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all right so tonight were going to go over transitioning arthroplasty to the asc so i want to thank ortholine for putting this on tonight and our speakers these are my disclosures one of which is relevant to this with ortholine being one of the disclosures so if we look at kind of why are we transitioning to the asc as weve seen the number of arthroplasty cases continue to grow exponentially as we see potentially by 2030 over 600 000 total hips and over 900 000 total knees and with these increased numbers were really seeing value driven healthcare uh as a result and so as we see this value driven approach its now leading to incentives for decreased costs and then shorter post-operative links to stay and as weve seen in this value-driven environment same-day discharge has proven a number of things one of which is theres been no increase in readmission rates uh as a result of doing these now at the same day surgery centers in afcs its really proven to be cost effective with pote