• Casey M O'Connor, Afshin A Anoushiravani, Matthew R DiCaprio, William L Healy, and Richard Iorio.
• Albany Medical Center, Department of Orthopaedic Surgery, Albany, NY.
• J Arthroplasty. 2020 Jul 1; 35 (7S): S32-S36.

BackgroundThe economic effects of the COVID-19 crisis are not like anything the U.S. health care system has ever experienced.MethodsAs we begin to emerge from the peak of the COVID-19 pandemic, we need to plan the sustainable resumption of elective procedures. We must first ensure the safety of our patients and surgical staff. It must be a priority to monitor the availability of supplies for the continued care of patients suffering from COVID-19. As we resume elective orthopedic surgery and total joint arthroplasty, we must begin to reduce expenses by renegotiating vendor contracts, use ambulatory surgery centers and hospital outpatient departments in a safe and effective manner, adhere to strict evidence-based and COVID-19-adjusted practices, and incorporate telemedicine and other technology platforms when feasible for health care systems and orthopedic groups to survive economically.ResultsThe return to normalcy will be slow and may be different than what we are accustomed to, but we must work together to plan a transition to a more sustainable health care reality which accommodates a COVID-19 world.ConclusionOur goal should be using these lessons to achieve a healthy and successful 2021 fiscal year.Copyright © 2020 Elsevier Inc. All rights reserved.

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