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These injuries affect millions of Americans every year


Dr. Shah   There are many benefits to participating in sports at any age, but being in the game is not without risks. With many Americans participating in sports from their toddler years through adulthood, it’s not uncommon for people to experience one or more sports-related injuries. What are some of the most common sports injuries, and how can you avoid them?

Head

According to the Brain Research Institute and the Centers for Disease Control and Prevention, anywhere from 1.6 million to 3.8 million sports and recreation-related concussions occur in the U.S. each year. A concussion, also known as a mild traumatic brain injury, occurs when someone receives a bump, blow or jolt to the head or body that causes the brain to move rapidly inside the skull. “Concussions are much more common than we realize, with teenagers and adolescents being particularly vulnerable,” says Dr. Ritesh Shah, an orthopedic surgeon at Advocate Lutheran General Hospital in Park Ridge, Ill. “When the head is hit, bumped or moves with a sudden acceleration/deceleration movement, the rapid movement can cause damage to the brain tissue. The damage can be mechanical, chemical or metabolic and can make brain cells temporarily unable to function.” Signs of concussion include headache, nausea, fatigue, confusion, changes in mood, sleep disturbances or memory difficulties. Symptoms can appear anytime from immediately following impact to a few weeks after the concussion occurred. If a concussion is suspected, Dr. Shah recommends removing an athlete from play immediately as well as resting both cognitively and physically. Athletes should also seek comprehensive physical and cognitive testing from a trained medical professional sooner rather than later.

Shoulders

Shoulder and elbow injuries are common among athletes, especially among baseball players. Dr. Shah says athletes can experience overuse elbow and shoulder injuries, torn rotator cuffs and shoulder labrum tears. Repeatedly throwing a ball puts baseball pitchers at a greater risk of developing an overuse injury in the elbow. Tommy John surgery repairs the ulnar collateral ligament in the elbow, one of the most common ligaments to be injured due to repetitive use. During this surgery, the ligament in the elbow, the UCL, is replaced with a tendon taken from another place in the patient’s body. Surgery is usually the last option for treating an overuse injury in an elbow. Many athletes try rest, ice and physical therapy before surgery is required. Symptoms of an injured UCL include pain in the elbow, a tingling or numbness in the small and ring fingers and more difficulty throwing a baseball or anything else than before. Several factors can contribute to overuse injuries, but the biggest one is just as the name suggests – overuse. To avoid an overuse injury, a person should pay attention to signs indicate fatigue, take a break when needed and work with his or her coach to develop a plan that allows the athlete to get the most out of practice without overdoing it.

Hips

Dr. Shah has seen an increase in hip injuries in athletes in recent years. Hip labral tears have become more common, particularly in those who participate in hockey, soccer, football, golf or ballet. In a hip labral tear, the cartilage that lines the rim of the socket of the hip joint tears. Like many acute injuries, athletes know when it happens because they’ll feel a pain in their groin or hip, possibly a locking or clicking sensation and experience stiffness with time. “Hip labrum tears usually occur in the setting of hip impingement or a hip developmental abnormality that causes pinching and high level or high impact activity,” says Dr. Shah, who treats patients from all over the region and nearby states for hip impingement. “Hip arthroscopy repairs both labrum tears and impingement and may prevent hip arthritis in the future.” To prevent a labral tear, increase strength of the surrounding muscles and avoid overuse.

Knees

Dr. Shah sees his fair share of athletes with injured knees. Meniscus tears, MCL sprains, patellar tendinitis and cartilage injuries are all common, he says. One of the most common knee injuries he sees is an anterior cruciate ligament tear, otherwise known as an ACL tear. This injury is quite common in sports today, with the number of children sidelined by this injury growing 2.3 percent annually. Females account for just over half the injuries recorded in a study published in Pediatrics  February 2017. The ACL is one of the knee’s stabilizing ligaments. Athletes will nearly always know when the tear occurs; they’ll hear a “pop” and then feel a sharp and intense pain in their knee immediately. Several hours after the tear, the knee will swell, with swelling lasting for several days. Depending on the severity, ACL tears are treated with or without surgery. Colliding with another player or a ball can cause an ACL tear, but non-contact movements can also cause the rupture. Running and stopping suddenly, causing the knee to twist can cause a tear; so can landing a jump wrong in the case of dancers or figure skaters. “Not using the appropriate biomechanics when jumping, landing or pivoting can lead to a higher chance of experiencing an ACL tear,” says Dr. Shah. In addition to using proper mechanics and technique, Dr. Shah says other ways to prevent a tear include stretching to increase flexibility, performing exercise to strengthen the muscles around the knee and avoiding overuse.

Ankles

Ankle sprains are very common. They account for 15 percent of all athletic injuries, and it’s estimated that 23,000 ankle sprains are suffered in the U.S. every day. Playing any sport can increase the risk of spraining an ankle, but really any activity, even walking through a street festival, can pose a risk. Rolling, twisting or awkwardly turning your ankle can all cause a sprain. Symptoms of a sprain include pain, redness and warmth at the site of injury and swelling. Dr. Shah recommends the tried and true P.R.I.C.E. method to heal a sprained ankle:
  • P – Protection. Right after the injury, avoid weight-bearing activities. If you need to move around, use a brace or walk with crutches or hiking poles to reduce the amount of weight you’re placing on the ankle.
  • R – Rest. After a sprain, rest the ankle. Avoid playing sports or engaging in activities that will cause pain or stress the ankle further. However, a little movement is okay and possibly even helpful in recovery. Engage in gentle exercises that keep you moving but don’t worsen the sprain.
  • I – Ice. While resting, be sure to apply ice to the injured ankle. Dr. Shah suggests icing 15-20 minutes every hour for the first week. Make sure there is not prolonged direct contact of ice to skin to avoid skin burns.
  • C – Compress. Compress the ankle by wrapping with a bandage or ankle brace to stabilize the ankle, but don’t wrap too tight. Dr. Shah suggests compressing the ankle for three to six weeks and seeing a trained medical professional sooner to confirm the severity of the sprain and absence of a fracture.
  • E – Elevate. For the first two days after the injury, elevate the ankle higher than your heart whenever you are laying down to control pain and reduce swelling.
Take our Joint Pain Assessment to evaluate your knees and hips, gauge the severity of your issues and figure out what you could do moving forward.    Read the original article here.

Special Lunch & Learn Workshop: October 19, 2018


Current Trends for Success in Bundles and Strategies for Financial Changes: Orthopedics and Beyond

Friday, October 19th 12:20 PM - 2:05 PM Montreux 1, Swissotel, Chicago   The value-based landscape is rapidly changing. Implementing a bundle requires an investment in time, alignment and resources of all providers who care for bundled patients. This includes physicians, nurses, social workers, and administrators. The discipline necessary to be successful at bundled payments enhances the financial viability of hospitals, ASCs, and clinicians by benefitting the entire TJA product line, and most importantly, these strategies result in improved outcomes and better care for our patients, which is the ultimate goal of all providers.  

SPEAKERS:

Ritesh R. Shah, MD

Hip Arthroscopy, Hip and Knee Replacement, Outpatient Hip and Knee Replacement, Illinois Bone and Joint Institute, LLC   James Slover, MD, MS Associate Professor, Adult Reconstructive Division, Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital   Lorraine H. Hutzler, MPA Associate Program Director, The Center for Quality and Patient Safety, NYU Langone Orthopedic Hospital

Hip Pain Is Becoming An Epidemic Among Young, Fit Women


Shakira is right—these puppies don’t lie.

Beautiful thighs
Getty ImagesSrdjanPav
Nicole Jefferson was in her late twenties but felt as if she had the hips of a senior citizen. It seemed as if something in her hip was constantly catching and snapping. Pain pinballed from her lower back to her groin to her hip. Short jogs—something that should have been a breeze for the former high school and collegiate runner—were excruciating. “I just wanted to sit through a movie or a long car ride without aching,” she says.
Hip replacements have increased 40 percent among 45- to 54-year-olds.
Given her athletic history, doctors suspected a sports hernia, an injury to the soft tissue in her groin. But surgery to address that problem only made her agony worse. Finally, five years ago, when she was 35, an MRI identified tears in her labrums, the gasket-like rings of cartilage around the hip sockets that cushion and stabilize the joint. Prior MRIs (using older machines) had failed to pick up the problem. Her doctor said there was so much inflammation in and around her hips, it was as if they were “on fire.” She had surgery to fix her labrums and joint, followed by physical therapy. Still, she has some pain while running. Jefferson’s experience isn’t a one-off. In recent years there has been a dramatic rise in the number of young women developing hip pain tied to current or past activity. Rates of hip arthroscopy, the surgery Jefferson had, have skyrocketed, particularly among younger people, while hip replacements have increased 40 percent among 45- to 54-year-olds.

What’s up with the soaring surgery rates?

In part, docs have gotten better at ID’ing hip problems that were previously diagnosed and treated as back injuries or groin strains. High on the list of overlooked conditions: labral tears and hip dysplasia, a genetic condition in which the hip socket is too shallow to fully cover the ball portion of the femur. (It’s the leading cause of hip arthritis in women under 50.) But the rise is also the result of more women spending the past few decades participating in sports that, sadly, put their hips in harm’s way. Both recreational and competitive running became popular in the 1980s, following the debut of the women’s marathon in the 1984 Olympics. A decade earlier, Title IX’s passing created a more even athletic playing field. That led to a spike in female participation in cross country, soccer, and track—high-impact sports that involve a lot of hinging. Make no mistake, this uptick in female sports involvement is awesome—but it’s also considered a factor in our hip woes. One condition increasingly diagnosed in women who started sports young: femoroacetabular impingement (FAI), a mismatch between the hip’s ball and socket. Teens who play hip-taxing sports often develop extra bone in the socket as growth plates in the joint begin closing. That extra bone can pinch the labrum and, in time, cause tears and eventually arthritis, especially when individuals remain active as adults. The sexes are equally prone to FAI, but women are likelier to suffer its effects over time, partly because our biology creates the perfect recipe for hip pain of all varieties. Women also tend to have wider hips than men and need extra-strong glutes—especially the gluteus medius, the muscle at the top of the butt—for support and stability. Problem is, many of us spend more time sitting on our backside than strengthening it (no judgment!). Further weakening the joint: hormones. Fluctuations during our cycles may loosen tendons and ligaments surrounding the hip, leaving it open to injury. That might also explain why Omer Mei-Dan, M.D., head of the University of Colorado’s Hip Preservation Service, who works mostly with amateur female athletes, says he repairs many women’s labrums that were torn during labor.

How to save your joints.

If basic biology, genetics, or earlier activity has left you with creaky hips, you don’t need to live with the pain or table your gym routine. Low-impact workouts like swimming can strengthen hips while preventing further wear and tear. (Yoga is great for boosting balance, but just beware: Poses such as pigeon can overstretch and weaken muscles around the hips.)
20:1 Number of adult women treated for hip dysplasia compared to men.
Physical therapists can also spot movement and muscle imbalances in the glutes, core, and hip flexors that can lead to labral tears or aggravate FAI and dysplasia, and prescribe moves to fix them. If six months of gentle workouts and PT don’t lead to significant improvement, it’s time to have your hips evaluated by a specialist, since the end stage of hip dysplasia or FAI is osteoarthritis and, in some cases, hip replacement, says K. Linnea Welton, M.D., hip preservation specialist at MultiCare Auburn Medical Center. If you do require a surgical fix, it may be minimally invasive. Fiber-optic cameras are now used to make some repairs that once required major surgery.

If your hips are happy, keep them that way.

Show some love to the muscles that support them. Foam roll glutes, hammies, and quads pre-workout to improve mobility. Then focus on butt builders like froggers (a tweak on the basic glute bridge in which you bring your heels together on the ground), side-lying leg raises, lateral stepups, and lateral mini-band walks. Please find the full article here. This article appeared in the October 2018 issue of Women's Health. For more great tips, pick up a copy on news stands.

The Impact of Technology and Alignment on Improving Value for the Total Joint Replacement Episode of Care


Tuesday, October 2nd, 2018 | 1:00 - 2:00 PM CST The value based care landscape is rapidly changing. Implementing a bundle requires an investment in time, alignment and resources of all providers who care for bundled patients. This includes physicians, nurses, social workers and administrators. The discipline necessary to be successful at bundled payments enhances the financial viability of hospitals, ASCs and clinicians by benefitting the entire TJA product line, and most importantly, these strategies result in improved outcomes and better care for our patients, which is the ultimate goal of all providers. Learning Points: Gain an understanding of bundled payments and their impact on patient care and physician reimbursement Learn the key strategies for successfully implementing bundled payments Understand the importance of risk modification and risk stratification Understand the critical role of modern pain management and goal of opioid minimization Identify changing metrics important to payers Overview of government and private payer changes and its impact in the ASC What to expect going forward, mandated or voluntary Presenters: Richard Iorio, MD, Chief, Adult Reconstruction and Total Joint Arthroplasty Service, Vice Chairman, Clinical Effectiveness, Brigham and Women’s Hospital and Member of the Faculty, Harvard Medical School Ritesh R. Shah, MD, Hip Arthroscopy, Hip and Knee Replacement, Outpatient Hip and Knee Replacement, Illinois Bone and Joint Institute, LLC James Slover, MD, MS, Associate Professor, Adult Reconstructive Division, Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital   Read the full article here.

Innovation Trailblazer Award for Ritesh Shah, M.D.


Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, August 3rd, 2018
Ritesh Shah, M.D.
“Orthopedic surgeon, Ritesh Shah, M.D. has been honored with the IJS Innovation Trailblazer Award of Excellence acknowledging early adoption of intellijoint HIP into his practice at Illinois Bone & Joint Institute and in an ambulatory surgery center (ASC) setting at Illinois Sports Medicine & Orthopedic Surgery Center (ISMOSC) in Morton Grove.” “Intellijoint HIP is a highly accurate 3D mini-optical navigation system used to assist in proper size selection and positioning of artificial implants during a hip replacement. Dr. Shah is the first orthopedic surgeon in Illinois to offer this new technology in an outpatient or ASC setting.” "Many of my patients come to me in pain looking to regain their former mobility, but are worried about the short- and long-term risks associated with total hip replacements," explained Dr. Shah. "By utilizing the quantitative measurements that intellijoint HIP provides intraoperatively, I am able to ensure the implants have been positioned accurately resulting in a significant decrease of associated risks. Patients are back to their active lifestyles in just days, confident in their surgical outcomes." “A total hip replacement is typically an effective surgery that can reduce hip pain and restore mobility. The risks of this procedure can include leg length discrepancy, dislocation, joint instability, reduced muscle strength, reduced hip range of motion, and long-term pain. intellijoint HIP addresses these risks by providing accurate, intraoperative measurements for cup position, leg length, and offset to assist the surgeon in placing implants in a location that best matches the patient's native anatomy.” "Intellijoint Surgical is proud to present the Innovation Trailblazer Award to Dr. Shah today," said Armen Bakirtzian, CEO, intellijoint Surgical. "We want to acknowledge not only his adoption of intellijoint HIP, but his overall commitment to better surgical outcomes through exploring new advances in the field—both in technique and in technology." Dr. Shah told OTW, "I am always looking for ways to improve my patients' surgical outcomes. I'm honored to be recognized as an Innovation Trailblazer through early adoption of intellijoint HIP. This award reinforces my commitment to exploring the latest innovations that my patients can benefit from." "intellijoint HIP allows me to see my cup position, leg length and offset numbers intraoperatively and in real-time," added Dr. Shah. "Seeing these quantitative measurements ensures I am placing the implants exactly as planned, therefore, eliminating many risks associated with implant malposition." Read the full article here.

Local Orthopedic Surgeon, Ritesh Shah, MD, Receives Innovation Trailblazer Award for Adoption of New Navigation System for Hip Replacement Surgery


MORTON GROVE, ILJuly 16, 2018 /PRNewswire/ - Orthopedic surgeon, Ritesh Shah, MD, was honored with the IJS Innovation Trailblazer Award of Excellence acknowledging early adoption of intellijoint HIP® into his practice at Illinois Bone & Joint Institute and in an Ambulatory Surgery Center (ASC) setting at Illinois Sports Medicine & Orthopedic Surgery Center (ISMOSC) in Morton Grove. Armen Bakirtzian (left), CEO & Co-Founder of Intellijoint Surgical, presents the IJS Innovation Award of Excellence to Ritesh Shah, MD, orthopedic surgeon with Illinois Bone & Joint Institute. Dr. Shah is being recognized for being the first surgeon in Illinois to offer improved hip replacement outcomes with intellijoint HIP® in an outpatient surgery center setting. (CNW Group/Intellijoint Surgical Inc.) intellijoint HIP is a highly accurate 3D mini-optical navigation system used to assist in proper size selection and positioning of artificial implants during a hip replacement. Dr. Shah is the first orthopedic surgeon in Illinois to offer this new technology in an outpatient or ASC setting. "Many of my patients come to me in pain looking to regain their former mobility, but are worried about the short and long-term risks associated with total hip replacements," explained Dr. Shah. "By utilizing the quantitative measurements that intellijoint HIP provides intraoperatively, I am able to ensure the implants have been positioned accurately resulting in a significant decrease of associated risks. Patients are back to their active lifestyles in just days, confident in their surgical outcomes." A total hip replacement is typically an effective surgery that can reduce hip pain and restore mobility. The risks of this procedure can include leg length discrepancy, dislocation, joint instability, reduced muscle strength, reduced hip range of motion, and long-term pain. intellijoint HIP addresses these risks by providing accurate, intraoperative measurements for cup position, leg length, and offset to assist the surgeon in placing implants in a location that best matches the patient's native anatomy. "Intellijoint Surgical is proud to present the Innovation Trailblazer Award to Dr. Shah today," said Armen Bakirtzian, CEO, Intellijoint Surgical. "We want to acknowledge not only his adoption of intellijoint HIP, but his overall commitment to better surgical outcomes through exploring new advances in the field -- both in technique and in technology." About Dr. Ritesh Shah: Dr. Shah is a nationally recognized, board-certified, fellowship-trained orthopedic surgeon who specializes in hip and knee replacements in the outpatient setting. His mission is to return patients to their active lifestyle as quickly and as safely as possible. He travels and teaches colleagues worldwide about new advances in same day hip and knee replacement, hip arthroscopy, joint revision surgery, and the Rapid Recovery Reality approach to orthopedic care. About Intellijoint Surgical: Intellijoint Surgical® develops and commercializes surgical navigation solutions. Intellijoint's flagship product, intellijoint HIP® provides surgeons with real-time, intraoperative measurements to ensure accurate positioning of orthopedic implants during Total Hip Arthroplasty. Intellijoint is committed to improving patients' lives by providing every surgeon with effective, easy-to-use technology. Read the full article here.  

Dr. Shah on WGN News Radio for Outpatient Total Joint Replacements.


See This Patient One Year After a Total Hip Arthroplasty


See This Patient One Year After a Total Hip Arthroplasty

Last year, we featured a patient's self video after a total hip arthroplasty, here he is one year later. At 53 years old post double hip replacement, he is back at it. Dr. Shah is part of movement called Rapid Recovery Reality. Its goal: to get patients back to their active lives as soon as possible. Nationwide the average hip replacement patient will spend three days in the hospital and three months out of work. Dr. Shah’s otherwise healthy patients typically walk with a cane 45 minutes after surgery, leave the hospital in 90 minutes, and are back to work in a few days or weeks. Patients return to downhill skiing, tennis, personal training, yoga, golf, and other activities. Physical therapy begins just minutes after your procedure. Pain is minimal even at that point because of the muscle-sparing nature of the operation and topical anesthesia applied inside the hip joint. Physical therapy over the following weeks can also be aggressive because patients are in minimal pain and require minimal use of narcotics. Every patient’s recovery is unique but many of Dr. Shah’s hip replacement patients are back to active lives just weeks after their procedures.

Joint Replacement Surgery and Transitional Care | Right at Home | Senior Home Care Blog


Joint Replacement Surgery and Transitional Care

Dr. Ritesh Shah

Seeking Help for Joint Pain

Hobbling around with a swollen knee or stiff hip may soon be passé for America’s seniors. Thanks to surgical advancements, people are seeking medical help sooner to alleviate chronic pain and receive artificial joints—some of them are in their 50s or are even younger. Every year in the United States an estimated 1 million people undergo total joint replacement surgery to correct a damaged or arthritic joint. A joint forms the connection between two or more bones to add support and help you move. The weight-bearing hip and knee joints see ongoing wear and tear and are replaced most frequently. The shoulder, ankle, wrist and elbow are other joints that are well-known to orthopedic surgeons. Joint replacements are among the most common elective surgeries in the country. A study presented in March by the American Academy of Orthopaedic Surgeons (AAOS) found that people are seeking joint replacements earlier in life, in part because people are staying more active as they age and they want a better quality of life through retirement. The study also noted the rise in U.S. obesity, as obesity places greater stress on aging joints. Dr. Ritesh Shah, an AAOS board-certified orthopedic surgeon with the Illinois Bone and Joint Institute of metropolitan Chicago, notes that on average people receive a total joint replacement between age 64 and age 66. “People are enjoying activities at an older age now and want to enjoy their quality of life,” Dr. Shah said. “The ability to ambulate becomes very important to a good quality of life. Significant joint pain is a significant disruption of life and people don’t want to live that way anymore.”

When Is Joint Replacement Advised?

Prominent joints in the body can become severely damaged through the aging process, everyday wear and tear, and injuries. Or conditions like osteoarthritis, rheumatoid arthritis, bursitis, fractures, gout, tumors and other diseases can comprise the connections between bones. Joint pain can be mildly irritating to chronically debilitating. Your doctor may recommend surgery if you experience chronic inflammation, limited movement, joint deformity, or when non-surgical treatments such as physical therapy, medications and injections have not provided sufficient relief from continual pain.

Risks and Benefits of Joint Replacement

During a replacement operation, damaged cartilage that cushions the joint surface is removed. Parts of the joint are also removed and fitted with a titanium, ceramic or plastic prosthesis to replicate normal joint movement. Total joint replacements do not last forever, and patients may eventually need a revision to their joint implants, but Dr. Shah notes that with today’s improved surgery methods and stronger, cement-less materials, replacement joints are now lasting up to 15 to 20 years in knees and up to 20 to 30 years in hips, depending on the activity level of the patient. Each joint replacement surgery candidate is evaluated for potential risks and complications. A person’s general health and family health history are part of a comprehensive pre-surgery assessment. As with any surgery, conditions such as heart disease, poorly controlled diabetes or a weak immune system can elevate risk. Possible joint replacement surgery complications include infection, blood clots, nerve injury and the prosthesis loosening or dislocating. For the million-plus people each year nationwide who choose joint implant surgery, the benefits of pain relief, better movement and strength, and engagement in sports and social activities outweigh the possible risks.

Post-Surgery Recovery and Care Tips

Recovery and rehabilitation for joint replacement varies with each individual, but in general, following the doctor’s instructions will speed healing. Most patients will experience pain in the replaced joint as tissues heal and the body adjusts to strengthening surrounding muscles that have been weak from inactivity. For new knee joints, the doctor may prescribe a continuous passive motion (CPM) device for patients to use at home to help the knee learn to flex and extend. Cryotherapy machines and packs that employ ice to reduce pain and swelling are also used in post-surgery care. The first weeks at home may also require the use of assistive items such as handrails, a shower bench, raised toilet and long-handled reacher.

New Horizons for Joint Replacement Surgery

While traditional joint replacement surgery has meant months of recovery including pain, opioid medications, limited mobility and intense rehabilitation, Dr. Shah and a growing number of orthopedic surgeons are employing innovative surgery techniques to significantly advance patient outcomes. These contemporary technologies and techniques include shifting muscles out of the way instead of cutting into them or disturbing too much bone. Prefabricated cutting block molds from 3-D magnetic imaging help eliminate the need for more invasive bone separation, rods and pins. Digital cameras, optical navigation and robotic-assisted systems in the operating room help ensure precise positioning of the joint implants and speed total surgery time. Based on insurance coverage and upfront training and equipment costs for surgeons, hospitals and surgery centers, these advancements in joint replacements and post-surgery recovery are not yet available for every patient, but the outlook is promising. “My oldest patient was 81 and we’ve had multiple people in their late 70s and early 80s have outpatient surgeries,” Dr. Shah adds. “The main thing to consider with a senior is identifying safety by seeing if medical problems are compatible with having surgery and anesthesia and then making sure the home situation is appropriate.”   Find the article here

Author Beth Lueders

About the Author

An award-winning journalist who has documented stories in nearly 20 countries, Beth Lueders is an author, writer and speaker who frequently reports on diverse topics, including aging and health issues for both U.S. and international corporations.

Dr. Shah Featured in Becker's Hospital Review Article "Want to realign fee-for-service physicians to value-based care? Act on your data"


Dr. Shah was featured in the following article from Becker's Hospital Review.

Want to realign fee-for-service physicians to value-based care? Act on your data

Written by Morgan Haefner | June 06, 2018 | Print | Email inShare In a healthcare landscape where 70 percent of physicians prefer fee-for-service payment models¹, tying physician payment to outcomes requires realigning entrenched clinical processes with new value-based methods. Actionable data is a requisite for physicians wondering why they should don a value-over-volume mindset. However, actionable data is different than aggregate patient data stored in siloed EHRs; it is retrieved from EHRs and translated across medical groups and systems. It considers care across the continuum, and connects the dots between quality augmentation and cost. But as medical experts discussed during a workshop sponsored by Cigna® at the Becker's Hospital Review 9th Annual Meeting in Chicago, April 11, using actionable information to change clinical behavior requires a top-down commitment to transparent cost and quality data. Most physicians agree they have a responsibility to control costs, but more than a third don't know the costs of tests and procedures, according to a 2016 study from The Dartmouth Institute for Health Policy and Clinical Practice. Cost obscurity challenges providers like Ritesh Shah, MD, an orthopedic surgeon at Chicago-based Illinois Bone and Joint Institute, especially as his organization began transitioning to Medicare and Cigna-administered total knee replacement bundled payment models in 2014. IBJI spent about 4 ½ years collecting enough data to uncover how clinicians....
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