Tackling Racial Disparity in Orthopaedic Joint Replacement Surgeries
No Bones About It: A NAON Podcast Series
Release Date: 10/07/2022
Changing The Game in Orthopedic Education with OrthoPedia
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC is joined by Jimmy Dascani and Dan Veronie from Arthrex, a medical device company and leader in new product development and medical education in orthopedics. Jimmy is a licensed RN and the Healthcare Administrator Relations Director for Arthrex. Dan is a PA and serves as the Senior Clinical Specialist with Arthrex. They talk about Arthex’s new product, OrthoPedia, a free web-based platform designed for clinicians, academics and patients for all things orthopedic surgery education. Jimmy and Dan share their insights on the development of OrthoPedia, and...
info_outline
Bringing Purpose Back to Orthopaedic Nursing with NAON and AAOE
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC sat down with Olivia J Wolf and Kim Wilder to discuss the current challenges, transitions and opportunities they see in orthopaedic nursing and orthopaedic nurse leadership. Olivia J Wolf, MBA, CPC is a healthcare executive, public speaker and physician advocate who sits on the board of directors for the American Association of Orthopaedic Nurses (AAOE) and is the host of The Stuck(ish) Podcast. Kim Wilder, MSN, RN, ONC, is an administrator for the Baptist Health Surgery Center in Lexington, KY. She has an extensive background in all aspects of...
info_outline
NAON Podcast: Congress Edition
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC, sat down onsite at NAON’s 44th Annual Congress in Louisville, Kentucky, with two first-time Congress attendees to discuss their journey in the field of orthopaedic nursing. Kellyann Kosma, DNP, APRN, NP-C, is the advanced practice program manager at Hartford Healthcare Bone & Joint Institute, and she discusses her experience as a podium and poster presenter at Congress. Amanda Hill, BSN, ONC, RN, the total joint registered nurse coordinator at Windy Hill Total Joint Center, talks about the impact that joining NAON has had on her career, enabling...
info_outline
Musculoskeletal Health and Operation Change
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC sat down with Dr. Mary O’Connor to discuss the impact that social determinants and individual behavior choices can have on musculoskeletal disparities in our nation. Mary is an orthopaedic surgeon with over 23 years of experience at Mayo Clinic and Yale University School of Medicine and is Co-founder and Chief Medical Officer of Vori Health. As the chair of the board of Directors for Movement is Life, a multidisciplinary coalition with a mission to decrease musculoskeletal health disparities among women and underserved individuals, she shares about the...
info_outline
Let’s Optimize This Joint
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC sat down with Christen Nelson RN, BN, ONC to discuss the value of patient optimization prior to orthopaedic surgeries. Christen has been an orthopaedic nurse for 15 years and is currently the lead orthopaedic nurse navigator at Yale Newhaven Hospital. She explains the importance of patient optimization to identify modifiable risk factures for complications post-surgery. Christen shares more information and how she has received positive feedback from patients on the optimization and nurse navigation processes.
info_outline
Bone Health and Osteoporosis
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC sat down with Claire Gill to discuss bone health, osteoporosis, and menopause. Claire Gill is the CEO of the Bone Health and Osteoporosis Foundation, founder of the National Menopause Foundation and hosts the Bone Talk podcast. She shared that 18-20% percent of the population have osteoporosis, and that for those over the age of 50 - about half of all women and a quarter of all men will break a bone due to osteoporosis in their lifetime. Barriers to bone health care include a lack of access to bone density machines (DEXA) and the cost since many insurance...
info_outline
Technological Innovations in Orthopaedic Surgery
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC, sat down with Dr. Karl Siebuhr to discuss technological innovations in orthopaedic surgery. Dr. Siebuhr is a board-certified orthopaedic surgeon who founded Reconstructive Orthopaedics of Central Florida and uses new technologies in his practice due to their positive impacts on patient outcomes. Dr. Siebuhr provided background of how robotic assisted surgery uses automation and artificial intelligence, but it is still driven by the surgeon. He shared his predictions for the future, including that robotically assisted surgeries will continue to develop...
info_outline
Opioid Stewardship & Orthopaedic Surgery
No Bones About It: A NAON Podcast Series
Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC, sat down with Diane Jeselskis, BSN, RN, ONC and Lisa Holtz, RN, MSN, ONC, to discuss their organization’s practice at combating the opioid epidemic. Traditionally, the healthcare system prescribes opioids to patients with a no pain goal, but the practice has led to a high distribution of opioid use has led to a high distribution of opioid prescriptions and poor patient outcomes. According to the CDC, 75% of drug overdoses in 2020 involved opioids. Diane and Lisa discuss other modalities such as nerve blocks, regional and peripheral anesthesia as well...
info_outline
43rd Annual Congress Takeaways
No Bones About It: A NAON Podcast Series
The new host of No Bones About it, Matt Lowe, MDiv, MSN, APRN, FNP-C, ONC, sat down with Jessica Carlson, MSN, RN and Michelle Osborne, DNP, RN, NE-BC at NAON's 43rd Annual Congress to discuss their backgrounds, podium, and poster presentations. Jessica Carlson, MSN, RN presented the podium session “Journeys to Bone and Joint Wellness with Personalized Education and Treatment Pathways” along with her colleagues at the University of Pittsburgh Medical Center. Jessica works with the Center for Bone and Joint Health at UPMC Magee-Womens Hospital to focus on nonoperative whole...
info_outline
NPs Looking at the Whole Patient: A NAON & AAOHN NP Discussion
No Bones About It: A NAON Podcast Series
We are so excited to sit down with another organization, the American Association of Occupational Health Nurses (AAOHN) for a discussion with two great Nurse Practitioner educators. Our hosts Jennylynn Balmer and Bryan Combs sit down with Kathleen Geier, and A.J. Benham a great team from Jackson Orthopaedic Foundation. The focus for these educators is on advanced practice nursing in primary care settings, and the nursing process in caring for patients. We learn so much about each other, education of NPs as both organizations see a growth of NPs in practice, and the organizations themselves....
info_outlineOur guest, Dr. Mo Halawi, is an Orthopaedic Surgeon at Baylor College of Medicine, an Associate Professor of Orthopaedic Surgery, and Chief Quality Officer for Musculoskeletal Services at Baylor’s St. Luke’s Medical Center.
Current surgical databases control for differences in demographic, comorbidity and perioperative factors, but lack data on social determinants of health. Surgical databases play an important role in the patient outcomes following a surgery but many factors nationwide are not captured. Dr. Halawi and colleagues led a series of six studies presenting a comprehensive overview of racial and ethnic health disparities for those receiving joint replacement surgeries. The Baylor team’s findings showed lower outcomes continue to occur among minorities. Recent data points to the need for greater understanding of the social factors that may impact patient outcomes. Those factors include language, education level, income, transportation or care access, living environment and caregiver support, as well as an assessment of the outcomes from surgery from the patient’s perspective and require interventions to be addressed differently.
While disparities occur, there’s hope for the future as Baylor found the two minority groups experiencing the most disparities, Blacks and Hispanics, when analyzed over time and with interventions showed positive trends in terms of procedure utilization, health profiles and outcomes.