Earlier this year, New York’s Hospital for Special Surgery (HSS) and Stamford Health began offering outpatient orthopedic services at Stamford, Connecticut’s Stamford Health’s Tully Health Center. Now, they have instituted a new inpatient surgical unit of HSS Orthopedics at Stamford Health.
HSS, Stamford Health Jointly Open New Surgical Unit

An opening ceremony was led by Stamford Health President and CEO Brian G. Grissler along with HSS President and CEO Louis A. Shapiro. They also held a ribbon cutting for the HSS Orthopedics at Stamford Health surgical inpatient unit at Stamford Hospital.
“We opened our new hospital just a year ago and are pleased to see this strategic and innovative relationship with HSS already become a reality,” said Grissler in the October 30, 2017 HSS news release. “Building upon our recognized levels of service, Magnet status nursing and our new hospital, this collaboration will further elevate the level of orthopedic services for residents across the region.”
“HSS has had a presence in Connecticut for nearly 20 years and we are pleased to have created a collaboration with Stamford Health to enable both organizations to better serve patients, right in their own backyards,” said Shapiro. “The collaboration through HSS Orthopedics at Stamford Health ensures the patient care provided here meets our uncompromising standards, with the convenience and comfort of the gorgeous new Stamford Hospital building.”
According to the news release, “The new 40,000-square-foot unit encompasses the entire 5th floor of the new Stamford Hospital, allowing a greater number of inpatient orthopedic surgical cases. To date, HSS Orthopedics at Stamford Health provided only outpatient surgeries at Tully Health Center. The new inpatient unit consists of two operating rooms, four pre-op beds, 12 recovery beds and 19 inpatient rooms as well as a rehabilitation gym. Approximately 50 staff are being hired to oversee patient care on this floor.”
Charles “Chip” Cornell, M.D., chair of the Department of Orthopedic Surgery at Stamford Health, told OTW, “Under the collaboration, Stamford Health is adopting HSS best practices across the orthopedic service line including, but not limited to: early discharge planning, pre-surgical screenings that optimize patients for surgery, and pre- and post-operative physical therapy for patients undergoing ambulatory surgery. The collaboration also allows for new and exciting developments from the academic environment at HSS to be translated seamlessly to the operating room which ultimately leads to cutting-edge care for all patients.”

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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