk 8-fold
• Effects of piriformis tendon repair failure
• Electormyographic analysis implications
  • Effects on gluteus medius and gluteus maximus
• Restriction for return to sport

EVERYTHING YOU NEED TO KNOW ABOUT BUNDLE PAYMENTS

• Breaking down Bundled Payments for Care Improvement initiative (BPCI) and Comprehensive Care for Joint Replacement (CCJR)
• Breaking down Medicare’s role in value-based reimbursement
  • Is your area of the country in the selected Metropolitan Statistical Areas outlined by Medicare?
  • How your regional location affects the cost variation in Medicare spending for total joint replacements?
• Impact on post-acute care practice settings

POTENTIAL PAYOFF FROM BUNDLING

• How to case cost analysis in bundled payments
  • What’s the relationship of implant cost to total surgical case cost?
• Latest on performance benchmarking
• Why hospital quality scores matter
• How to create orthopedic physician report cards
• What is allowed by Medicare in gain-sharing with hospitals
• Minimize narcotic use with patients
• The latest news in how CMS will pay for post-acute rehab services
• The role of tele-rehab in total joint cases

KEYS TO IMPROVE PATIENT OUTCOMES

• Tools used in risk stratifying patients prior to surgery
• Quality tools and templates
• What outcome reporting does Medicare require
• The American Joint Replacement Registry data to improve outcomes
• How to influence hospitals into collaborating and gain-sharing
• Medicare waivers under the bundled payment programs
• Beneficiary rights

Mark Huslig, PT, MHA, is the administrative director for Mercy Central Region of Therapy Services. Mercy Health system ranks among the top five in Truven Health Analytics and is a medical destination site for total joint arthroplasty. Mr. Huslig has more than 30 years of experience in the management of occupational, physical, and speech therapy, and is a certified ASTYM provider. He is an expert in Medicare and Medicaid regulations, specifically on issues related to payment reform initiatives. Mr. Huslig has successfully integrated at-risk payment methodologies contracting into rehabilitative services. He is a member of the American Physical Therapy Association and section member for Health and Policy, Orthopedics and Private Practice, along with serving as adjunct faculty for Missouri State University’s Occupational Therapy Program.

Speaker Disclosures:

Financial: Mark Huslig is an adjunct faculty member at the Missouri State University. He has an employment relationship with Mercy Hospital. Mr. Huslig receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Mark Huslig has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 9/20/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.1 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.4 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.0 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Rehab Managers
• Case Managers
• Nursing Home Administrators
• Skilled Nursing Facility Administrators
• Home Health Agency Administrators and Managers
• Rehab Nurses