title: Practical Quality Improvement Implementation in Orthopaedic Clinical Practice.
abstract: The passage of the Medicare Access and Children's Health Insurance Program Reauthorization Act of 2015 (HR 2) helps ensure patient access to care and stable physician reimbursement for the near future. HR 2's underlying theme is the improvement of value to address the unsustainable rise in national healthcare spending. Quality improvement and performance improvement, which affect outcomes and costs as well as address variation, are the keys to improve the value of orthopaedic healthcare delivery. Orthopaedic surgeons should examine quality and performance strategies as well as several examples before they begin to implement these processes to improve quality and performance in their practices.
authors.affiliation: Chair, Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
authors.forename: David S
authors.initials: DS
authors.lastname: Jevsevar
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Shea
authors.forename: Alexandra
authors.initials: A
authors.lastname: Styhl
authors.forename: Karl
authors.initials: K
authors.lastname: Koenig
mesh_terms: D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D006801:Humans; D009985:Orthopedics / Q000379:methods / Q000458:organization & administration; D011364:Professional Practice / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration*