1. BOS Engagement in AAOS Quality Initiatives Quality as Advocacy Project Team Update 10/21/13 David Halsey, M.D.

2. “SPECIALTY SOCIETY ENGAGEMENT IN AAOS QUALITY INITIATIVES” NATIONAL ORTHOPAEDIC LEADERSHIP CONFERENCE - MAY 6, 2013 BOARD WORKSHOP - MAY 16, 2013 BOC/BOS QUALITY ENGAGEMENT SURVEY – SEPTEMBER 2013 FALL MEETING - OCTOBER 18, 2013

3. NOLC 2013 BOS PL Roundtable Open Mike session Review of 2012 Specialty Society Survey Council Chair & DC office engagement 3

4. “SPECIALTY SOCIETY ENGAGEMENT IN AAOS QUALITY INITIATIVES” NOLC - MAY 6, 2013 BOARD WORKSHOP - MAY 16, 2013 BOC/BOS QUALITY ENGAGEMENT SURVEY – SEPT 2013 FALL MEETING - OCTOBER 18, 2013

5. BOD Workshop 2013 “How should the AAOS engagement the Specialty Societies in the OQI? 1. Survey Specialty Societies 2. Model Specialty Society Quality Program 3. Fall Meeting 2013 Symposium 5

6. Participation Opportunities Have a volunteer member committee focused on quality Participate in the Choosing Wisely Campaign with specific topic to support/promote Join an existing outcomes registry Create your own outcomes registry

7. Participation Opportunities Have a representative participate on an AAOS CPG workgroup Have a representative participate on an AAOS AUC panel Have a representative participate on an AAOS performance measure panel Include a quality session at your society’s annual meeting

8. Participation Opportunities Hold quality symposia Print quality informational materials in your newsletter Create a repository of links to quality tools (Shared Decision Making tools, CPGs, AUCs) relating to your specialty on your website. Develop specialty specific evidence-based quality tools (CPG, AUC, etc)

9. Recognition Recognition at the BOS Fall Meeting and NOLCRecognition on the AAOS website (Quality section) Recognition (signage) at the AAOS Annual Meeting (Budgetary consideration) “Society of the Quarter” detailing accomplishments, placed on website or in AAOS Now

10. Levels of Participation Supporting Society (3+ of the above opportunities) Contributing Society (5+ of the above opportunities) Participating Society (8+ of the above opportunities) Leading Society (10+ of the above opportunities)* Completing all suggested participation opportunities not required due to the budgetary restrictions of many specialty societies.

11. 2013 Quality and Quality Metrics Survey Survey collection period 9/26 - 10/9 13 State Societies 8 Specialty Societies

12. AAOS Specialty Societies AAHSAAHKSAOFASAOSSMASES ASSHASIAAANACSRSHip Society J. Robert Gladden Orthopaedic Society Knee SocietyLLRSMSTSNASS ORAORSOTAPOSNA Ruth Jackson Orthopaedic Society SRSSOMOS

13. What efforts has your society undertaken regarding quality of quality metrics? Having a committee or work group dedicated to quality or quality metrics N6 %13.95% Advocacy efforts N4 %9.30% Offered presentations at annual meetings N10 %23.26% Offered CME courses regarding quality or quality metrics N2 %4.65% Newsletter articles N6 %13.95% Information on the society’s website N2 %4.65% Public information efforts N1 %2.33% Developed tools to help members improve quality/quality efforts (e.g. orthopaedic procedure-specific check lists, etc.) N3 %6.98% Other (Specify) N9 %20.93%

14. What are the barriers to quality efforts in your organization? Lack of money N6 %13.33% Lack of time N7 %15.56% Not enough interest from members N8 %17.78% Not certain how to implement N10 %22.22% Not enough information or guidelines available on how to improve quality N10 %22.22% Other (Specify) N4 %8.89%

15. “SPECIALTY SOCIETY ENGAGEMENT IN AAOS QUALITY INITIATIVES” BOARD WORKSHOP - MAY 16, 2013 NOLC - MAY 6, 2013 BOC/BOS QUALITY ENGAGEMENT SURVEY – SEPT 2013 FALL MEETING - OCTOBER 18, 2013 BOS Presidential Roundtable BOC/BOS Symposium I BOS Business Meeting

16. How Quality Efforts Help Advocacy & Value-Based Orthopaedics Symposium I AAOS Fall Meeting 2013 16

17. Overview Podium presentations ARS questions “Open Mike” topic-focused discussion 17

18. Speakers Kevin Bozic, MD Tom Barber, MD David Jevsevar, MD Michael Suk, MD 18

19. KEVIN BOZIC, MD, MBA CHAIR, COUNCIL ON QUALITY & RESEARCH Development of Orthopaedic Performance Measures 19

20. DAVID S. JEVSEVAR MD, MBA CHAIR, COMMITTEE ON EVIDENCE-BASED QUALITY AND VALUE (EBQV) Evidence-Based Decision Support in Orthopaedic Practice 20

21. How Quality Efforts Help Advocacy and Value-based Orthopaedics Michael Suk, MD JD MPH FACS Chair, BOS Health Policy Committee

22. Step up to the mike BOC & BOS leader education Share the information with your Society Seize the Day … We are the best source to knowledge and experience for meaningful measurement 22

23. Time to act … Share your current quality and cost efforts Model for Specialty Society Engagement Work with your boards and step-up to the challenge AAOS has engaged with CMS and commercial payors and we are a trusted partner. 23

24. BOS Health Policy Committee QUALITY LEADERS PROGRAM OVERVIEW Menu of quality initiatives Recognition program SPECIALTY SOCIETY ACTIVITIES AANA, AOSSM, OTA, POSNA, CRS, ACTION ITEMS: 1. Communications (intro letter, PP, BOS website) 2. PROM challenge 3. Specialty specific societal impact vignettes 24

25. Next steps … BOS Health Policy “and Quality” expansion Communication to Specialty Society PL/ED Follow-up on Fall Meeting Quality Leaders Program overview Inventory of Quality Programs Challenge to develop anatomic PROM 25

26. Next steps … PowerPoint slide deck for member education BOD BOS/BOC leadership Council Chairs Specialty Society Representative AAOSNOW article 26