Anthony Vecchione, Senior Health Care Reporter for NJBIZ, interviews Dr. Zabinski.

Terms of engagement

A value-based specialist model drives down costs and improves quality for orthopedic patients

Physicians participating in Horizon BCBSNJ’s Episodes of Care (EOC) program outperformed non-EOC colleagues for the same procedures in outcomes, quality and cost.

The finding is based on an analysis of 2017 data for patients enrolled in Horizon BCBNJ’s EOCs for hip replacement, knee replacement and knee arthroscopy.

EOC is the model used to engage specialists in the Newark-based company’s value-based strategy.

The idea was to drive improved outcomes and patient experience and ultimately reduce the overall cost of care.

Doctors who choose to participate in the program are rewarded for achieving better quality of care, lower costs and a more positive patient experience.

When EOC specialists achieve those triple goals, Horizon shares cost savings that they receive in addition to their fee-for-service reimbursements.

“The idea was to drive improved outcomes and patient experience and ultimately reduce the overall cost of care,” said Lili Brillstein, director of specialty care value based models for Horizon BCBSNJ.

Brillstein said that there has been interest in the program — not only in New Jersey but also all over the country.

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KNEE REPLACEMENT GIVES PATIENTS A PAIN-FREE LIFE

Shore Medical Center:

ADVANCED SPINE AND ORTHOPEDIC INSTITUTE

“Shore Healthy Living” Newsletter

February 13, 2019

Knee replacement surgeries are a daily occurrence for Dr. Stephen Zabinski and his fellow orthopedic surgeons at Shore Orthopaedic University Associates (SOUA) in Somers Point. “Knees are by far the most common of all joints that are replaced,” said Dr. Zabinski who has been performing knee replacement surgery for more than 20 years.  “Knees are also the joint most commonly affected by osteoarthritis. They are also the most subjective to sports injury and most affected by weight. Those factors can wear the knees away.”

Most patients will visit SOUA with complaints of discomfort from osteoarthritis, though there are many forms of arthritis that negatively impact joints and bones. Osteoarthritis is the most common form of arthritis in the knee. It is a degenerative, “wear-and-tear” type of arthritis where the cartilage gradually wears away. It occurs most often in people age 50 and older, but may occur in younger people as well, according to the American Academy of Orthopaedic Surgeons. Dr. Zabinski added that genetics also plays a factor and said people who tend to sit cross-legged as they eat, or kneel often may have significant discomfort in their knee simply because they are putting a lot of additional stress on the knee itself.

For patients like Louis Cullen, who at 80 years of age is still detailing cars and enjoys being outside, the knee pain he was experiencing caused him to seek help with Dr. Zabinski to see about relieving the pain in his knees and getting back to his life and the things he enjoys.

Getting ready for surgery
But the surgeon said there is a lot a patient has to do to be ready so that they optimize their outcome and hasten recovery. Because of the nature of this operation, there are a lot of factors that need to be discussed prior to surgery that will contribute to the patient’s optimum success, according to Dr. Zabinski. “If they have a problem with urinary retention, I direct them to work with their urologist. If they are overweight, they will need to go on a diet and try to lose some weight. And all my patients know, they must be nicotine free for six weeks. Not just cigarettes or cigars but also nicotine patches, gum and over-the-counter nicotine products.” Dr. Zabinski said nicotine limits the micro circulation and inhibits the healing process. “All of my patients must be nicotine free.”

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I’m a retired O.R. R.N. and I chose Dr. Zabinski for Total Hip Replacement!


Ellen Deegan, Somers Point, NJ

FREE Community Lecture “Learn How New Technologies Allow You To Go Home The Same Day Your Hip or Knee Is Replaced”

Greate Bay Racquet & Fitness in cooperation with
Shore Orthopaedic University Associates presents

An opportunity to “Ask The Expert”

Community Orthopaedic Lecture Series
Evening Session 10-30-18

LOCATION:
Greate Bay Racquet & Fitness
90 Mays Landing Road
Somers Point, NJ 08244

Same Day Hip and Knee Replacement

“Learn How New Technologies Allow You To Go Home The Same Day Your Hip or Knee Is Replaced”


presented by:
Stephen J. Zabinski, MD
Board Certified Orthopaedic Surgeon
SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES

Dr. Zabinski specializes in Total Joint Replacement and Sports Injuries, including arthroscopic surgery of the shoulder and knee.

Dr. Zabinski is Director of the Division of Orthopaedic Surgery at Shore Medical Center, President and Director of Joint Replacement Services at Jersey Shore Ambulatory Surgical Center and the President of Shore Orthopaedic University Associates.

ShoreOrthoDocs.com


This is a FREE event, open to the community 
*(Greate Bay Fitness membership not required)

Limited Seating –
Please Register:   shoreorthotalks.eventbrite.com

Light Refreshments Served

For more information contact:
Greate Bay Racquet & Fitness – 609-926-9550 or
Shore Orthopaedic – 609-927-1991 ext. 171

I would recommend both Dr. Zabinski and Dr. Lai for all your orthopaedic issues!

I have been going to Shore Orthopaedics for a number of years, always dealing with Dr. Zabinski. He has done over 6 surgeries on my elbow, knees, shoulder and I find that each time I visit him for any issue that I have, he takes the time to listen to my concerns and he has helped me with getting me back on track with living a full life.

I just recently had a visit and surgery with Dr. Ted Lai. I had a great experience with him as well. He listened and pointed out things that I didn’t understand on my MRI films. He is am amazing surgeon and fixed my ankle after a severe injury, even though I had a long recovery, he put my ankle back and now I can move and walk normal again. I would recommend both Dr. Zabinski and Dr. Lai for all your orthopaedic issues.

Barbara Cummings
– Northfield, NJ