The Krauss Methodology

Unique in the Northeastern United States and a model for joint replacement programs throughout the world, the Krauss Method works hand-in-hand with the comprehensive continuum of leading-edge care provided by PBMC Health, from pre-operative evaluation and patient education, through surgery and recovery in the award-winning Kanas Center for Advanced Surgery, through rehabilitation and follow-up supported by PBMC Health’s Cary Grossman Physical Therapy Center and Outpatient Therapy and Rehabilitation Center.

Additional support and therapy options are provided by Suffolk County’s leading home health services agency, Peconic Bay Home Health Services, and the Peconic Bay Skilled Nursing and Rehabilitation Center, which has been awarded a 5-Star rating by US News & World Report as one of the best nursing facilities in the United States.

The Krauss Method was developed to carefully evaluate individual patients’ needs, and to follow through with a fully integrated continuum of care. This requires a sizeable team of doctors, surgeons, medical personnel and physical therapists, all of whom must be highly trained and coordinated. The results are surgical and post-surgical protocols customized to each patient’s age, condition and current lifestyle that produce superior outcomes, shorter recovery cycles and a faster return to a high quality of life.

This continuum of the KCJR methodology breaks down into Four Phases, from initial contact through pre-op preparation, surgery and recovery, and rehabilitation and follow-up.

PHASE 1

Initial consult with Surgeon:

At this stage, one of our highly trained, board certified surgeons evaluates your specific condition and discusses the basic procedure. It is here that you have the opportunity to ask any pertinent questions and get a clear understanding of what you can expect before, during and after surgery.

Nurse Practitioner Evaluation:

Our compassionate and knowledgeable nurse practitioners will meet with you to assess your current medical status, get all relevant health information, and schedule the necessary tests required to prepare and/or clear you for surgery.

Booking:

Our O.R. coordinator will assist you in securing an optimum date for your surgery.

Tour:

If you wish, someone from our patient care team is always available to provide you with a guided tour of the Peconic Bay Medical Center Orthopedic Surgery Center. This would include a walk through PBMC's brand new dedicated orthopedic recovery wing and the state-of-the-art Cary Grossman Physical Therapy Center.

PHASE 2

Patient Navigator:

Our specially trained Patient Navigator is a highly skilled nurse who has a vast knowledge of orthopedics. She is available to you before and after your surgery and is there to help guide you through from pre-op to discharge.

Hospitalists:

Our Hospitalists are specially trained doctors who are responsible for conducting a pre-op medical examination and evaluating all pre-op test results. After such a review, the Hospitalist will file a clinical report with your orthopedic surgeon, with his or her findings and/or recommendations.

Specialists:

In the event the Hospitalist feels the need to engage the participation of a Specialist prior to clearing a patient for surgery, he or she will advise you of the reason and refer you appropriately. Peconic Bay Medical Center has a wide-array of board certified specialists ready and to answer all your questions and ensure you have the best surgical outcome possible.

Pre-Op Patient Education:

We at the Krauss Center feel that a patient’s understanding of the entire joint replacement process, from pre-op to rehab and beyond, contributes to the positive post-surgical outcomes our patients enjoy. This is why we offer a free Joint Replacement Education Class conducted by a knowledgeable moderator, who is available to answer any questions you may have. To sign up for the Joint Replacement Class click here.

PHASE 3

Admission and Patient Welcome:

Upon arrival at Peconic Bay Medical Center, you will proceed to the check-in desk located in the main lobby. It is here that you will be greeted by PBMC’s administration staff, your admission process will begin, and you will meet with your patient navigator. After all the necessary admission paperwork is completed, you will be escorted to a pre-op Holding Area and prepped for surgery. Your loved ones can relax in the surgical waiting areas located adjacent to the surgical elevators. You will be assigned a patient number and your status will be displayed on the patient information monitors in every patient waiting area for your family to regularly check.

Surgery:

Prior to the commencement of the surgery you will have a surgical team prepping you. This team includes Doctors, Physician’s Assistants, Nurses and an Anesthesiologist. They will go through a pre-op regimen that includes documentation of vital signs, administration of vital fluids, prep of the surgical area and the administration of anesthesia. You will be gently wheeled into the O.R. where you will be greeted by your surgeon. Before you know it, you will be in the recovery room on your way to healing.

Recovery:

While in recovery, the post-op team will continue to monitor your vital signs and administer the necessary fluids and medication to help manage any potential post-op pain and accelerate your healing process. Once you have regained full consciousness you will be prepped for transfer and relocated to one of the newly renovated orthopedic unit rooms.

PHASE 4

Post-Op Medical Evaluation/Care:

Because he or she is most familiar with your medical history, post-op medical evaluations are handled by your assigned Hospitalist. This ensures that special attention is being paid to the relationship between your pre-op and post-op physiology. The Hospitalist works closely with our Nurse Practitioner and unit nursing staff to ensure that each patient has continuous and comprehensive medical attention on the road to recovery.

Physical Rehabilitation:

Depending on certain factors relating to individuals’ pre-op medical status, physical therapy generally starts almost immediately following surgery. Our acute physical rehabilitation team will work to get you up and out of bed within hours of leaving the O.R. Rehabilitation protocols vary from patient to patient and are determined by the Surgeon after consult with the medical support staff. PBMC offers acute, sub-acute and in-home therapy services, providing surgeons with a wide-array of customizable options to suit every patient.

Discharge:

The average hospital stay for knee replacement is 1 day, with 3 days for hip replacement. The days-of-stay vary by age and general pre-op condition of the patient. Upon discharge, your Nurse Navigator will meet with you to evaluate your stay and ensure that you have all the necessary prescriptions to maximize your rate of recovery. Once cleared by the medical team and your surgeon, you will be escorted to the main lobby for pick-up by family, or medical transportation can be arranged should it be required.

Follow-Up:

The KCJR team will remain in close contact throughout the full rehabilitation process, and will be available to answer any of your questions throughout your recovery period.