Planning for Joint Replacement Surgery

Patients considering joint replacement surgery are encouraged to attend a seminar about joint replacement and what to expect before, during and after surgery. Speakers include the program coordinator, a surgeon, physical therapist and anesthesiologist. See Calendar for Hip and Knee Replacement Education programs. (link to Calendar module)

Patient Education for Joint Replacement Surgery
The planning process starts as soon as the patient books the surgery through their physician. Each patient is encouraged to attend a preoperative class that includes presentations from the program coordinator, a physical therapist and a case manager. Topics include:
  • What to expect physically, mentally and emotionally before, during, and after surgery
  • Preparing for surgery, including diet and exercise
  • What to wear to the hospital
  • Planning for discharge, including instructions about crutches, walker or other assistive device, rehabilitation options and home care
  • Insurance coverage
  • Contact information for the Program Coordinator so patients may call with questions.
In addition, each patient receives a phone call from the Program Coordinator prior to admission to answer any additional questions or concerns.

Preadmission for Joint Replacement Surgery
The doctor's office organizes all necessary preoperative tests. The hospital's preadmission nurse  conducts preoperative interviews by telephone with all patients scheduled for surgery.  The interview includes a review of what is involved with the procedure and how to prepare.

The preadmission nurse makes sure that all the necessary preoperative tests have been done and conducts a complete review of the patient’s medical history.  Any needs the patient has, such as translation services or transportation, are discussed.  

More on Patient services at Greenwich Hospital >>
More about admitting >>

Learn more about joint replacement surgery in our Patient Education Fact Sheets Library >>

Day of Joint Replacement Surgery
On the day of surgery, the patient will be greeted at the hospital by the program coordinator, who also  organizes the patient's care during the hospital stay. The program coordinator continues to see each patient twice a day while they are in the hospital.
Discharge Planning
Discharge planning begins before the procedure, at the pre-operative joint replacement class.
Patients will review discharge information with the care team during their hospital stay and the program coordinator organizes each patient's discharge instructions.

An individualized plan will be developed, in collaboration with physicians, nurses, case managers and others to address a variety of patient needs. These include being fitted for an assistive device such as crutches, transportation, support services, home care, medication management and rehabilitation referrals or placements.

A case manager works directly with patients to review insurance benefits and to plan appropriate placement at an inpatient rehabilitation facility if needed upon discharge.

Learn more about discharge procedures >>

To contact the joint replacement program coordinator, please call Tori Kroll, RN 203-863-3629. 

To contact a case manager, please call 203-863-3432
or e-mail  Paula.Guglielmi@greenwichhospital.org

Billing and Payment
Part of the discharge planning process includes helping patients fully understand the billing process in order to plan for payment.  Case managers work closely with patients to clarify insurance benefits eligibility.  

Please note: Patients may receive separate bills from providers other than the hospital.  These may include physicians, such as the radiologist and anesthesiologist, and the laboratory.

Learn more about billing and how to pay your bill online >>


  • Joint Replacement Program Coordinator
  • 203-863-3577

  • Leona M. and Harry B. Helmsley Ambulatory Surgery Center
  • 203-863-2920