PROGRAM BACKGROUND

HISTORY

The Hip and Knee Osteoarthritis (H&K OA) Surgical Program was first established in 2004 and today includes 13 hospitals and 11 central intake clinics, who provide high quality of care and services for arthroplasty patients. The program is organized with a Working Group and Clinical Committee to drive all continuous improvement projects. The Working Group is a multi-disciplinary and multi-site team providing community and acute care for patients with operable osteoarthritis in hip or knee joints. They guide, continuously improve and implement the standardized clinical practices, protocols, scopes of care and services for Albertan hip and knee arthroplasty, using the Hip & Knee Surgical Care Path and direction of the clinical committee as guidance.

The Clinical Committee is comprised of Alberta’s top orthopedic surgeons, who provide an independent, expert review to the medical and quality improvement work of the Working Group. They make clinical and quality measurement decisions, using evidence and informed clinical judgement to set the standard of the best possible quality of care for the patients.

The success of the H&K OA Surgical Program is attributed to the continuous measurement of key performance indicators, as outlined in the Hip & Knee Measurement Framework. This framework, built around the six dimensions of health care quality, analyzes aggregated data from all health care sites and zones to provide a meaningful evaluation of the continuum of care against provincial benchmarks. Performance indicators include wait times, patient outcomes and health complications, which are then used by the network of health care providers to inform continuous quality improvement activities. The Albertan Hip & Knee Measurement Framework can be found here.

Bone and Joint Health Strategic Clinical Network

Alberta Health Services Strategic Clinical Networks (SCNs)™ are province-wide networks that bring together the experience, perspective, and expertise of patients and their families, health care professionals, researchers, communities, and government to improve Alberta’s health system. The Bone and Joint Health Strategic Clinical Network (BJH SCN) was one of the first six provincial networks launched in June 2012. It is endorsed by Alberta Heatlh Services to innovate and advance the provision of services along the entire patient journey in order to improve the quality of musculoskeletal care across the six quality dimensions identified by the Health Quality Council of Alberta (accessibility, acceptability, appropriateness, safety, effectiveness, and efficiency).

Alberta Health Services

Alberta Health Services (AHS) is Canada’s first and largest fully-integrated health system that is responsible for delivering health services to Albertans as well as neighboring provinces and territories. Their mission is to provide a patient-focused, quality health system that is accessible, sustainable and improves the health of Albertans and communities together. The programs and services are offered to over 850 facilities across the province including hospitals, clinics, continuing care facilities, cancer centers, mental health facilities and community health sites.

Covenant Health

On October 7, 2008, 16 Catholic health care facilities across Alberta came together under a single board and administration. Today, Covenant Health has a team of more than 14,000 staff, physicians and volunteers across our sites in Banff, Bonnyville, Camrose, Castor, Edmonton, Killam, Lethbridge, Mundare, St. Albert, Trochu and Vegreville. Rooted in a tradition that is 150-years strong, their mission is carried out by inspired men and women—workers, physicians and volunteers—of all faiths, traditions and cultures who believe in the value of compassionate, holistic care. They are called to continue the healing ministry of Jesus by serving with compassion, upholding the sacredness of life in all stages, and caring for the whole person—body, mind and soul.

Provincial Participants

The Hip & Knee Osteoarthritis Surgical Program includes representation from several hospitals and central intake clinics across the province. They work collaboratively to guide, continuously improve and implement the standardization of clinical practices, protocols, scopes of care, and services for Albertan hip and knee arthroplasty.

Alberta Bone and Joint Health Institute

The Alberta Bone and Joint Health Institute (ABJHI) is an independent charitable organization whose strength is turning knowledge into better care for people living with bone and joint health conditions. By applying research, data analysis and measurement, the organization works with partners to deliver evidence-based, long-term solutions that tangibly improves patient care and health outcomes across Alberta.

GOVERNANCE

Surgical Working Group

Lead: Danika Tribo

The Surgical Working Group aims to guide, continuously improve and, where appropriate, implement the standardization of clinical practices, protocols, scopes of care, and services for hip and knee arthroplasty in Alberta, using the H&K Surgical Care Path and direction from the Replacement Clinical Committee as guidance.

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Replacement Clinical Committee

Chair: Dr. Tim Pearce

The Replacement Clinical Committee aims to make clinical and quality measurement decisions for the surgical branch of the H&K OA Program, using evidence and informed clinical judgement to set the standard of the best possible quality of care for the patients.

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