QSVI: Quality, Safety and Value Initiative
- 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.
- 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.
- 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)
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
- 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.