1. To lead POSNA members to value-based clinical care.
2. To partner with hospital-based and AAOS efforts to provide safe, high quality outcomes for our patients.
3. 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 Level of Evidence Summaries (LOE)
• Appropriate Use Criteria (AUC)
• Clinical Practice Guidelines (CPG)
• Clinical Performance Measures (CPM)

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.