Emerging Best Practices

Surgical Best Practices Pilot

Three sites to begin piloting new surgical best practices to injured workers in Washington in October and November:

  1. COHE at the Everett Clinic – Pilot Medical Director Dr. Brent Thiel, MD
    • A pilot Surgical Health Services Coordinator will be located in the Orthopedics clinic and assist 10 orthopedic and hand specialty surgeons.
  2. COHE Community of Eastern Washington in Spokane – Pilot Medical Director Dr. Gregory Carter, MD
    • A pilot Surgical Health Services Coordinator will be located at the COHE in St. Luke’s Rehabilitation Institute in Spokane.
    • COHE Community will partner with selected E. Washington surgeons who are participating in the Orthopedic and Neurological Surgeon Quality Project.
  3. Proliance Orthopedic Associates in Renton WA – Pilot Medical Director Dr. Fred Huang, MD
    • A pilot Surgical Health Services Coordinator will be located in the Surgical Clinic and assist 12 orthopedic surgeons.

Why is there a another surgical pilot?

This pilot will test 4 new best practices in addition to the Orthopedic and Neurological Surgeon Quality Project requirements. The best practices were selected in order to improve transition of care and return to work planning.

What are the best practices?

  1. Timely and appropriate transition to surgical care.
  2. Pre-op documentation of return to work plans and goals.
  3. Post-op intervention on return to work goals, if needed.
  4. Timely transfer after surgical care concludes.

How will the Health Services Coordinator support surgeons and injured workers?

  1. A Surgical Health Services Coordinator will make sure referring providers know when and how to request assistance from surgeons.
  2. He or she will take the lead on return to work planning and communication with employers, return to work staff at the department or private vocational counselors in the community.
  3. After surgery, the coordinator will track progress on the return-to-work plan and coordinate needed interventions.
  4. When the patient is ready to move on to the next step of care, the coordinator will assist with transition to the next provider.

Pilot sites must already be participating in either a COHE or the Orthopedic and Neurological Surgeon Quality Project.

Questions?

Contact Carole Horrell at Caroline.Horrell@Lni.wa.gov or 360-902-5080.

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