The Implementation of Lean Six Sigma Principles to Improve the Value of Care Delivery for Total Joint Arthroplasty Patients: The Perioperative Institute of Surgical Excellence Experience.

Mouhanad M El-Othmani Zachary Crespi Vinay Pallekonda Zain Sayeed Khaled J Saleh

Published in: The Journal of the American Academy of Orthopaedic Surgeons (2021)

The implementation of the pilot protocol for PISE within our institution was successful in decreasing LOS, inpatient rehabilitation utilization, 30-day readmission, and case cancellation. Further assessment is needed to ascertain sustainability of the protocol over a longer duration and generalizability of the results at different institutions and surgeons.

Keyphrases

quality improvement
healthcare
primary care
end stage renal disease
randomized controlled trial
palliative care
ejection fraction
prognostic factors
mental health
chronic kidney disease
patients undergoing
clinical trial
patient reported outcomes
affordable care act
clinical evaluation