Canyon Vista Medical Center Introduces New Concept in Joint Replacement Surgery

2018-10-23T15:45:22+00:00 October 24th, 2018|

From left to right: Dean Marturello, PA; Randall Roy, MD; Brian Daines, MD; Laurence Susini, MD

(Sierra Vista, AZ – October 24, 2018) – Canyon Vista Medical Center (CVMC) is holding a ribbon cutting and relaunch event on October 30, 2018 at 5:30pm for The Bone & Joint Institute, a Center of Excellence for Total Joint Replacement after a rigorous year of process improvements throughout several departments to deliver greater quality of care to patients in Cochise County. The Bone & Joint Institute is changing the way patients and their families think about and experience Joint Replacement Surgery with the reintroduction of The Bone & Joint Institute, a comprehensive program that is based on a national best practice model for joint replacements, and structured around the fundamental principles of wellness.

“This is not your typical hospital program or hospital stay,” according to Physician Champion Brian Daines, MD Orthopaedic surgeon. Dr. Daines is one of three orthopedic surgeons who, along with the administrative and clinical team at CVMC, developed this innovative program to improve outcomes and provide a superior experience for individuals having hip or knee replacement surgery.

“First and foremost, we do not see our patients as being sick,” Dr. Daines explained. “Instead, we see our patients as healthy individuals who are coming to the hospital because they have hip or knee pain, and want to live a better quality of life by having joint replacement surgery.”

This fundamental concept of wellness is executed throughout the entire program, which incorporates advanced, minimally invasive, analgesic, and rapid-recovery surgical techniques -with an environment that maximizes patient recovery through education, a culture of early mobility, family involvement, and group interaction.

The Bone & Joint Institute Experience
An important aspect of the program is that individuals having elective surgery are considered students, not patients. Each student chooses a coach/guide, usually a family member or loved one, who is an active participant in their care before, during and after discharge from the hospital. Both student and coach are required to attend a pre-operative class known as Joint Camp one to two weeks prior to surgery, where they meet their The Bone & Joint Institute team, in addition to learning in detail about the procedure, what to expect in the hospital, and how to care for oneself after discharge.

One person, Penney Dewar Care Coordinator, oversees the student’s entire stay, and is their resource before, during and after discharge. All staff at The Bone & Joint Institute receive special training, and are chosen to work on the unit because of their expertise; positive, upbeat nature; and high motivational skills. Coaches learn the program right along with their loved one, and provide encouragement and support every step of the way.

The fundamental concept of wellness is also demonstrated throughout the individual’s stay in the hospital. Students do not wear hospital gowns, but rather are expected to bring comfortable clothes, t-shirts, shorts, etc., to wear during the day. Students also follow an aggressive daily schedule that begins at 6:00 a.m. the morning after surgery on The Bone & Joint Institute unit devoted only to individuals having joint replacement surgery. Each day, students receive a daily newsletter, Knee Keys or Hip Hints, depending on their surgery, with their breakfast, letting them know the agenda for the day, along with tips on how to care for themselves later. Two group therapy sessions are held daily-one in the morning, and a second in the afternoon in the physical therapy room located on the unit. Group therapy is supplemented by individual in-room sessions. Students compete with one another on distance walked each day with progress tracked on a large exercise board posted in a common area, called the Ambulatory Board. This exercise board provides visual reinforcement of goals. Students find the camaraderie both challenging and rewarding.

Wenche Zimmerman chose to have knee replacement surgery at Canyon Vista Medical Center. “The hospital staff was amazing,” she said. “I’ve never experienced such kindness. I can’t speak more highly of how everyone in every department took care of me.” Care doesn’t end after discharge or graduation. Graduates receive calls from the Bone & Joint Institute staff within 72 hours of discharge, and again one to two weeks later. Reunions for The Bone & Joint Institute graduates and their coaches are held quarterly with surgeons and their entire team.

The End Result: Better Outcomes
“We evaluate each patient on multiple clinical, functional, and patient satisfaction criteria,” explained Bob Gomes, CEO of CVMC. “These outcomes are then analyzed during monthly performance improvement team meetings, and enable CVMC to become an efficient and cohesive team. So, when we say we offer better outcomes, we have the data to prove it,” Gomes said.

The Bone & Joint Institute had its soft launch the end of September and is excited to relaunch the department with its public ribbon cutting as it prepares to obtain Advanced Certification by the Joint Commission for Total Joint Replacement in 2019.

For more information about The Bone & Joint Institute’s ribbon cutting, go to Learn more about The Bone & Joint Institute, visit the website at, or call 520-263-BONE (2663).

Some of the CVMC Bone & Joint Team