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X-ray after your ‘ream and run’ joint replacement on 1/13/05

This patient identification card serves multiple functions, including identifying the surgery and implant, providing information for medical emergencies, and assisting patients navigating metal detectors. Contact surgeon for any questions.

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X-ray after your ‘ream and run’ joint replacement on 1/13/05

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  1. Your new joint Your UWMC surgeon X-ray after your ‘ream and run’ joint replacement on 1/13/05 Winston J Warme, M.D. warmewj@u.washington.edu 206 598-MSMI

  2. Patient Implant Identification Cards University of Washington Orthopedics and Sports Medicine Surgeon: Winston J Warme Phone: 206-598-4288 Email: warmewj@u.washington.edu Total Shoulder Joint Replacement Name: John Doe Medical Number: U1234567 DOB: 07/27/1945 Implant may activate metal detectors

  3. Serves several functions: • Identifies surgery and possibly implant in case of medical emergency • Gives something for the patients expecting to negotiate metal detectors, such as at airports and government buildings – patients do request these • Is a walking billboard with our contact informationon it • Is a nice parting gift for the patient to show off to others • Can contain important information on it – such as: antibiotics for life, medical record number, allergies, etc. Patient Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 www.UWOrtho.com

  4. Here are a few commercial examples:

  5. Sample Commercial Cards

  6. Here are a few home brewed templates:

  7. University of Washington Orthopedics and Sports Medicine Surgeon: Winston J Warme Phone: 206-598-4288 Email: warmewj@u.washington.edu Total Shoulder Joint Replacement Antibiotics for Life Name: John Doe Medical Number: U1234567 DOB: 07/27/1945 Implant may activate metal detectors Front Back Patient requires antibiotics prior to any dental or surgical procedure University of Washington Orthopaedics and Sports Medicine Surgeon: Winston J Warme Phone: 206-598-4288 Email: warmewj@u.washington.edu Name: John Doe DOB: 07/27/1945 UNumber: U1234567 Surgery: Right Shoulder Hemiarthroplasty Impant: DePuy Global Advantage TSA 52-14-12 Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 www.UWOrtho.com Front Back

  8. Surgeon: Winston J Warme, MD Phone: 206-598-4288 Email: warmewj@u.washington.edu Total Shoulder Joint Replacement Antibiotics for Life Name: John Doe Medical Number: U1234567 DOB: 07/27/1945 Implant may activate metal detectors Front Back Please carry this card at all times and show it to any medical personnel who may be treating you. Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination Contact surgeon with any questions about joint Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 206-598-4288 www.UWOrtho.com Patient X-Ray Front Back

  9. Patient Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 www.UWOrtho.com Total Shoulder Joint Replacement John Doe U1234567 DOB: 07/27/1945 Implant may activate metal detectors Front Back Patient Identification Card Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 www.UWOrtho.com Total Shoulder Replacement This patient has a total shoulder replacement. This replacement may activate metal detection devices. Patient requires antibiotics prior to any dental or surgical procedure. John Doe U1234567 Front Back

  10. I hope you enjoy your new shoulder and please feel free to contact me with any of your questions and don’t forget: Antibiotics for Life. Rick Matsen In case of emergency contact: UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Email: Matsen@u.washington.edu www.UWOrtho.com Total Shoulder Joint Replacement John Doe U1234567 DOB: 7 June 1945 Surgery: 18 December 2008 Implant may activate metal detectors Front Back Patient Identification Card Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 www.UWOrtho.com Total Shoulder Replacement This patient has a total shoulder replacement. This replacement may activate metal detection devices. Patient requires antibiotics prior to any dental or surgical procedure. John Doe U1234567 Front Back

  11. Designs are only limited to one imagination and free time.

  12. Question 1: How personalized? • Generic with blank for patient name and/or procedure: • Can be printed out just like business cards for really cheap • Can be easily filled out by anyone in clinic or even right in the OR • More professional with typed name of patient and procedure: • Looks much more professional than fill in the blank cards • Patients more likely to hang onto these or request a replacement • More tricky to print • May requiring special printer or basic print-shop know-how • Personalized with patient’s actual x-ray: • Patient much more likely to keep this unique and very personalized card • Much more difficult to produce • Requires special printer, software and competent/dedicated staff • Difficult to get to patients immediately post op

  13. Anyone can fill in the blanks on a generic surgery cards. These serve the purpose of having something for patients that want something to take with them to the airport. These can be preprinted in mass and are economical. In case of emergency contact: UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Surgery information available at www.UWOrtho.com Shoulder Replacement Patient: Surgery Date: Patient requires antibiotics prior to any dental or surgical procedure. Implant may activate metal detectors Front Back

  14. Custom made cards with the patient’s name and procedure are easy enough to set up and can be done by most staff members with minimal input. These can be preprinted prior to surgery and given to patient immediately post op. Quite dandy. Patient Identification Card Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Surgery information available at www.UWOrtho.com Total Shoulder Replacement This patient has a total shoulder replacement. This replacement may activate metal detection devices. Patient requires antibiotics prior to any dental or surgical procedure. John Doe U1234567 Front Back

  15. Custom made cards with the patient’s personal x-ray will require some basic graphics software and are a little more tricky to setup. These would have to be printed after surgery. Done right, these would be very special little cards, but would be too much trouble to produce for some services. Patient Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Surgery information available at www.UWOrtho.com Total Shoulder Joint Replacement John Doe U1234567 DOB: 07/27/1945 Implant may activate metal detectors John’s Shoulder Front Back

  16. Question 2: How professional appearing? • Generic card with blank for patient name and/or procedure: • We already have these • They look cheesy, but cost only as much as a box of business cards • Easy to fill out, even by orthopedic surgeon • Double sided printed on card stock: • Can be customized as much as you like – much more professional appearing • Requires special printer and/or special training • Print and fold lamination: • Lasts longer than un-laminated card stock • Need laminator • Plastic ID card: • Really nice • Needs special printer and software

  17. Question 3: How much do you want to spend? Generic cards are cheap (we already have them) A laser color printer is pricey – but we already need one for other projects A card laminator has an initial setup cost and will require card pouches (which aren’t that expensive) A plastic card printer may be very pricey considering maintenance and operating costs and is only worth the expense if we are planning on producing a lot of cards over the next many years and want a very professional end product Outsourcing is going to be extremely expensive in the long run at several dollars a card

  18. Preprinted generic cards – fill in names if you like • Most economical ID card option. • Very easy to fill out. • Least professional looking option. In case of emergency contact: UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Information about surgery at www.UWOrtho.com Shoulder Replacement Patient: Surgery Date: Patient requires antibiotics prior to any dental or surgical procedure. Implant may activate metal detectors Front Back

  19. Printing single sided grayscale cards on cardstock with our printers • Very economical option – only need card stock or perforated business card sheets • Requires basic/advanced MS Office setup skills – which not all MAs and RNs have Note: Adding x-rays is really cool, but requires a good amount of Centricity/PACs know-how, as well as some advanced MS Office expertise. Photo editing software would also be useful. Crop and Paste X-ray here Front Only Shoulder Joint Hemi Replacement Total Shoulder Joint Replacement Barbara Nicky U230367 In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Nancy Coal U2976367 In case of emergency contact: Frederick A Matsen, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life Antibiotics for life Print up to 10 per 8.5 x 11” page Ream and Run Shoulder Replacement Reverse Shoulder Replacement John Doe U1234567 In case of emergency contact: Frederick A Matsen, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Jack Denials U1234583 In case of emergency contact: Im A Doctor, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life Antibiotics for life

  20. Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination www.UWOrtho.com • Printing double sided grayscale cards on cardstock with our printers • Very economical option – only need card stock • Requires basic Word setup skills and a great deal of setup • This is VERY tricky and we will be limited in what we can put on the back side Increase margins on back to prevent lost print after cutting front Front Back Shoulder Joint Hemi Replacement Barbara Nicky U230367 In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life Total Shoulder Joint Replacement John Doe U1234567 In case of emergency contact: Frederick A Matsen, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life

  21. Name: Barbara Nicky Medical Number: U230367 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination www.UWOrtho.com • Print folding grayscale cards and laminating • Very economical option – only need card stock • Requires basic Word setup skills • Requires lamination machine ($300) and supplies Note: laminating necessitates decreasing the margins of the card which decreases usable printable space Cut and fold over Print one side only Shoulder Joint Hemi Replacement Barbara Nicky U230367 In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life Total Shoulder Joint Replacement John Doe U1234567 In case of emergency contact: Frederick A Matsen, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life

  22. U MedicineORTHOPAEDICS AND SPORTS MEDICINE W • Preprinted cards and laminating • Allows you to laminate x-ray onto prefabricated professional grade cards • Some fiddle factor required – much more if you add x-rays • Old school appeal • Requires lamination machine ($300) and supplies X-ray goes here (Use pressure sensitive pouch to hold in place) Add name here (Name tape or with pen) Front Back Please carry this card at all times and show it to any medical personnel who may be treating you. Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 For information about our services, please visit www.UWOrtho.com Ream and Run Shoulder Replacement In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 John Doe Antibiotics for life Total Shoulder Replacement John Doe In case of emergency contact: Frederick A Matsen, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Antibiotics for life

  23. U MedicineORTHOPAEDICS AND SPORTS MEDICINE U MedicineORTHOPAEDICS AND SPORTS MEDICINE W W • Printing double sided color cards on cardstock • Requires a laser color printer, toner and cardstock – We already need a Color Printer • Requires basic MS Office setup skills and a lot of initial setup • This is VERY tricky and we will be limited in what we can put on the back side Front Back Shoulder Team Membership Card Barbara Nicky is a proud owner of a: Ream and Run Shoulder Replacement performed at the University of Washington Medical Center in Seattle, Washington. I hope you enjoy your new shoulder and please feel free to contact me with any of your questions and don’t forget: Antibiotics for Life. Rick Matsen In case of emergency contact: UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 Email: Matsen@u.washington.edu Surgery information at www.UWOrtho.com Patient Name: John Doe Medical Number: U1234567 DOB: 23 November 1955 Surgery: Total Shoulder Arthroplasty Date of Surgery: 11 June 2008 Surgeon: Winston J Warme, MD Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 www.UWOrtho.com Implant may activate metal detectors Total Shoulder Replacement John Doe U1234567 Implant may activate metal detectors

  24. Color Card Printer • Less fiddle factor than using 8.5” x 11” card stock • Requires dedicated card printer:a $1200-$3000+ initial investment • Can give great results – plastic lasts forever! • Plastic cards have more printable space than laminated cards • Requires initial graphic design skill to maximize full potential • Can also make simple durable cards U MedicineORTHOPAEDICS AND SPORTS MEDICINE W Please carry this card at all times and show it to any medical personnel who may be treating you. Implant may activate metal detectors Antibiotics required prior to any dental or surgical procedure Present card prior to MRI examination In case of emergency contact: Winston J Warme, MD UWMC Bone and Joint Surgery Center 4245 Roosevelt Way NE, Seattle, WA 98105 Office: 206-598-4288 Paging Operator: 206-598-6190 For more information about your surgery, visit www.UWOrtho.com Total Shoulder Replacement John Jacob Roberson U1234567 DOB: 23 November 1955 Date of Surgery: 11 June 2008 Implant: DePuy Global 12-52-18 Surgeon: Winston J Warme, MD Implant may activate metal detectors Front Back

  25. Outsourcing • Requires regular surgeon/staff input for orders on a regular basis • Appearance/quality varies – some are quite bad • High long term cost (can be several dollars per card) • Long turn around time – no same day service • Lose tweak flexibility

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