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Home/Company News/Kim Mikes: New CEO of Hoag Orthopedic Institute
Company News

Kim Mikes: New CEO of Hoag Orthopedic Institute

December 14, 2021 3 min read Premium comments

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Kim Mikes, M.B.A., B.S.N., R.N., C.N.O.R., has been named the new chief executive officer of Hoag Orthopedic Institute, based in Irvine, California. Formerly the acting CEO, Mikes was selected from more than 100 applicants for the position.

“Kim has an extraordinary depth of clinical and operational knowledge having served not only at Hoag Orthopedic Institute since 2016, but in multiple leadership roles in health care, including general and specialty hospitals and even at one of the largest private practice groups in the U.S.,” said Dr. James Caillouette, chairman of the board of managers at Hoag Orthopedic Institute. “Her deep knowledge in running all aspects of a hospital, coupled with her exceptional business acumen, give her a unique knowledge base for our enterprise, and we are fortunate to have her at the helm of our organization.”

Beginning in 2016, Mikes was senior VP, chief operating officer and chief nursing officer at Hoag Orthopedic Institute. Before to that, Mikes worked at Hoag Memorial Hospital Presbyterian in roles including executive nursing and operations director at the Women’s Health Institute and nursing director for the Short Stay Surgery Unit. In addition, Mikes formerly held a number of top leadership positions at other major medical centers around the country.

“My background is rooted in perioperative nursing, leadership, and executive health care management,” Mikes told OTW. “I believe leaders should be inclusive in all aspects of running a medical institution and empower their team to be accountable for performance improvement in order to ensure the highest quality care for patients. Our patients benefit and our staff thrives at Hoag Orthopedic Institute because we empower our team to evaluate clinical, operational and patient experience outcomes.”

If They See Something, They Say Something

“Our staff feels accountable for their patient’s care and ensuring quality outcomes, and that is apparent in their daily actions going above and beyond to ensure patients’ goals are achieved. When one of our bed-side nurses heard about our local and national opioid crisis, she developed a study among hospitalized joint replacement patients to see what they did with their leftover pain medications.”

“She reported her outcomes of the study to our clinical quality team, which resulted in an organization-wide performance improvement project to supply patients with inexpensive take-home kits to safely dispose of any remaining medications. Due to this nurse’s action, Hoag Orthopedic Institute is at the forefront of an opioid stewardship effort to reduce the amount of pain medications in medicine cabinets one patient at a time. That kind of innovation emanates from inclusiveness and is just one example of the team environment at Hoag Orthopedic Institute that I am proud to encourage and now lead.”

More Joint Replacements Than Any Other California Facility

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“Orthopedic care is rapidly changing in the Unites States, and our institution plays an important role in this positive change. We are the leading orthopedic and spine institution in the Western part of the U.S. and do more joint replacements than any other facility in California.”

“My first steps as CEO are to provide a continuum for sustainable growth, research and patient education. As a specialty surgical hospital owned and led by exceptional and visionary orthopedic surgeons, Hoag has the unique ability to drive orthopedic innovation in the clinical, operational, and patient experience sector. We will seek to further expand and scale our nationally ranked outcomes into our ambulatory surgery center network, facilities that will be built for today and tomorrow’s outpatient orthopedic and spine market.”

“As we migrate many of our once inpatient joint replacement patients to outpatient ambulatory surgery centers, we want to extend our highly ranked Hoag Orthopedic Institute signature experience to those patients. Educating patients about the benefits of outpatient surgery for conditions like joint replacement is also important as we grow this volume. Another important step I will lead is increasing our ability to care for higher acuity orthopedic and spine patients. One of our biggest opportunities for growth lies in the higher acuity spine market.”

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

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?

8
JT
James Thornton, MDSpine Fellow · HSS

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.

5
RP
R. PatelSports Medicine · Stanford

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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