Mission The mission of the POSNA Quality, Safety, and Value Initiative is: To lead POSNA members to value-based clinical care. To partner with hospital-based and AAOS efforts to provide safe, high quality outcomes for our patients. To communicate our initiatives and results cooperatively with payor, credentialing, and compliance organizations in efforts to improve pediatric orthopaedic care in North America.
Goals POSNA QSVI will enhance value-based healthcare delivery in pediatric orthopaedics by leading research and equipping members with tools for their practices with the singular focus of producing higher quality, safer care at a better value for our patients and families. To develop clinical tools that members can use to improve quality and safety at their institutions To conduct multicenter research trials focused on determining complication rates, the efficacy of safety interventions, and other QSVI questions To educate members on best practices and new developments in the realms of quality, safety, and value.
Quality Tools The QSVI Committee has created toolkits and guidelines for your use Pulseless SCH Flowchart ACL Return to Play Toolkit Post-Op Opioid Prescription Guidelines Pediatric Fracture Pain Management Guidelines POSNA has complied a list of Pediatric Orthopaedic related quality tools on the Internet including POSNA Level of Evidence Summaries (LOE) Appropriate Use Criteria (AUC) Clinical Practice Guidelines (CPG) Clinical Performance Measures (CPM) Learn more about each of these on our section on Evidence Based Orthopaedics.
Resources for Specialty Societies The AAOS Department of Research and Scientific Affairs has created a chart detailing the tools and resources currently available to facilitate research and quality activities within the Specialty Societies. Tools and Resources for Specialty Societies
QSVI Recommended Reading List The QSVI committee recommends the reading list below as a primer on best ideas and practices to improve quality of care, increasing patient safety and delivering value-based care. Additional recommended content can be found in the QSVI Library Patient Safety AHRQ PSNet Patient Safety Primers: “Systems Approach” and “Root Cause Analysis”. “Error in Medicine.” Leape LL. JAMA 1994; 272: 1851-7. AHRQ PSNet Patient Safety Primers: “Safety Culture”, and “The Role of the Patient in Safety”. Measurement of Patient Safety and Healthcare Quality AHRQ PSNet Patient Safety Primers: “Detection of Safety Hazards”, “Never Events” and “Voluntary Event Reporting”. The quality of care. How can it be assessed? Donabedian A. JAMA. 1988 Sep 23-30;260(12):1743-8. “The Bell Curve”. Gawande A. The New Yorker, November 29, 2004. “Accidental Deaths, Saved Lives, and Improved Quality.” Brennan T et al, New England Journal of Medicine, 2005; 353(13): 1405-1409. What is AAOS Doing About Performance Measures? Improving Healthcare Quality and Safety AHRQ PSNet Patient Safety Primers: “Human Factors Engineering”, “Checklists”, and “Root Cause Analysis”. "How do good ideas spread?" Gawande A. The New Yorker, July 29, 2013. "The Checklist.” Gawande A. The New Yorker, December 10, 2007. “The Promise of Lean in Health Care.” Toussaint JS, Berry L. Mayo Clinic Proceedings 2013;88(1):74-82. The Science of Quality Improvement. Steven J. Girdler , BA; Christopher D. Glezos , MD; Timothy M. Link , MHCDS; Alok Sharan , MD, MHCDS JBJS Reviews, 2016 Aug; 4 (8): e1. Healthcare Quality and Value “The Cost Conundrum.” Gawande A. The New Yorker, June 1, 2009. “Eliminating Waste in US Health Care.” Berwick D, Hackbarth A. JAMA 2012; 307(14):1513-1516. “The physician’s role in controlling medical care costs and reducing waste.” Brooks RH. JAMA. 2011;306(6):650-651. Improving Value in Musculoskeletal Care Delivery - AOA Critical Issues. David H. Wei, MD, MS; Gillian A. Hawker, MD, MSc; David S. Jevsevar, MD, MBA; Kevin J. Bozic,MD, MBA J Bone Joint Surg Am, 2015 May 06; 97 (9): 769 -774.
