If you are, say, hiking the lovely mountains around El Paso, Texas, and fall prey to a fracture, there is a center of excellence nearby. Foundation Surgical Hospital of El Paso is announcing that it has been awarded the Foundation HealthCare’s Center of Excellence Award in Orthopedic Surgery. According to the August 10, 2016 news release, “To be recognized as a Center of Excellence, organizations must pass a rigorous evaluation process that demands involvement from all leadership and staff and achieve exceptional results. The process includes objective performance and outcomes evidence demonstrating exceptional qualitative and quantitative patient care and outcomes.”
Foundation Surgical Hospital of El Paso Excellence Award

“We proudly accept this award signifying our team’s commitment to orthopedic surgery, ” said Don Burris, Ph.D., CEO of Foundation Surgical Hospital of El Paso. “I want to thank our highly-skilled and dedicated physicians and staff for providing the type of care and experience that our patients expect and deserve.”
“I would like to thank and recognize Patricia Maldonado, RN, Director of Surgical Services who, along with her staff, coordinated the collection of data, and also the production of an educational packet for the patients, ” said Evelyn Jirasakhiran, RN, chief nursing officer for Foundation Surgical of El Paso. “I also want to thank and recognize Sam Garcia, RN, Director of Nursing Operations and his staff for making sure that our patients are satisfied with how we control their pain after surgery. Nursing plays a very important role in the fast recovery of our orthopedic patients.”
“This recognition honors Foundation Surgical of El Paso for exceeding the highest standards of orthopedic care, ” said Cindy Braly, chief nursing officer for Foundation HealthCare.
“Foundation HealthCare’s Center of Excellence Award in Orthopedic Surgery requires quality improvement in surgery and a team focused on exceeding clinical benchmarks and guidelines. But most importantly, commitment to excellence that improves the health and well-being of our patients, ” Braly added.
Burris told OTW, “We are most proud of the culture we have created at Foundation Surgical Hospital of El Paso. It’s a culture wherein physicians, nurses, and support staff come together to focus on the absolute best in clinical care and the patient experience. Everyone plays a role and owns their part in a system of purposive relationships that creates great outcomes for patients.
“Over the next year we plan to pursue status as a spine center of excellence to complement the Orthopedic Center of Excellence and the Nursing Center of Excellence awards we achieved this year. We have exceptional spine surgeons and will strive to apply the same exceptional and rigorous standards of excellence to our spine program.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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