title: Innovative clinical path slashes back surgery LOS.
abstract: Cooperative in Seattle overcame professional resistance and a corporate reorganization on its way to implementing protocols that drastically cut LOS for lumbar laminectomy.
mesh_terms: D000293:Adolescent; D000328:Adult; D019091:Critical Pathways; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D007796:Laminectomy / Q000592:standards*; D007857:Leadership; D007902:Length of Stay; D008159:Lumbar Vertebrae; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D010359:Patient Readmission; D017060:Patient Satisfaction; D010820:Physicians; D011787:Quality of Health Care; D013123:Spinal Fusion / Q000592:standards*; D014861:Washington