This project will outline a pre-surgery support program that identifies risk factors related to poor surgical outcomes and recommends actions to improve these before surgery. The main questions this study attempts to answer are: 1. Is a formalized knee-hip pre-surgery support program feasible, measured by recruitment rate, adherence, and completion rate? 2. Does the support program improve surgical risk factors including hemoglobin A1c (HB A1C), blood pressure, hemoglobin, estimated glomerular filtration rate (eGFR), frailty score, and physical fitness and function (measured with the 2-minute step test and 30s second sit to stand test)? Participants will participate in education, medical navigation, and exercise.
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Recruitment rate
Timeframe: Study baseline
Recruitment rate for enhanced support
Timeframe: Study baseline
Adherence to enhanced support program
Timeframe: Pre-surgery (10-16 weeks after baseline)
Completion rate
Timeframe: Pre-surgery (10-16 weeks after baseline)