title: Patient and provider experience with a new model of care for primary hip and knee arthroplasties.
abstract: BACKGROUND
  The orthopaedic program at a large academic teaching hospital introduced a quality initiative for the primary hip and knee arthroplasty population with the goal to reduce the overall length of stay (LOS) to less than 3 days while ensuring an efficient and exceptional patient experience. This article focuses on the process used to evaluate patient and provider satisfaction with the changes made to achieve a reduction in length of stay.
  
  
  METHODS
  The initiative involved current and future process mapping, patient and staff education, a comprehensive mobility strategy, pain management pathways and an evaluation of the patient and provider experience. The goal to reduce LOS for both primary hip and knee arthroplasty surgery was achieved.
  
  
  CONCLUSIONS
  The patients were satisfied with their overall experience including their LOS and preparedness for discharge home.
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5. Electronic address: Jane.cox@lhsc.on.ca.
authors.forename: Jane
authors.initials: J
authors.lastname: Cox
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5.
authors.forename: Carla
authors.initials: C
authors.lastname: Cormack
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5.
authors.forename: Monique
authors.initials: M
authors.lastname: Prendergast
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5.
authors.forename: Hazel
authors.initials: H
authors.lastname: Celestino
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5.
authors.forename: Sean
authors.initials: S
authors.lastname: Willis
authors.affiliation: University Hospital - London Health Sciences Centre, 339 Windermere Road, London, Ontario, Canada N6A 5A5.
authors.forename: Maribeth
authors.initials: M
authors.lastname: Witteveen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods / Q000451:nursing*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods / Q000451:nursing*; D005260:Female; D006801:Humans; D008131:London; D008297:Male; D008875:Middle Aged; D009732:Nursing Care / Q000592:standards*; D009936:Organizational Innovation; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic
keywords: Arthroplasty; Model of care; Patient experience