Comprehensive Care for Joint Replacement

USC Arcadia Hospital participates in a Medicare initiative called Comprehensive Care for Joint Replacement (CJR). The CJR initiative is a model that aims to promote quality and financial accountability for care surrounding lower-extremity joint replacement (LEJR) procedures. These LEJR procedures are commonly referred to as total hip/ total knee/ total ankle replacements and hip fracture surgeries with hemiarthroplasty or bipolar hips.

USC Arcadia Hospital’s participation in the CJR model should not restrict your access to care or your freedom to choose your health care providers and services. All existing Medicare beneficiary protections continue to be available to you. These include the ability to report concerns regarding substandard care to quality improvement organizations by calling 1-800-MEDICARE.

The CJR model aims to help give you better care

USC Arcadia Hospital has entered into financial arrangements with collaborating physicians (and potentially other health care providers) who are engaged in care redesign with the hospital and who may furnish healthcare services to Medicare beneficiaries during an episode of care. Under these agreements, the hospital may share payments received from Medicare as a result of savings achieved through reduced episode spending and hospital internal cost savings. The hospital may also share financial accountability for increased episode spending with collaborating providers and suppliers. The current list below represents those physicians and other healthcare providers that have executed a CJR Collaborator agreement with the hospital enabling each to share in financial rewards and/or losses under the CJR model:

• Morris Baumgarten, MD
• Jonathan Chang, MD
• Yen Hsun Chen, MD
• Braden Criswell, MD
• Todd Dietrick, MD
• Rishi Garg, MD
• Gregory Heinen, MD
• Timothy Jackson, MD
• Daniel Laster, MD
• Alan Lee, MD
• Gregory Northrop, MD
• James O’Dowd, MD
• Shane Pak, MD
• John Quigley, MD
• Glenn Takei, MD
• Benjamin Tam, MD
• Anthony Yang, MD

The opportunity to participate as a CJR Collaborator is established in accordance with all relevant laws and regulations, including applicable fraud and abuse laws and all applicable payment and coverage requirements as defined under the CJR program. Participation as a CJR Collaborator is not based on patient volume or value of referrals or business otherwise generated by any CJR Collaborator.

The following criteria are utilized in the selection process of any physician to become a CJR Collaborator:

1. Physician must possess a valid and unrestricted license to practice medicine in the State of California;
2. Physician maintains clinical privileges at USC Arcadia Hospital, and is in good standing on the medical staff of USC Arcadia Hospital.
3. Physician maintains unrestricted federal and state drug enforcement registration numbers;
4. Physician maintains a participating provider agreement with Medicare and is not excluded from participation in, or sanctioned by, any federal, state, or local healthcare program, including without limitation, Medicare and Medicaid.
5. Physician must agree to participate in care redesign activities related to the CJR Program.

Pre-Operative Joint Replacement Class

The USC Arcadia Hospital Pre-Operative Joint Replacement Class provides patients review of joint replacement surgery, discussion on the risks and benefits of surgery, and an overview of “Getting Ready for Surgery.”

Virtual classes are available via Teams and in-person classes are held at Lewis Hall. Please register at least 2 weeks before your surgery date, due to limited class space. Please visit the events page. For any questions, please email: JointProgram@med.usc.edu.

Educational Materials/Resources

The following resources are intended to only provide basic information. They are not intended to be all-inclusive information for your surgery. Each surgeon will have their specific instructions for your individual surgery. Please contact your surgeon directly to discuss your specific questions.

• Total Hip Replacement_AAHKS Education
• Total Hip Replacement_AAHKS SPANISH Education
• Total Knee Replacement_AAHKS Education
• Total Knee Replacement_AAHKS SPANISH Education
• SMI-Patient Instruction Sheet
• After Surgery Zones
• Incision Care Instructions
• Instructions for Home
• Resources for Help at Home
• AAHKS Hip and Knee Education

Pre-Op Joint Class PowerPoint Instructions

Total Joint Replacement in LA County

Knee & Hip Replacements from Trusted Orthopaedic Team

When physical therapy, medication, and other conservative measures are proved ineffective in treating joint pain, patients may choose to undergo a total joint replacement. USC Arcadia Hospital’s Hip and Knee Center in LA County is a dedicated program within the hospital that offers comprehensive evaluation and treatment of arthritis and joint pain. For patients who experience chronic pain that prevents them from exercising, walking, leisure activities, or even working, joint replacement could be what they need to regain independence and resume their day-to-day life.

Joint Replacement Education

A total joint replacement is a big surgery and one you should only agree to after learning what it involves and what it can accomplish. We educate our patients before their surgery and provide them with a 100-page guidebook about joint replacement and its aftermath. This guide includes a list of questions and answers, easy exercises for post-op recovery, instructions on how to heal after surgery, and anything else you need to know to make a complete recovery and return home. We also encourage patients to talk to the staff so they can address any concerns or anxieties.

Team Approach to Joint Replacement

We have developed a unique “team” approach to join treat replacement. Many patients have shown to have an easier time preparing and recovering from joint replacement after talking with others going through a similar experience. Taking that into consideration, we provide our patients with a peer support group. At the start of each week, a new group of patients is scheduled for surgery and are given a chance to meet and speak with each other as they move through each stage of the operation.

In addition to the peer support group, your joint replacement team will include:

• A surgery “coach”
• Orthopaedic surgeons
• Orthopaedic nurses
• Certified physical and occupational therapists
• A discharge planner
• Home care providers

Our joint replacement program has received extremely high marks in patient satisfaction thanks to our incredible support system, the personal attention each patient receives, and the thorough education we provide patients before the procedure. With the expertise available at USC Arcadia Hospital, there is no need to suffer from joint problems. We know that recovery from joint problems is a journey, and we will fully support you every step of the way.

For more information on the hip and knee replacements or other Orthopaedic services call our physician referral line 1-888-388-2838.​

Back & Spinal Surgery

Treatments for Spinal Disorders in LA County

At USC Arcadia Hospital, we make sure that you are taken care of every step of the way through spinal surgery preparation and recovery. Spinal surgery is not recommended lightly – our team thoroughly examines a patient’s condition and considers all treatment options before recommending surgery. When it is deemed that back surgery is your best bet for pain relief, we will take every measure to ensure the procedure is safe and successful. Thousands of spine surgeries are performed in the United States each year. These are not uncommon operations, and our experienced orthopedists know what patients need to feel relaxed and recover faster.

How Spinal Surgery Can Help

Back pain can be hard to deal with. Your entire body relies on your back for motion, making it very difficult to avoid activities that exacerbate the pain. When less invasive means fail to treat the condition, spinal surgery may provide the relive you’re looking for.

Spinal surgery is not as difficult as it may sound. Pain usually radiates from one section of the spine, meaning the surgeon will not need to make too large of an incision to reach the affected area.

The following are spinal conditions that often require surgery:

• Herniated Disc – Also called a “slipped disc,” this is one of the most common causes of back pain. Each vertebra in the spine is separated by a rubbery substance called a “disc”. Over time this disc can slip out of place and exert pressure on a nerve, causing pain. Pain from a herniated disc can be very mild or extreme.
• Degenerated Disc – Discs can degenerate over time from wear and tear as we age. As the cushion loosens, vertebra begins pushing together and pinch a nerve root, resulting in pain.
• Osteophytes – A “bone spur” is are smooth growths in the spine that enlarge the vertebrae and pinch nerves. They are not always painful, but when they are, surgery to remove the growth is highly effective.
• Spinal Stenosis – Overtime your spine may narrow and exert pressure on the nerves, resulting in pain. There are a few different operations that can be performed to corrected spinal stenosis, depending on the severity of the condition. Surgery has proven to be a highly effective treatment for this disorder.
• Spine Injuries – Trauma to your back can expedite wear and tear on the vertebrae or spine. If pain persists long after a back injury, a doctor may have you take an imaging test to see if there was any internal damage. Surgery may then be required to fix the problem.

Whatever spinal condition you are dealing with, our team will tell you what can be done to treat it and whether or not surgery is your best option. Before an operation, you will be thoroughly educated on what to expect, how to prepare, and treatments that will speed your recovery. Prescribing surgery is only the first step, you can count on us to act as your partners throughout this process.

Minimally Invasive Orthopaedic Procedures

Conservative Treatments for Joint Pain in Arcadia & LA County

At USC Arcadia Hospital, orthopaedic services are about helping people achieve the highest level of function with as little pain as possible. We understand that most people want to avoid surgery if they can, and while an operation can be an effective solution, we prioritize more conservative measures and only recommend open surgery when other means prove insufficient.

Many orthopaedic conditions can be successfully treated with medication and physical therapy. In some cases, even intense pain will go away on its own over time and all a patient requires is relief in the interim.

Some conservative measures that can help with orthopaedic conditions including:

• Weight loss
• Joint protectors, such as canes and splints
• Medications designed to control pain and inflammation
• Massage
• Physical therapy

Arthroscopic Surgery

Arthroscopy is a minimally invasive orthopaedic surgery used to treat joint damage and pain. Minimally invasive procedures are operations that only involve small incisions and allow for faster recovery-many even allow the patient to return home the same day of the surgery. In an arthroscopic procedure, the surgeon only needs to make a small incision near the affected joint and operate on the area using small instruments.

These operations are performed using an arthroscope, a small, tube-shaped camera that is inserted in the area and displays the joint muscle and ligaments on a monitor. Using this live feed as a guide, the surgeon can perform the operation without cutting the area completely open.

Arthroscopic surgery is frequently used to treat:

• Shoulder pain
• Muscle tears
• Knee pain
• Carpal tunnel syndrome
• Cartilage damage

Arthroscopy is a preferred treatment method by most orthopedists. It is especially useful in sports medicine as it allows the athlete to return to the field faster than going through physical therapy or recovering from open surgery.

Be aware that while recovery is shorter, you should not instantly jump back into regular activity after arthroscopic surgery. Let the area heal for a few weeks as you ease it back into normal activities.

For more on our conservative treatments and minimally invasive procedures, call 1-888-388-2838 to reach our physician referral line.

Page: Rehabilitation Services
Parent: Our Services

Arcadia Rehabilitation Services

Overcome Injury with Physical Therapy, Occupational Therapy & More

The rehabilitation programs at USC Arcadia Hospital provide participants with personalized exercise training and counseling to facilitate faster recovery from injury, surgery, and chronic pain conditions. Our Physical Therapy and Rehabilitation Center offers services on an outpatient basis, so you can receive the assistance you need and return to the comfort of your own home at the end of the session.

The USC Arcadia Hospital Rehabilitation Center offers:

• Acute rehabilitation unit
• Cardiac rehabilitation
• Physical therapy
• Occupational therapy
• Speech therapy
• Emergency services

The rehabilitation team consists of nurses, occupational and physical therapists, speech pathologists, social workers, dieticians, and a neuropsychologist. The team works collaboratively to coordinate care and return the patient to the highest level of functioning possible. Family is welcome and encouraged to attend sessions for support.

Dedicated Support through Your Rehabilitation

Rehabilitation services are not just about addressing the condition that brought you there, an equally vital part of the program is helping you through the process and overcoming both the emotional and physical challenges that come with it. Dealing with pain and disability, whether temporary or permanent, can be a difficult experience, but it does not have to mean the end of your independence. The goal of this program is to help you overcome the more debilitating aspects of a condition and live life to the fullest.

We provide rehab services for patients who have experienced the following:

• Stroke
• Orthopaedic disabilities
• Amputation
• Neurological impairments
• Arthritis
• Traumatic injuries

Other conditions may be eligible for rehabilitation services pending a doctor’s evaluation. Speak with your primary care physician about getting a referral to a physical therapist.

For more information on physical therapy and rehab services, please call one of our nurse liaisons at 626-701-7851.