title: Big Data, Big Problems: Incorporating Mission, Values, and Culture in Provider Affiliations.
abstract: This article explores how integration of data from clinical registries and electronic health records produces a quality impact within orthopedic practices. Data are differentiated from information, and several types of data that are collected and used in orthopedic outcome measurement are defined. Furthermore, the concept of comparative effectiveness and its impact on orthopedic clinical research are assessed. This article places emphasis on how the concept of big data produces health care challenges balanced with benefits that may be faced by patients and orthopedic surgeons. Finally, essential characteristics of an electronic health record that interlinks musculoskeletal care and big data initiatives are reviewed.
authors.affiliation: Center for Public Policy and Administration, 260 South Central Campus Drive, Room 214, University of Utah, Salt Lake City, UT 84112, USA.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Shaha
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Zain
authors.initials: Z
authors.lastname: Sayeed
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Afshin A
authors.initials: AA
authors.lastname: Anoushiravani
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Mouhanad M
authors.initials: MM
authors.lastname: El-Othmani
authors.affiliation: Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
mesh_terms: D057286:Electronic Health Records / Q000458:organization & administration*; D006801:Humans; D009985:Orthopedics / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D012042:Registries; D014481:United States
keywords: Administrative database; Big data; Clinical database; Comparative effectiveness; Orthopedics; Total joint arthroplasty