Orthopedics Capabilities Guide - St. Mary Medical Center

St. Mary

Orthopedic Center A D VA N C E D

A D VA N C E D

ADVANCED

EXPERIENCED

EXPERIENCED

LEADERS ADVANCED LEADERS

EXPERIENCED LEADERS EXPERIENCED

St. Mary Orthopedic Center | 1

Dear Fellow Physician:

At the St. Mary Orthopedic Center, your patients will find the most advanced university-level

orthopedic care in a convenient community setting. Patient-centered care is the hallmark of clinical care at St. Mary. Our Orthopedic Center of Excellence has positioned itself at the forefront of treatments, techniques, and technology across its total joint replacement program, sports medicine, hand and upper extremity surgery, spine and neck surgery, trauma services, and pain management. With a focus on safety, quality, and compassion, our medical professionals are extremely experienced and have attained the highest levels of credentials and specialty training.

We proudly provide a full continuum of comprehensive care — diagnostics, surgery, therapy,

education, prevention, pain management, wellness, and fitness — in a single setting. In addition, we continue to develop innovative programs involving wellness, fitness, physical and occupational therapies, and holistic healing to meet the needs of our community.

Our orthopedic surgeons perform such advanced procedures as customized knee and hip

replacement surgery, microvascular hand surgery, minimally invasive elbow and shoulder surgery, endoscopic carpal tunnel release surgery, and microdiscectomy spine surgery in specially designed orthopedic operating suites. St. Mary treats more than 3,500 orthopedic patients every year with exceptional quality outcomes.

We have prepared this helpful guide to give you a greater understanding of St. Mary Medical

Center’s numerous capabilities to take care of patients in the field of orthopedics. Specialized technologies and treatment techniques are used by our physicians for diagnosis and treatment. We are confident that you and your patients will be very satisfied with the highly specialized, technologically advanced, and compassionate care that we provide.

For more information about any of our physicians or services at the St. Mary Orthopedic Center

or to discuss a patient referral, please call 215.710.5315. Sincerely,

Joseph Conroy, MD

Richard Cautilli, Jr., MD

VP and Chief Medical Officer

Chairman of Orthopedic Subsection

The Interdisciplinary Team St. Mary offers its community advanced orthopedic care by staying at the leading edge of treatments, techniques, and technology. Our specially trained physicians, orthopedic certified nurses, and physical and occupational therapists have the highest levels of orthopedic credentials, specialty training, and experience. The orthopedic team collaborates to help patients with a rapid recovery.

The Orthopedic Center is staffed by physicians, orthopedic physician assistants, orthopedic certified nurses, program coordinators, physical therapists, occupational therapists, pharmacists, chaplains, case managers, social workers, psychologists, and clinical support. Fellowship-Trained Orthopedic Surgeons Our orthopedists have completed fellowships at the finest medical centers in the country. They bring a wide range of subspecialty learning and experience to St. Mary in such areas as total joint replacement, hand and upper extremity surgery, arthroscopy/sports medicine, spinal surgery, fracture care, metabolic bone disease, and orthopedic research.

State-of-the-art Surgical Suites In our ongoing effort to provide the latest medical technology and services, St. Mary has expanded the Orthopedic Center with additional surgical suites. Each suite is specially equipped to handle minimally invasive procedures, total and partial joint replacement, sports injuries, spine and back surgery, hand and upper extremity surgery, trauma, and other sophisticated orthopedic procedures.

“The morning after my knee replacement surgery, I actually walked to physical therapy with a walker. St. Mary even arranged great home care afterward. I feel like a totally new person. Now I can keep up with my friends on trips, walk the dog, and be a better nurse, because I have absolutely no pain. I wouldn’t have orthopedic surgery anyplace else.” Mary Hankinson, St. Mary Nurse and Patient


Orthopedic Services and Accomplishments

2 I. Faster recoveries. Fewer complications. Joint replacements AT St. Mary lead the way. The St. Mary Center for Joint Replacement offers comprehensive and integrated services for total hip and knee replacement surgery. Also, being the first in Pennsylvania to earn the Gold Seal of Approval from The Joint Commission for Hip and Knee Joint Replacement, St. Mary has proven a commitment to quality and patient safety that demonstrates its joint replacement

program meets or exceeds national standards and guidelines that can significantly improve outcomes for joint replacement patients. This certification correlates with St. Mary’s growing popularity as the area’s most preferred orthopedic care provider.

The average length of stay for patients undergoing a total knee replacement at St. Mary is 2.4 days, substantially ahead of the national benchmark of 3.8 days, according to the Agency of Health and Research Quality at the U.S. Depar tment of Health and Human Services. The average length of stay for total hip replacement patients, 2.6 days, is also well below the national benchmark of 4.9 days. Comprehensive care includes: 2 S pacious operating rooms specially equipped

for or thopedic procedures 2 D edicated or thopedic teams in the

operating rooms 2 Use of the latest joint implants and devices 2 C omputer-assisted minimally invasive surgeries 2 Patient-centered goals and objectives

targeted daily

2 S pecially trained data integrity coordinators 2 Discharge planner 2 Pain management 2 Dedicated Or thopedic Nurse Navigator 2 Unit-based physical and occupational therapy 2 Award-winning Pharmacy Managed

Outpatient Coumadin Clinic

Collaboration among the care providers results in exemplary outcomes such as rapid recovery, with more than 85 percent of our patients returning home following surgery, and very low complication rates, infections, and readmissions for related diagnosis. See Insert for Quality Outcomes, Accreditations, Awards, and Growth

2 | St. Mary Orthopedic Center

satisfaction are key drivers of the Orthopedic Center. We routinely monitor indicators such as readmission within 30 days for related diagnosis, surgical site infections, and Surgical Care Improvement Project (SCIP) indicators such as use of antibiotics, post surgery DVT and PE, among many other quality outcomes. We are extremely proud of the patient satisfaction results for the orthopedic unit, as well as the efficiencies in care that have been developed and hard wired resulting in safe discharge.” “Quality, patient safety, AND PATIENT

George Cautilli, MD, Medical Director for the Total Joint Program at St. Mary

Our joint replacement services include total hip and knee joint replacement surgery as well as unicondylar and less invasive techniques. Employing cutting-edge technology, specially trained physicians, nurses, and therapists collaborate to get patients back on their feet as soon as possible.


“It’s important for patients to know that the Center for Joint Replacement is exceptional. We provide top quality care right here in our community where patients partner with their surgeons, nurses, and therapists, and are often walking the same day as surgery!”


John Avallone, DO Orthopedic Surgeon

2 II. Dedicated Orthopedic Nursing Unit The dedicated orthopedic nursing unit is designed to care for orthopedic patients to get them mobile quickly after surgery. Nurses collaborate with physicians and therapists to ensure the highest level of care, and invite and encourage family members to assist in patient recovery. The outstanding features of the facility include: 2 Specially trained and orthopedic certified nurses

and support staff that meet the unique needs of orthopedic patients and facilitate healing and recovery 2 On-site gym specially equipped to enable physical and occupational therapists to help patients gain independence and perform exercises that speed the healing process, enhance mobility, and achieve optimal outcomes 2 Dedicated physical and occupational therapists

assigned to the unit 2 Dedicated Orthopedic Nurse Navigator to assist patients and families through the continuum of care

St. Mary’s Commitment to Continuing Medical Education (CME) St. Mary recognizes that continuing medical education (CME) is an essential element contributing to the practice of quality medicine. In response, St. Mary is committed to providing a highly interactive coordinated program of evidence-based medical education activities for the medical staff and primary care physicians to enhance their ability to provide excellent patient care, health maintenance, improved patient outcomes, and community health. By reviewing and augmenting previously learned knowledge and skills, as well as providing updates on changes and new developments in medicine, CME programming helps physicians to maintain clinical skills and current competencies, and positively affects their medical knowledge and practice patterns. An Orthopedic CME is held each fall to update primary care physicians about the latest advances, standards of care, and technology. To learn more please visit www.StMaryHealthcare.org/CME


2 III. The Patient Care Path

Here at St. Mary, our patients are the center of a comprehensive Care Path. Key elements are incorporated into the Care Path concept, the key differentiator that sets our orthopedic center apart. Our approach is predicated on the tenets of clinically proven evidence-based practice. Successful recovery not only involves treatment, but also depends on the patient being well informed and participatory in efforts before and after procedures. Our Care Path is designed to ensure comprehensive care management before, during, and after surgery. It is equally important that our patients feel safe and cared for, to aid in the recovery process.

1. Surgeon Office Visit a. Patient is informed about surgery and hospital stay

3. Preadmission Testing a. Preoperative assessment/PCP medical clearance b. Preoperative testing

2. Preoperative Class and Planning for Total Joints a. Presurgical planning that includes an individualized education plan b. Classes and education materials that will assist patient and family preparation for recovery and healing c. Free Joint Pain Seminar where St. Mary experts explain the causes of joint pain and treatment options


4. Preoperative HOLDING a. Nurses will confirm expected procedure, obtain consent, and prepare patient for surgery b. Anesthesia will see your patient the morning of surgery and review their Care Path c. The Or thopedic Surgeon will ensure patient safety by marking the surgical site and discussing the Care Path with your patient

5. surgery a. Top specialists experienced in the latest surgical advances b. State-of-the-art surgical operating suites

7. Home Care and Postoperative Follow-up a. Treatment, adaptive equipment, and follow-up phone calls

b. Coumadin Clinic

c. Outpatient physical and occupational therapies, with a number of specialized programs d. Wellness Center with programs designed to promote flexibility and strength e. Holistic Center with innovative therapies

6. hospital Stay a. Post-Anesthesia Care Unit (PACU)

b. Pain management

c. Dedicated Orthopedic Inpatient Unit with unit-based therapy gym

d. Dedicated private rooms

e. Orthopedic certified nursing staff

8. OrthoPEDIC Outreach a. Complimentary reunion luncheons for total joint patients and their families to share their experiences • Follow-up assessment • Care team attendance • Process improvement assessment b. Annual Jog for Joints, a 5K run/walk to demonstrate the importance of joint health and healing

f. Patient Education — focus on rapid recovery

g. Discharge planning St. Mary Orthopedic Center | 7

2 IV. sports medicine St. Mary provides a full continuum of sports medicine services, with a primary focus on injury prevention, diagnosis, treatment, and rehabilitation. Sports medicine services are individualized and specific to achieve clearance for return to play for a highly inclusive range of patients: youth sport, high school, and collegiate athletes; business professionals; and senior citizens. Our orthopedic surgeons specialize in arthroscopy, the advanced surgical procedure that enables physicians to visualize, diagnose, and treat problems inside a joint.

“St. Mary sponsors injury

prevention programs to help educate coaches, athletes, and parents in the prevention of shoulder, knee, ankle, and back injuries as students prepare to participate in such sports as baseball, softball, lacrosse, soccer, and football. We are very proud of our outreach efforts to keep our community well informed to prevent injuries.” Richard Cautilli, Jr., MD, Chairman of Orthopedic Subsection and Orthopedic Surgeon


Services include: 2 Specialized and advanced surgical procedures, such as arthroscopy, rotator cuff surgery, and minimally invasive knee procedures, performed by top surgeons 2 Enhanced rehabilitation and recovery programs 2 Physical therapy and sports trainers who design individualized exercise plans 2 Sports trainer outreach program 2 Weight loss, fitness, improved athletic performance 2 Athletic field support

“Imagine shoulder surgery that can get you back to normal activities faster, with less pain. Using minimally invasive techniques, we are able to repair a torn shoulder ligament without cutting other tendons and muscles, minimizing trauma and speeding recovery, sending most athletes back to the field, the court, and to the pool faster than ever before.”

George Stollsteimer, MD Orthopedic Surgeon


2 V. hand and upper extremity surgery St. Mary specializes in reconstructive hand, wrist, elbow, and shoulder surgery, tendon surgery, and carpal tunnel surgery, providing university-level care in a community setting. Orthopedic hand surgeons receive special training in treating problems of the hand and wrist, including arthritis, carpal tunnel syndrome, trigger finger, tendonitis, fractures, nerve compression and nerve damage, ganglion cysts, athletic injuries, and trauma. Many hand surgeries performed at St. Mary use

minimally invasive techniques to promote faster healing and reduce pain. Services include: 2 Wrist arthroscopies 2 Nerve repairs 2 Tendon transfers 2 Vascular reconstructions 2 Endoscopic carpal tunnel release (ECTR) 2 Elbow and wrist joint replacement

and it is the integrated and proper functioning of ligaments, tendons, muscles, joints, and bones that allows us to work, play, and function every day. Yet the wrist and hand are vulnerable to injury and ailments that can impact a person’s quality of life.” “The human hand is very complex

Eon Shin, MD, Orthopedic Surgeon


2 VI. SPINE AND NECK SERVICES St. Mary back and neck specialists know that everyone’s problem — and solution — is unique. That’s why we offer more than 20 different approaches to relieve pain. State-of-the-art treatments and minimally invasive services include: 2 Minimally invasive spine surgery — safer, faster healing, more precise, reduced complications, quicker recovery, and return to work 2 Lumbar discectomy procedures 2 Minimally invasive lumbar fusion 2 Surgical management of spinal pain • Spinal Cord Stimulators • Lumbar Drain • Morphine Pump 2 Kyphoplasty, a minimally invasive spinal surgery procedure used to treat painful, progressive vertebral body collapse/fracture (VCFs), is especially helpful for patients with osteoporosis. The innovative technique combines vertebroplasty with balloon catheter technology. Insertion of an inflatable bone tamp, under imaging guidance, restores the vertebral body to its original height. Bone cement is used to fill vertebral cavities, strengthening and stabilizing the spine. The technique provides a range of benefits: • Fracture pain is reduced or eliminated • Restores the vertebral body to original height and shape • Prevents further vertebral collapse

• Can be performed under intravenous sedation with local anesthetic or under general anesthetic • Little or no physical therapy is required • Patients can almost immediately return to their former lifestyles 2 Vertebroplasty is an image-guided, minimally invasive procedure used to strengthen a fractured vertebra that has been most commonly (but not exclusively) caused by osteoporosis. Vertebroplasty is performed so the patient can return to their functional abilities and prevent further vertebral collapse. It is usually successful at alleviating the pain caused by compression fractures. Under mild sedation anesthesia and with image-guided x-ray, a small amount of orthopedic cement is injected through a needle into the vertebral body. The cement is mixed with a powder containing barium or tantalum, which allows it to be seen on the x-ray. When the cement is injected, it is like a thick paste that hardens quickly. Usually each vertebral body is injected on both the right and left sides, just off the midline of the spine. Within just a few hours, patients are up and returning to activities.

“If a patient does not respond to physical therapy or other conservative approaches for back pain, surgery may be needed, but with the advances in minimally invasive surgery and pain management, patients experience faster recovery times and less pain overall.” JAMES ZASLAVSKY, DO Orthopedic Surgeon St. Mary St. Mary Orthopedic Orthopedic Center Center | 11 | 11

2 VII. Orthopedic Trauma Surgery As the only Regional Trauma Center in Bucks County, St. Mary is prepared to provide prompt, comprehensive emergency medical services to patients with traumatic orthopedic injuries. The multidisciplinary team includes trauma surgeons, an orthopedic traumatologist, emergency care physicians, anesthesiologists, specially trained nursing personnel, operating room teams, resuscitation teams, radiologists, and family-support service specialists. Some patients suffer musculoskeletal-system injuries that require immediate and critical injury management. Often, injuries can even be life-threatening.

Level II Designation The center is an adult Level II Trauma Center and meets requirements for that designation, including: 2 Board certified trauma surgeons, trained in trauma and critical care medicine, in-house to respond to all trauma activations, and provide in-house care should the patient require admission 2 Emergency medicine physicians with additional training in trauma resuscitation 2 In-house anesthesia capability 2 On-call specialists that immediately respond to trauma alert for surgical procedures

Our state-of-the-art Emergency Department and Regional Trauma Center provide such patients with the starting point to our full continuum of care, including surgery, rehabilitation, education, prevention, social services, wellness, and fitness. The Trauma Center is fully equipped to fill the critical needs of emergency patients, and: 2 Coordinates multiple aspects of treatment from

the Emergency Department and surgery, through recovery, discharge, and follow-up care 2 Is fully staffed and available 24/7 with a trauma certified team of specialists including a fellowship-trained orthopedic traumatologist

2 Extensive equipment requirements, including

medical diagnostics 2 Specific clinical qualifications and trauma-specific continuing medical education requirements for physicians and other medical staff 2 Support services, including respiratory therapy, lab/blood bank, radiology, social services, pastoral care 2 Specific quality improvement monitoring of trauma patient care and continual monitoring of trauma care protocols and policies

The St. Mary Emergency Department and Trauma Center handle a wide range of illnesses and injuries, with specialized medical teams prepared to respond immediately to traumas, strokes, and heart attacks. St. Mary provides around-the-clock access to advanced brain, spine, orthopedic, and open-heart surgery; cardiovascular catheterization; digital x-ray; CAT scan; laboratory; and other emergency services.


“We are extremely proud to offer trauma services to our community. St. Mary has the only Regional Trauma Center in Bucks County that has state accreditation by the Pennsylvania Trauma Systems Foundation (PTSF). Most local hospitals aren’t able to handle severe traumatic injuries, so it is important to get patients to a place that’s equipped to handle them 24/7.” John Nolan, MD Medical Director of Orthopedic Trauma

Fracture Care • Full-service Emergency Department with orthopedic support • Orthopedic care on call 24/7 • Developed and executed clinical Care Path to minimize complications • Social workers who assist with arrangements such as procuring services needed for home care, durable medical equipment, and community resources


VIII. Pain Management Recognizing that pain is an often undertreated condition, St. Mary Medical Center, through its Pain Management Center, is dedicated to alleviating patients’ chronic or acute pain by employing an interdisciplinary approach that includes: 2 State-of-the-art pain control technology 2 Highest clinical standards in anesthesia

intervention and drug therapy 2 Psychological, emotional, and spiritual support Specific techniques and services include: 2 Epidural steroid injections 2 Trigger point injections 2 Sympathetic and peripheral nerve blocks 2 Fluoroscopy-guided procedures, such as facet injections, selective nerve root blocks, and radio frequency ablation 2 Acupuncture 2 Massage and relaxation techniques 2 Patient and family support groups

the St. Mary Pain Management Center has helped thousands of individuals obtain relief from acute and chronic pain. St. Mary’s pain management physicians are board certified in anesthesiology and fellowship trained in pain management. Our expert treatment team also includes a nurse practitioner and registered nurses with specialized pain management training and experience.” “Since its founding in 1998,

Kevin Dolan, MD, Anesthesiologist


St. Mary Medical Center: A Comprehensive Approach St. Mary Medical Center, at the forefront of quality, provides a full continuum of care including surgery, rehabilitation, education, prevention, wellness, and fitness.

Physical & Occupational Therapy Programs Our full-service inpatient and outpatient physical and occupational therapy programs are designed to improve patients’ ability to perform daily activities. Physical Therapy Staff works closely with patients, families, and other healthcare professionals to establish appropriate goals and treatment plans. Physical therapists assist recovery by helping patients: 2 Increase strength or motion 2 Relieve pain 2 Regain use of an affected limb 2 Improve balance and gait 2 Return to performing their daily activities

The comprehensive treatment plan includes: 2 Patient education 2 Stretching and strengthening activities 2 Endurance and balance training 2 Use of assistive devices 2 Moist heat 2 Ultrasound 2 Electric stimulation 2 Cryotherapy 2 Wound care, traction, or massage

Occupational Therapy Certified occupational therapists (OTs) and certified occupational therapist assistants (COTAs) strive to return patients to a high level of independence by assessing: 2 The upper extremity (for strength, range of motion, coordination, and sensation) 2 Splinting 2 Transfers 2 Sitting balance 2 Safety 2 Activities of daily living, including bathroom and self-care equipment needs and homemaking skills At St. Mary Medical Center, OTs and COTAs work with a variety of diagnoses, including: 2 Multiple trauma 2 Upper and lower extremity fractures 2 Post-surgical cases 2 Elective total hip and total knee replacements

Program goals include: 2 Extending treatment from the inpatient setting to the outpatient, as our staff teaches patients and families methods and techniques to continue recovery at home 2 Developing goals and comprehensive treatment plans based on a patient’s initial evaluation 2 Promoting the importance of fitness and training to prevent injuries from occurring in the future


is intimately involved with our patients from the preadmission touch point through the inpatient and outpatient delivery of care. Our goal is not only to assist your patients to achieve their maximal function but also to provide education and support for a lifelong path of physical wellness.”

“Our therapy staff

Kim Sudac, otr/l, Director of Inpatient and Outpatient Therapies Innovative Wellness and Recovery Programs St. Mary Medical Center staff and facilities enable the institution to provide a range of innovative programs. Each of these programs embraces a holistic approach designed to foster enhanced overall fitness and spiritual and emotional well-being. Holistic and Complementary Medicine Program Our Holistic and Complementary Medicine Program is the area’s first hospital-based, outpatient support network dedicated to promoting medically directed body-mind-spirit care incorporating exercise, nutrition, and bodywork to manage health and lifestyle. This approach has proven beneficial in relieving pain, easing stress, and maintaining health and vitality for many patients with orthopedic conditions. Wellness, Fitness, and Sports Care Center This comprehensive on-site facility offers certified trainers, strength and flexibility training, and cardiovascular exercise equipment that support preventive and continued rehabilitation services.


Facility benefits include: 2 Educated and experienced instructors 2 Initial evaluations 2 Individualized fitness programs 2 Weight management routines to promote healthy joints 2 “Step-Down” programs designed to transition

patients into active and healthy lifestyles as they complete their rehabilitation Physical Therapy Step-Down Program This comprehensive fitness continuum provides a seamless transition out of the physical therapy environment, taking individuals from patient status to independence. It is designed for patients who wish to further their recovery with a personal fitness program. Through working relationships among physical therapy staff, qualified fitness personnel, and patients, it provides special attention and consideration based on a patient’s established rehabilitation needs and fitness goals for the future.


St. Mary Medical Center 1201 Langhorne-Newtown Road Langhorne, PA 19047 For physician services, call 215.710.5388. For physician referral, call 215.710.5888.

www.StMaryHealthcare.org

QUALITY OUTCOMES, ACCREDITATIONS, AWARDS, AND GROWTH

QUALITY OUTCOMES AND INDICATORS 2

S t. Mary exceeds the national average for length of stay, with most patients returning home after only 2 to 3 days

2

8 5 percent of St. Mary joint replacement patients are discharged directly to their home

2

S t. Mary’s patient satisfaction orthopedic scores are in the top 2 percent, and the joint program rates in the top 1 percent nationally for patient satisfaction

2

S t. Mary’s surgical-site infection rate is significantly below the national average

ACCOLADES 2

S t. Mary Medical Center has been designated a Blue Distinction Center for knee and hip replacement by Independence Blue Cross

2

St. Mary earned the prestigious

Innovative and Collective Practice Award from the Pennsylvania Society of Health-System Pharmacists for the development of the pharmacy-managed Coumadin Clinic GROWTH AND PERFORMANCE 2

Joints, a 5K run/walk to raise awareness of the comprehensive orthopedic services and to acknowledge the accomplishments of our joint replacement patients

ACCREDITATIONS 2

St. Mary Medical Center was first

in the state to earn the Gold Seal of Approval for disease-specific certification in hip and knee replacement surgery from the Joint Commission

September 2012 | St. Mary Orthopedic Center

St. Mary hosts an annual Jog for

2

J oint Pain Seminars held monthly serve to educate the community about causes, factors, and treatments available

2

S t. Mary’s Total Joint Program hosts reunion luncheons for all total joint patients to assess their current status and discuss patient perceptions of care and surgery pathway

2

S t. Mary opened a second orthopedic surgical suite to meet the increasing demand for highly specialized and minimally invasive procedures

2

o better meet the needs of T the community and aging population, St. Mary opened a 2,500-square-foot fully equipped Physical Therapy facility in the Cornerstone Executive Suites (near Oxford Valley Mall) to help individuals maintain or regain their ability to perform activities of daily life

ST. MARY ORTHOPEDIC SPECIALISTS BUCKS COUNTY ORTHOPEDICS R. Drew Krajeski, MD 1205 Langhorne-Newtown Road, #405 Langhorne, PA 19047 V: 215.750.0220 F: 215.750.9381 CAUTILLI ORTHOPAEDIC SURGICAL SPECIALISTS David Cautilli, MD George Cautilli, MD Richard Cautilli, Jr., MD Richard Cautilli, Sr., MD 115 Floral Vale Boulevard, Suite C Yardley, PA 19067 V: 215.504.6101 F: 215.504.1910 BRADLEY A. FINK, DO 1411 Woodbourne Road Levittown, PA 19057 V: 215.943.8900 F: 215.943.5002 JOHN T. IRWIN, MD 680 Heacock Road, #201 Yardley, PA 19067 V: 215.321.9520 F: 215.321.5350 MAKEFIELD ORTHOPAEDICS John A. Avallone, DO Stephen Cairone, DO Stephen Lowe, MD George Stollsteimer, MD 111 Floral Vale Boulevard, Suite B Yardley, PA 19067 V: 267.757.0560 F: 267.757.0565


MERCER-BUCKS ORTHOPEDICS Edward Armbruster, MD Thomas K. Bills, MD Paul Codjoe, MD Keith Crivello, MD David S. Eingorn, MD Edward J. Ford, MD David Hardeski, MD Frederick Kleinbart, MD John P. Nolan, Jr., MD James Zaslavsky, DO 1203 Langhorne-Newtown Road, Suite 202 Langhorne, PA 19047 V: 215.860.4274 F: 215.860.4875 NEW JERSEY NECK & BACK INSTITUTE Sandro LaRocco, MD 3131 Princeton Pike, Building 6 Suite 106 Lawrenceville, NJ 08648 V: 609.896.0020 F: 609.896.0041 ORTHOPEDIC AND SPORTS MEDICINE CENTER Christopher Aland, MD 582 Middletown Boulevard, B-100 Langhorne, PA 19047 V: 215.702.0600 F: 215.702.0610 THE PHILADELPHIA HAND CENTER Neil Chen, MD Eon Shin, MD 1203 Langhorne-Newtown Road, Suite 335 Langhorne, PA 19047 V: 215.521.3000 F: 215.741.2709

BARRY J. SNYDER, MD, PC 1609 Woodbourne Road, #301 Levittown, PA 19057 V: 215.547.1100 F: 215.547.5595 SUBURBAN ORTHOPEDICS John Petolillo, DO 402 Middletown Boulevard, #216 Langhorne, PA 19047 V: 215.750.6700 F: 215.750.6706 TEMPLE ORTHOPEDIC SURGERY Saqib Rehman, MD 3509 N. Broad Street 5th Floor, Bayer Pavilion Philadelphia, PA 19140 V: 215.707.2111 F: 215.707.2324 TRENTON ORTHOPEDICS Daren Aita, MD Michael Duch, MD Daniel Fletcher, MD Joshua S. Hornstein, MD Kevin Kunkle, MD Marc Levine, MD Arjun Saxena, MD John Schnell, MD 1225 Whitehorse-Mercerville Road Building D, Suite 220 Mercerville, NJ 08619 V: 609.581.2200 F: 609.581.1212


ST. MARY ORTHOPEDIC KEY CONTACT INFORMATION

DIRECTOR OF SURGICAL SERVICES Scheduling | 215.710.2108 Karen Benedict 215.710.25456 [email protected] DIRECTOR OF IMAGING/RADIOLOGY Jacquelyn Boekel 215.710.5838 [email protected] ADMINISTRATIVE DIRECTOR ORTHOPEDICS Monica Eckhardt 215.710.5315 [email protected]


OFFICE MANAGER — PAIN CENTER Donna Erwin 215.710.4589 [email protected] SERVICE LINE ADMINISTRATOR ORTHOPEDICS Louis Evangelista 215.710.5306 [email protected] DIRECTOR OF IN/OUTPATIENT THERAPIES Kimberly Sudac 215.710.2623 [email protected]
