Welcome Ellen De Flora, MD, FAAP!
Dr. De Flora is a pediatrician and she will be seeing patients in Roxboro.
Welcome Ellen De Flora, MD, FAAP!
Dr. De Flora is a pediatrician and she will be seeing patients in Roxboro.
EmergeOrtho was highlighted in Orthopedics This Week in its efforts to preserve the private practice model by forming a state-wide group.
Orthopedics This Week is the most widely read publication in the Orthopedics industry. Aimed at clinicians, nurses, administrators, staff, suppliers, manufacturers, scientists, sales people, regulators, investors and consultants, Orthopedics This Week publishes breaking Orthopaedic news 40 times each year.
The article discusses changes in healthcare industry rules and regulations that threaten the private-practice model, and the collaborative effort to create EmergeOrtho. As Dr. Dimmig explains in the publication, “this is all about quality for the patient. Obviously, we want to be independent and successful. But, for us, the end game is to provide a product that is accessible to the patient that has high quality and good outcomes for a cost that is understandable to them. Bringing consumerism back to medicine is important to us.”
And further, “The independent physicians in our system provide care at a lesser cost than hospitals or health systems are able to provide. We do not bill facility fees or HOPD (Hospital Outpatient Department). Therefore, costs of care in the independent world are often lower than if you are going to see a hospital employed physician in general.”
Read the article here to learn about changes in Orthopaedics and healthcare and the business model of EmergeOrtho!
Dr. Shadduck served as a book editor recently for The Society of the American Gastrointestinal and Endoscopic Surgeons. The book, The SAGES Manual Ethics of Surgical Innovation, was published in May 2016, and it was recently reviewed by a Publisher’s Club Book Review, receiving a score of 93 (out of 100) and a 4-star rating (out of 4).
Doody’s Book Reviews™ evaluates books and electronic products across a wide range of clinical specialty areas in Basic Science, Clinical Medicine, Nursing, Allied Health, and Other Disciplines.
Our General Surgery providers currently see patients at four locations in the Triangle: Durham, Southpoint, Chapel Hill, and Wake Forest. Call the team directly at (919) 281-1699 to schedule an appointment!
Dr. Lucas Romine MD, an Orthopaedic Surgeon with EmergeOrtho, recently performed a Reverse Total Shoulder Arthroplasty with a custom guide generated from a 3-D printer. Dr. Romine utilized software from DJO surgical known as the Match Point System™ to execute the operation. The surgery, which took place on May 24, 2016 at Johnson Health, was the first of its kind in Johnston County.
The operation required several weeks of pre-operative planning, including virtual placement of the components, 3D analysis of the patient’s severely deformed shoulder, and production of a scapular model. The custom guide was designed, created and utilized specifically for this one procedure.
The patient, Claudious Stallings, had experienced pain in his right shoulder for twenty years, and at his first appointment with Dr. Romine, he unable to move his right arm without severe pain. According to Dr. Romine, “Mr. Stallings was clearly in need of a new shoulder, but he had a rare socket malformation that would make a standard shoulder replacement impossible to implant.”
Fortunately, Dr. Romine, who learned the latest techniques in shoulder surgery at Johns Hopkins Hospital, had experience with custom designed implants. “Utilizing a CT based 3-D model, I was able to design a custom fit for Mr. Stallings’s shoulder. This allowed me to accurately place the implant where it would work properly, and it significantly decreased the total time of the operation. Essentially, I was able to execute the difficult aspects of the surgery on my laptop computer, weeks in advance,” Dr. Romine stated. “This technology has only become available for shoulder replacements in the United States over the past 3-4 years, so many people are amazed with this new advancement.”
Mr. Stallings is recovering as expected and pleased with the results. He is the organist at First Freewill Baptist Church, a vocation he returned to six weeks after surgery. “I don’t hurt in that shoulder. It’s amazing,” says Stallings. “I was seeking relief and a way to keep serving the Lord by playing the organ. I just kept looking, and I am so thankful I did.”
As a physician-owned practice, EmergeOrtho is committed to patient-centered care, using innovative strategies such as 3D custom modeling to optimize clinical outcomes. There are 49 offices across the state, with two offices in Johnston County.
For more information on Dr. Romine and EmergeOrtho, please visit: www.triangleortho.com.
David Musante, MD, recently completed a retrospective study evaluating the fusion rate and pain levels one year after a lumbar spine surgery using a product called Trinity Evolution. The findings were published in The Journal of Orthopaedic Surgery and Research earlier this Spring. Dr. Musante found that postoperative pain levels were significantly improved at 2 weeks, 3 months, and 12 months in comparison to pre-operative leg or back pain of the patients, who had all been diagnosed with degenerative disc disease, radiculopathy, stenosis, and decreased disc height prior to surgery.
This study was retrospective, so it was conducted by reviewing patient charts. There are often prospective clinical trials at Triangle Orthopaedic Associates. For more information on Orthopaedic and Rheumatologic Clinical Trials, please visit the Clinical Research page on our website.
Dr. Musante is board certified by the American Board of Orthopaedic Surgery. He is a member of the American Academy of Orthopaedic Surgeons, the North American Spine Society, the International Society for the Advancement of Spine Surgery, the North Carolina Spine Association, the North Carolina Medical Society, and the Durham-Orange County Medical Society.
Dr. Musante devotes his practice to the treatment of a wide range of spinal problems including degenerative cervical and lumbar disorders, disc herniation, stenosis, deformity, scoliosis, tumors, and trauma. His surgical expertise includes minimally invasive spinal surgery, motion preservation technology and artificial disc replacement. He sees patients in Durham, Southpoint, and Raleigh.
Dr. Scott Martin joins Dr. Richard Holm and Dr. John Moss in Roanoke Rapids! He is a surgical podiatrist, specializing in foot and ankle problems, including limb salvage, trauma repair, plantar fasciitis, flat foot problems, toe nail problems, chronic conditions, general pain, and lower extremity calluses, ganglion, and gout.
On August 1, 2016, Triangle Orthopaedic Associates, P.A. will become part of an alliance that includes three other independent orthopaedic physician groups across North Carolina who share our mission to provide streamlined, patient-centered care. Called EmergeOrtho, the new practice will have the strength of 49 office locations in 21 counties statewide, thereby creating one of the largest physician-owned orthopaedic organizations in North Carolina.
It’s important to note, however, that you still have access to the same local specialists you have come to know and trust. You will still use the same contact numbers and access all of your providers and services in the same locations. Rest assured that this alliance will not take away any of the care you depend on, but will expand your options for services and care statewide.
The four practices that are combining to become EmergeOrtho are all well-established, highly reputable independent physician groups. These practices include: Blue Ridge Bone and Joint of Asheville, Hendersonville, and Arden; Carolina Orthopaedic Specialists of Hickory, Morganton and Lenoir; OrthoWilmington with offices in New Hanover, Brunswick and Onslow counties; and Triangle Orthopaedic Associates of the greater Raleigh-Durham area. Additional practices are preparing to join the alliance in a second phase of growth.
We chose the name EmergeOrtho because it describes the alliance’s mission. The goal of orthopaedics is for patients to emerge from treatment, their illness or injury healed.
Through excellent care, our patients can emerge stronger and healthier, better able to lead an active life.
A primary purpose in forming this alliance is to preserve the private practice model, a standard of care that puts patients first and allows each group to provide their own higher quality, lower cost care. The new organization will continue to build on proven strategies and implement programs that improve outcomes and lower costs for patients. Rest assured, all insurances that were in-network with Triangle Orthopaedic Associates, P.A. will continue to be accepted.
An additional patient benefit that comes with integrating our network statewide, all EmergeOrtho offices will use the same Electronic Health Records system. Patients treated for injury while on vacation, for example, can follow up with an EmergeOrtho provider in their hometown who has seamless access to their medical chart.
At Triangle Orthopaedic Associates, P.A., we see this union as the next phase in the evolution of our practice. The recent alliance leverages the previous successes of these individual practices to create new opportunities that may not have been available to each group independently. It allows us to strengthen and expand existing healthcare partnerships, positions us for exciting clinical and research opportunities, and makes possible greater economies of scale, such as volume discounts on equipment, technology and medical supplies. In all these ways, this alliance better prepares us for the changing healthcare landscape and future healthcare reform so that we may better serve our community.
While the name and brand logo are changing, the bottom line is that our mission has not. We will continue our focus on delivering the best orthopaedic care possible, in the most streamlined, cost-effective manner available.
If you have questions or concerns regarding the new structure, please call us at
919-220-5255 or 800-359-3053. We are in the process of developing a comprehensive new website; in the meantime, all of the alliance members’ existing websites remain fully operational. We hope you find this new structure as exciting as we do, and we sincerely appreciate the opportunity to serve you and this community.
The Physicians and Administration of Triangle Orthopaedic Associates, P.A.
EmergeOrtho Formed to Deliver Streamlined Orthopaedic Care Statewide
Triangle Orthopaedic Associates, P.A. merges with three other NC practices to form one of the state’s largest physician-owned orthopaedic organizations
July 28, 2016— In a common mission to provide streamlined, patient-centered care, four independent orthopaedic physician groups across North Carolina have joined together to form a new practice called EmergeOrtho. With 49 office locations in 21 counties statewide, EmergeOrtho is one of the largest physician-owned orthopaedic practices in the country. Additional practices are poised to join during a second phase of expansion projected for early 2017. The combined practices include 126 physicians and 237 physician assistants, nurse practitioners and therapists. With the projected 2017 expansion, there will be approximately 170 physicians in the practice.
The practices that combined to create EmergeOrtho are: Blue Ridge Bone and Joint of Asheville, Hendersonville and Arden; Carolina Orthopaedic Specialists with offices in Alexander, Burke, Caldwell and Catawba counties; OrthoWilmington with offices in New Hanover, Brunswick and Onslow counties; and Triangle Orthopaedic Associates of the greater Raleigh-Durham area. The four practices will begin operating under the EmergeOrtho name on August 1, 2016. Patients of each individual group practice should see no interruption in their care and services.
“We are very fortunate to be creating an alliance of four well-established physician practices with excellent reputations,” said Thomas Dimmig, MD, President of Triangle Orthopaedic Associates, who is also serving as president of the new group. “We united in order to preserve the private practice model, a standard of care that puts the patient first. The integrated group will allow these physicians to remain independent and provide their own higher quality, lower cost care.”
Integrating their network across North Carolina, all EmergeOrtho offices will use the same Electronic Health Records system. Patients treated for injury while on vacation, for example, can follow up with an EmergeOrtho provider in their hometown who has seamless access to their medical chart.
Dimmig emphasized that the new organization will continue to build on proven strategies and implement programs that improve outcomes and lower costs for patients. Ancillary services such as diagnostic imaging and physical therapy are available in most EmergeOrtho locations, and 12 offices provide MRI. Orthopaedic urgent care centers in 14 locations address emergent orthopaedic needs as a prompt, less expensive alternative to the ER. Additionally, each group is committed to the present and future alternative payment concepts, such as risk-sharing bundled payments, and all accept a broad range of insurance options.
“We chose the name EmergeOrtho because it describes the group’s mission,” says Dimmig, who helped coordinate the creation and naming process for the group. “The goal of orthopaedics is for patients to emerge from treatment, their illness or injury healed. Through excellent care, patients can emerge stronger and healthier, better able to lead an active life.”
“EmergeOrtho is the result of nearly two years of collaborative, collegial effort among the groups and their physician leadership,” said Charles Wilson, CEO of Triangle Orthopaedic Associates and acting CEO of EmergeOrtho. “While we have created a new statewide group practice, we remain committed to serving our patients and local communities by providing the highest quality care and services our patients have come to know and trust.”
ABOUT TRIANGLE ORTHOPAEDIC ASSOCIATES, P.A.
Since 1952, Triangle Orthopaedic Associates, P.A. has been at the forefront of orthopaedic care in the City of Medicine and takes pride in offering the best in musculoskeletal and specialty care. Now in over 12 counties, 23 locations, and 9 Orthopaedic Urgent Care Centers in the Greater Triangle region, Triangle Orthopaedics has expanded their services lines by offering complimentary specialty care such as Rehabilitation Medicine, Physical and Occupational Therapy, traditional in-house, mobile, and open MRI scanners, CT, Rheumatology, General & Bariatric Surgery, Breast Care, Neurology, Bone Health, Wound Care, and Vein therapy, which offers patients greater access to healthcare under one umbrella. Triangle Orthopaedics is made up of 64 physicians and 119 mid-level providers in the Greater Triangle region. For more information on Triangle Orthopaedic Associates, P.A., visit triangleortho.com.
ABOUT BLUE RIDGE BONE & JOINT
Founded in 1987, Blue Ridge Bone & Joint’s subspecialty clinics offer complete evaluation of the joint and musculoskeletal systems, with expertise in preventative, diagnostic and therapeutic orthopedic focusing on full-motion living. Subspecialty clinics include Foot & Ankle, Hand Elbow & Shoulder, Hip & Knee, Interventional Physiatry, Sports Medicine and Spine. BRBJ also offers physician-covered orthopaedic urgent care, walk-in clinic services.
With more than 150 years of combined experience in the treatment of orthopaedic diseases, Blue Ridge’s board-certified physicians offer a full range of quality medical services at two locations in Asheville, one in Arden and one in Hendersonville. For more information on Blue Ridge Bone & Joint, visit brbj.com.
ABOUT CAROLINA ORTHOPAEDIC SPECIALISTS
Carolina Orthopaedic Specialists was founded in 1998 when Catawba Orthopaedic Specialists, Burke Orthopaedic Associates and Caldwell Orthopaedics merged to create the Unifour’s largest orthopaedic practice. The physicians of Carolina Orthopaedic Specialists have provided comprehensive orthopaedic care in the Unifour area for over 37 years. The practice offers 20 physicians with a variety of subspecialties within orthopaedics, including sports medicine, spine, hip and knee joint reconstruction and revision, hand and upper extremity, foot and ankle, trauma and PM&R (Physical Medicine and Rehabilitation). The team also includes 15 mid-level providers that assist the surgeons and care for patients.
Carolina Orthopaedic Specialists offers six convenient locations in Hickory, Newton, Lenoir, Morganton, Valdese and Taylorsville. For patients’ convenience, the practice also offers a walk-in orthopaedic clinic, Ortho Quick Care, at the Hickory location (2165 Medical Park Drive). Carolina Orthopaedic Specialists offers a complete range of services including diagnostic testing, treatment, rehabilitation and pain management. For more information on Carolina Orthopaedic Specialists, visit www.carolinaortho.com.
OrthoWilmington is the regional referral center for comprehensive orthopaedic care. The practice offers 23 fellowship-trained and board-certified experts in a variety of subspecialties within orthopaedics, including spine, sports medicine, hip and knee joint reconstruction and revision, hand and upper extremity, foot and ankle, trauma and PM&R (physical medicine and rehabilitation). The medical team also includes 19 physician assistants, and three nurse practitioners.
OrthoWilmington’s offices are headquartered at 2716 Ashton Drive and 3787 Shipyard Boulevard in Wilmington, with multiple locations in New Hanover, Brunswick and Onslow counties. In addition to the full range of specialty orthopaedic care and the walk-in convenience of AccessOrtho, OrthoWilmington offers physical therapy services through all office locations, and a high-field MRI Imaging Center at the Shipyard Boulevard office.
For more information on OrthoWilmington, visit www.orthowilmington.com.
For more information regarding this story, please contact Chris Adkins, CAO, Triangle Orthopaedic Associates: CAdkins@triangleortho.com
Medicare has released a snapshot from its Hospital Star Rating System, which rates hospitals based on 62 quality measures. The release reveals that only 2 percent of the 4,599 hospitals in the database got five stars for the last year. Twenty percent got four and 39 percent got three. About 3 percent got only a single star. North Carolina Specialty Hospital (NCSH) is in the 2 percent that got 5 stars!!
Triangle Orthopaedics jointly owns the North Carolina Specialty Hospital. As a privately owned medical facility, it provides individualized attention to each and every patient it serves. Conveniently located at 3916 Ben Franklin Blvd, in Durham, North Carolina, it is across the street from the Durham office of Triangle Orthopaedic Associates, P.A. Many TOA specialties work with NCSH, including Triangle Breast Care, TOA Surgical Specialists, Bariatric Specialists of North Carolina, and Wound Care, in addition to Orthopaedics. All of our current Bundled Payment programs include NC Specialty Hospital.
Dr. Kathryn Baerman was recently featured in a magazine article describing one woman’s walk through the diagnosis and management of breast cancer: A Testimony of Faith During Sickness.
Dr. Baerman, Surgical Director of Triangle Breast Care, leads a team of oncoplastic and reconstructive surgeons, oncologists, physical therapists, and cancer rehabilitation specialists. These professionals take amultidisciplinary approach to developing and implementing an ongoing care plan unique to each patient. Dr. Baerman performs office consultations, breast biopsies, breast conservation and oncoplastic surgeries, mastectomies, and sentinel lymph node biopsies.
Dr. Baerman welcomes patients at the Chapel Hill, Durham, and Southpoint locations of TOA. She performs surgeries at Duke Regional, North Carolina Specialty Hospital, and Davis Ambulatory Surgery Center.
Exciting news! Dr. Kerner has been working with the USA Under-19 Men’s Lacrosse Team as Team Orthopaedic Physician, and this past weekend they won the World Championship! This is the 8th gold medal for Team USA!!
Dr. Kerner’s main interests are in Sports Medicine and Reconstructive Surgery of the foot, ankle, knee, and shoulder, being is dual fellowship trained in both Sports Medicine and Foot/Ankle surgery. He has been active in youth lacrosse in the Triangle for many years, as a Coach Rec and Club level teams. Last year, he coached the middle school team at Ravenscroft.
Summer is here and that means pre-season for many sports. The pre-season is an impactful time for injury prevention: eight to ten weeks of proper conditioning can reduce risk of an ACL (anterior cruciate ligament) tear by 60-90%!
Shepherd Rosenblum MD recently wrote an article for this year’s Healthcare Guide with The Franklin Times, “Understanding and Preventing ACL Injuries.” He shares that of the 250,000 surgical ACL repairs each year, most injuries are non-contact. This means cutting, twisting, and landing are risks for tears – and opportunities for pre-season training. Increasing agility, balance, strength, and core strength with neuromuscular training enables athletes to improve their alignment and protect their knees.
Dr. Shepherd Rosenblum is a board certified, fellowship trained orthopaedic surgeon specializing in Sports Medicine, shoulder, hip, and knee arthroscopy and reconstruction, and cartilage repair. He has expertise in treating a wide variety of sports-related injuries, as well as problems related to degenerative conditions such as rotator cuff tears, ligament and cartilage problems of the shoulder, elbow, hip, knee, and ankle. Dr. Rosenblum has been in practice since 1995, and has great experience in helping his patients to return to health and activities as quickly and safely as possible. He relies on a variety of techniques, emphasizing conservative management whenever possible, but Dr. Rosenblum is also able to offer the most advanced, minimally invasive surgical techniques available to his patients.
To schedule an appointment with Dr. Rosenblum or any of our Orthopaedic Surgeons, please contact us at 919-220-5255.
Read Dr. Rosenblum’s article in the 2016 Healthcare Guide of the Franklin Times (or click the image below to enlarge.)
All that warm July air and sun means that North Carolina is bursting at the seems with FRESH produce! Eating fresh produce is a big step in the right direction for both weight maintenance and achieving healthy weight loss. Here’s what’s in peak season for the month of July – so fill half your plate with vegetables!
Baratric Specalists of North Carolina, a division of Triangle Orthopaedics, provides surgical and nonsurgical solutions for weight loss. Dr. Paul Enochs, Dr. Jon Bruce, Dr. Michael Tyner, Dr. Scott Bovard and Dr. David Pilati are dedicated to providing patients with the highest quality care using the most advanced bariatric surgery techniques.
Please contact BSNC at 919-234-4468 for more information.
Here at Triangle Orthopaedics, our Occupational Therapists treat a variety of conditions and diseases. Our Occupational Therapists are Certified Hand Therapists (CHT), and they specialize in evaluation and treatment of the upper extremities.
Individualized rehabilitation programs consist of modalities for pain relief, supervised exercise programs, custom splint fabrication, and a variety of evaluation tools to provide objective information and up-to-date progress results. Home program participation is highly emphasized. Our Certified Hand Therapists work in tandem with our Hand Surgeons providing excellent Hand and Upper extremity care in multiple locations across the greater Triangle area.
Our hand therapists utilize specialized evaluations and treatment for upper extremity acute, post-traumatic, and repetitive strain injuries for Workers’ Compensation patients injured on the job, dedicated to helping businesses and industry control the frequency and resulting costs of on-the-job injuries.
For more information please visit our website at triangleortho.com or call us at (919) 220-5255.
Eating fresh produce is a big step in the right direction for both weight maintenance and achieving healthy weight loss. Kristin Kelly is a Registered Dietitian/Nutritionist with Bariatric Specialists of North Carolina – a division of Triangle Orthopaedics. She shares that including fresh produce daily provides a boost of vitamins and minerals responsible for immunity and essential bodily functions. Vegetables, in particular, are dense in fiber and have a very low calorie impact. Make half your plate veggies at the lunch and dinner meal to keep calories in check! North Carolina is a great state to get fresh fruits and vegetables grown locally. Here’s what’s in peak season for the month of June!
Bariatric Specialists of North Carolina, a division of Triangle Orthopaedic Associates, PA, provides surgical and nonsurgical solutions for weight loss. Dr. Paul Enochs, Dr. Jon Bruce, Dr. Michael Tyner, Dr. Scott Bovard and Dr. David Pilati are dedicated to providing patients with the highest quality care using the most advanced bariatric surgery techniques.
Please contact BSNC at 919-234-4468 for more information.
We are excited to expand our General Surgery services to Wake County! Dr. Alan Chap will be seeing patients in our Wake Forest office as well as Durham. Dr. Chap treats illnesses in the following areas:
• Abdominal Surgery – for diseases of the gallbladder, small bowel, appendix, and large bowel
• Breast Surgery – for benign and malignant breast diseases
• Hernia Surgery – for inguinal, femoral, ventral/incisional, and other hernias
• Anorectal Surgery – hemmorhoids, anal fissures, abscesses, fistulas and anal warts.
To schedule an appointment with Dr. Chap, call our Surgical Specialists: 919-281-1699.
Referring physicians are welcome to use our online web referral form.
Our Roxboro location is in the first 2016 volume of Hyco Lake Magazine! Dr. Gilmer was interviewed on the role of Orthopaedics in all age groups. With Dr. Gilmer and Dr. Takenaga in Roxboro, comprehensive Orthopaedic care is available for the whole family. ”We are a general Orthopaedics practice, so we see everything,” explains Dr. Gilmer, “from children to the elderly,” describing basics for Osteoporosis prevention, rheumatoid and osteoarthritis, bunions, and other conditions treated by Triangle Orthopaedics in Person County. Dr. Gilmer and Dr. Takenaga have years of experience in Orthopaedic Surgery and see patients in the Roxboro office.
“Most people have a fracture at some point in their lives. At Triangle Orthopaedic Associates, we see patients promptly, do x-rays quickly, put on casts, and schedule surgery if necessary. All of this is done in a state-of-the-art, cost-effective way by experts in the field.”