The United States is in the midst of a joint replacement explosion.

According to a 2012 Journal of the American Medical Association study, knee replacements in the United States doubled in the two decades leading up to 2010. And demand is not expected to subside anytime soon. By 2030, the JAMA study estimated that annual knee replacement surgeries in the United States is expected to reach 3.5 million.
To meet this growing surge in joint-replacement procedures, Regent Surgical Health is leading the way in developing innovative recovery approaches for ambulatory surgery center-based procedures. These cutting-edge models combine ASC-based specialization with better patient outcomes and stringent cost-containment measures that exceed federal and state guidelines. In the United States, there currently are three main recovery models for joint replacement surgery:
Overnight stays: Patients recover for one to two nights in a skilled nursing facility or in the ASC, before being discharged for the remainder of their convalescence.
Hotel: Increasingly, ASC patients are discharged to partner hotels, where they recover under the care of round-the-clock home healthcare nurses. In many cases, the overall cost of this option can be lower than a typical outpatient stay and is frequently more comfortable for the patient. Still, there are numerous state and federal compliance issues to manage.
Home discharge: This option allows healthy patients to recover in the comfort of their own homes. To prevent readmissions, these individuals must be rigorously screened and provided pain-management protocols.
While all three of these options are commonplace today for partial knee procedures, Regent-affiliated ASCs are exploring and implementing other innovative approaches. For example, our Loveland Surgery Center (Colorado) performs total-knee replacement surgery that includes a two-night stay at our convalescence center, and our Surgery Center of Mount Dora (Florida) utilizes home healthcare nurses to facilitate patient recovery after same-day partial knee procedures. In implementing these programs, Regent also works closely with payers on reimbursement issues.
For more information on Regent’s new innovative joint replacement recovery models, please contact Paul Eiseman at