News Archive (2015)

Nationally Known Traumatologist Dr. Clifford Jones Joins The CORE Institute

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The CORE Institute Expands Into Louisiana

Phoenix, Ariz. (June 4, 2015) The CORE Institute, powered by Excellence Headquarters®, announced the addition of nationally acclaimed orthopedic trauma surgeon Clifford B. Jones, MD, FACS, who specializes in Trauma, Bone Health and Osteoporosis, adult and pediatric fracture care, infections, osteomyelitis, amputations, nonunions, malunions, pelvic fractures, acetabular fractures, periarticular fractures, spine problems, and foot and ankle trauma. He will care for patients in both The CORE Institute’s Arizona and Michigan clinics, allowing him to continue to treat his Michigan patients.


As a popular lecturer whose research has appeared in several highly regarded medical journals, Dr. Jones won an Achievement Award from the American Academy of Orthopedic Surgeons from 2012-15 for his contributions to education, research, and advocacy in orthopedics. Orthopedics This Week named him a Top U.S. Orthopedic Trauma Surgeon in 2012. In 2008, he also was a Distinguished Visiting Professor, at the Landstuhl Regional Medical Center in Germany, who was involved with education of the Military Surgeons and operating on our Wounded Warriors.


“The CORE Institute has quickly grown into one of the most respected and innovative musculoskeletal groups in the country,” said Dr. Clifford B. Jones. “I look forward to participating and contributing to their academic medicine program as well as continuing to develop their trauma program Nationally.”


“Dr. Jones has earned a national reputation as a leading traumatologist and we couldn’t be more excited that he chose to join our talented team at The CORE Institute,” said Dr. Jason Scalise, Vice Chairman at The CORE Institute. “While many orthopedic physicians know Dr. Jones for his research that has been recognized in several highly regarded medical journals or for the hundreds of lectures he has given, his patients know him for his personalized treatment plans to help each patient receive the best possible outcomes. It is with great excitement that we welcome him to the CORE team.”

Clifford B. Jones, MD FACS is a board certified and fellowship-trained orthopedic surgeon. He received his fellowship training in orthopedic trauma at the highly acclaimed University of Washington, Harborview Medical Center, which consisted of extensive surgery and research of spinal fractures, pelvic fractures, acetabular fractures, foot and ankle injuries, peri-articulator, and long bone fractures. He completed his orthopedic residency training at San Francisco Orthopaedic Residency Program in San Francisco; CA. Dr. Jones obtained his medical degree from the Indiana University Medical School. 

To schedule an appointment with Dr. Jones, or any of The CORE Institute providers, please call 1.866.974.2673.



The CORE Institute to Begin Seeing Orthopedic Patients in Southern Arizona on June 1, 2015

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Green Valley, Ariz. (May 13, 2015) Arizona’s largest orthopedic and neurology practice, The CORE Institute® powered by Excellence Headquarters®, will begin seeing its first orthopedic patients in Green Valley starting June 1. Earlier this year, The CORE Institute and Green Valley Hospital executed an orthopedic service line co-management agreement. Under the agreement, The CORE Institute will provide orthopedic physician call coverage and orthopedic service line management services at the new 50-bed full-service acute care facility located south of Tucson in Green Valley, opening June 1, 2015.

The CORE Institute also announced it officially opens its first Clinic in Southern Arizona at 4485 S I-19 Frontage Rd in Green Valley. Dr. Alex Verhoogen, board certified orthopedic surgeon with over 40 years of orthopedic experience will care for patients in Green Valley. He has expertise in general orthopedic practice including adult and pediatric fracture care, sports medicine and arthroscopy, and joint reconstruction surgery. Dr. Shane Hess, a fellowship-trained orthopedic surgeon will be joining the CORE team later this summer and will bring additional expertise in joint replacement surgery to Green Valley. Additionally, senior physicians Drs. David Jacofsky, Bryan Wall and Jason Scalise from Phoenix will be seeing patients, bringing best-in-class orthopedic care to Southern Arizona.  

“The CORE Institute is thrilled to expand our Excellence through Evidence® platform in Southern Arizona to significantly enhance the orthopedic care available in the greater Tucson area,” said Vice Chairman, Dr. Jason Scalise. “We’re excited to bring our standardized care approach, proprietary quality IT platform, and proven outcomes to Green Valley Hospital, and to help build an orthopedic program in Southern Arizona.”

The CORE Institute plans to continue to expand in Southern Arizona, including additional locations in Tucson. Their investment in the community will ultimately shape the entire orthopedic service line and distinguish Green Valley Hospital as a leader in orthopedics delivery in Southern Arizona.

To schedule an appointment with Dr. Verhoogen, or any of The CORE Institute providers, please call 1.866.974.2673.
For more information, please visit www.thecoreinstitute.com/greenvalley.

About The CORE Institute
The CORE Institute delivers integrated, comprehensive musculoskeletal and neurological care. The CORE Institute is built upon a foundation of pioneering research, academics, community service, and a passion for excellence in patient care. The CORE Institute has locations in Arizona and Michigan, with clinics planned to open in other states, as well as overseas, in the near future. The organization continues to be a leader in payor-reform initiatives, and it is at the forefront of systems-based quality programs which drive value and improve the quality of patient care.

The CORE Institute's fellowship-trained physicians provide specialized care in the areas of surgical, non-surgical and rehabilitative hip, knee, shoulder, elbow and ankle procedures, joint replacement, sports medicine, arthroscopy, fracture management, orthopedic traumatology, hand and wrist procedures, complex articular cartilage restoration, musculoskeletal oncology, foot and ankle reconstruction, physical medicine and rehabilitation, comprehensive spine care, pain management, clinical neurophysiology, epilepsy, headache and facial pain, neuromuscular medicine, spine and peripheral nerve disease, clinical neuroimmunology, multiple sclerosis, and general neurology care.

Connect with The CORE Institute at www.thecoreinstitute.com or on Facebook, Twitter, and YouTube.

About Green Valley Hospital
This new 50-bed, full-service general acute care hospital is being constructed on a 21.5-acre campus (12.5 acres for the hospital and 9 acres for medical office buildings and future expansion) in Green Valley near Interstate 19, south of Continental Ranch Road and northeast of Canoa Ranch Road. The 147,000 sq. ft, three story hospital will house a full cardiac catheterization laboratory, complete imaging and laboratory/blood bank, a four room surgical suite, Intensive Care Unit, full gastroenterology procedure rooms, emergency room, helipad and restaurant and coffee shop.  Green Valley Hospital will provide services and amenities commonly found in larger, more metropolitan hospitals. Physician specialties including Orthopedics, Cardiology, Pulmonology, General and Vascular surgery, Gastroenterology, ENT, Emergency Medicine, Urology, Oncology, Pathology, Radiology, Internal Medicine/Hospitalists, Ophthalmology as well as a battery of other specialties will be located within the hospital.  Green Valley Hospital is scheduled to open in the Spring of 2015. For additional information visit www.greenvalleyhospital.com.

The CORE Institute Expands Into Louisiana

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The CORE Institute Expands Into Louisiana

Phoenix, Ariz. (May 26, 2015) The CORE Institute®, powered by Excellence Headquarters®, announced its expansion into the Louisiana market by partnering with the world-class team of orthopedic surgeons and specialists at Louisiana Orthopaedic Specialists in Lafayette, Louisiana. The practice will be renamed The CORE Institute at Louisiana Orthopaedic Specialists. 

“This partnership marks the continued opportunity for The CORE Institute to expand and implement our Excellence through Evidence® platform throughout the Southeastern United States. We believe that Louisiana Orthopaedic Specialists and its talented team of physicians are the ideal partners as The CORE Institute continues to grow,” said Vice Chairman, Bryan Wall, MD. 

“Partnering with The CORE Institute will directly benefit our patients and help us grow,” said Michael Prejean, Chief Executive Officer, of Louisiana Orthopaedic Specialists. “The CORE Institute achieved their mission of bringing a new standard of excellence to surgical care in Arizona and Michigan, and we are excited to expand the same in Louisiana. That means, greater standardization using evidence-based best practices, better clinical quality, and more efficient performance will now contribute to existing quality care to which our patients are accustom.” Louisiana Orthopaedic Specialists is well known in the Acadiana area for providing orthopedic care with best-in-class outcomes. They are currently the largest orthopedic subspecialty practice in Southwestern Louisiana.

The CORE Institute made their first expansion into Michigan with Porretta Center for Orthopedic Surgery in 2013. Since expanding, The CORE Institute – Michigan has expanded into Brighton and Grand Blanc. Since its inception in 2005, The CORE Institute has grown to over 150 care providers and more than 700 employees. Its growth has been built on a platform of evidence-based medicine and meticulous outcomes tracking managed by a proprietary IT platform. 

About The CORE Institute

The CORE Institute® delivers integrated, comprehensive orthopedic and neurological care, one patient at a time. The CORE Institute is built upon a foundation of pioneering research, academics, community service, and a passion for excellence in patient care. The CORE Institute has locations in Arizona and Michigan, with clinics planned to open in other states, as well as overseas, in the near future. The organization continues to be a leader in payor-reform initiatives and is at the forefront of systems-based quality programs which drive value and quality across healthcare organizations. 

About Louisiana Orthopaedic Specialists

Located in Lafayette, Louisiana Orthopaedic Specialists is a comprehensive musculoskeletal orthopedic practice comprised of eight fellowship trained orthopedic surgeons and one fellowship trained interventional physiatrist. They deliver comprehensive care in the fields of sports medicine, total joint replacement, arthroscopic surgery, spine surgery, hand and wrist, elbow, shoulder, and foot and ankle care.



How The CORE Institute grew 40% last quarter — IT leads the way

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The CORE Institute made several key moves recently to expand the practice and position itself for success in the future.

Based in Phoenix, the practice also has locations in Michigan and will be expanding into additional states this year. In March, the practice signed a partnership with Surgical Care Affiliates and six physicians to open The CORE Institute Specialty Hospital in Phoenix.

"We continue to grow," says David Jacofsky, MD, CEO of The CORE Institute. "The excitement and adoption of our proprietary quality programs and IT platforms for managing risk and predicting the quality and cost of care has been far greater than we ever expected. Now that we have five years worth of data showing outcomes related to the platform deployment for hospitals and physician groups, we're getting calls almost daily from hospitals or groups interested in working with us."

 Here are five key notes on the group's growth:

  • Last year, The CORE Institute hired 41 providers and 137 staff members
  • The group doubled the Michigan practice in the last 12 months.
  • The institute had a 40 percent growth for the first quarter of 2015.
  • The group plans to expand to Tucson, and has signed a term sheet with a state in the Southeast.
  • The CORE Institute signed a co-management agreement with Green Valley Hospital's orthopedics department.

So what's the key to the practice's success?

"The reason we are able to grow so rapidly is we are scalable," says Dr. Jacofsky. "We are standardized both operationally and clinically, which makes it easier to scale and oversee based on best practices and evidence-based consensus. We have a robust leadership program that includes leadership training for physicians."

The CORE Institute University provides training and education for different staff categories to prevent a leadership vacuum. The most challenging part of expansion is the initial move into a new market, but once there, it's easy for the practice to implement existing platforms and increase in size.

"The visibility of our outcomes and quality metrics, and in many cases the costs for consumers and patients, is very attractive," says Dr. Jacofsky. "We are seeing increasing numbers of patients coming from outside Arizona to our facilities, and we are seeing insurance companies that have the ability to directly compare cost, quality and patient experience between different physician groups willing to create narrow networks and steer patients to the facilities they believe will provide the best value."

The group has a proprietary IT platform that includes phone apps, customized electronic medical records, specialized pagers providers use to communicate with each other, and a data warehouse to collect and analyze data in real time. The group invested between $12 million and $15 million on their IT platforms, and has employed six to seven software engineers or programmers in-house for the past half-decade. The IT specialists are responsible for building programs and interfaces to improve value.

"This concept of a virtual care network is an important one," says Dr. Jacofsky. "If you are going to be at risk with payers, you need to be able to take care of the right patient with the right procedure in the right facility at the right time. If every total knee replacement patient were to go to the high acuity hospital or ICU, every episode of care would be expensive. One needs to triage patients between such a hospital and a specialty hospital where we treat relatively healthy patients who need inpatient care or the outpatient surgery center for young total knee patients in the best health. Directed care to the highest quality, lowest cost setting that provides the appropriate safety factor for that particular patient."

The wealth of data allows the practice to participate in bundled payment models based on the surgical episodes and 90 days after the procedure. The practice takes full capitation and full risk capitation per member per month in a manner consistent with population health. They have shared savings models through partnerships with hospitals and insurance companies.

"We have programs where we receive bonus payments if we reach certain rates for patient report cards," says Dr. Jacofsky. "Our biggest challenge has been managing growth and finding the right physician and hospital partners; our growth opportunities have been so extensive that growing and executing efficiently has always been the biggest challenge. This is why the right partner is key."

In addition to the data gathering, the proprietary software programs have had an impact on outcomes, cost and patient satisfaction. In some cases, episodes of care were 30 percent less expensive than their competitors with a lower complication rate based on objective CMS data.

Dr. Jacofsky recently started to publish articles on the use of standardized protocols to improve outcomes for arthroplasty, as well as two or three different papers related to standardization and the use of IT platforms and integrated systems to improve outcomes and lower costs overall," says Dr. Jacofsky.

Dr. Jacofsky continues to look for progressive groups looking to lead consolidation in their state and region.

Source: Becker's Healthcare