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As the demand for accountability and transparency surrounding the supply of increasingly expensive medical services grows, health- care providers have put continuous quality improvement (CQI) programs in place to optimize care and improve efficiencies. CQI pro- grams that rigorously evaluate healthcare services can lead to informed decisions about the direction of planned improvements through evolving knowledge translation. Successful end products may include better patient satisfaction, improved patient-reported outcomes, highly-efficient care pathways, and overall cost-savings. There are numerous steps involved in implementing CQI programs that require collaboration and cooperation from physicians, allied health care workers, support staff and hospital management in order to achieve desirable goals. The Division of Orthopaedic Surgery at The Ottawa Hospital (TOH) has initiated a CQI program which is designed as a classic Donabedian Construct with a triple aim framework of: 1. improving care, 2. improving patient experience, and 3. lowering cost. The development of our electronic CQI database will be a key component in the 5-year (2015-2020) Strategic Plan for the Division, and is in keeping with the goal of TOH becoming a top 10% performer in quality and safety of patient care in North America. The aim of this paper is to outline our compliance with the ongoing activities required to meet clearly delineated quality metrics, and the development of the many facets of our CQI program. RESUME En reponse a la demande croissante de transparence et de responsabilite concernant les services de sante dispendieux, les fournis- seurs de soins de sante ont mis sur pied des programmes d’amelioration continue de la qualite (ACQ) pour optimiser les soins et l’efficience. Les programmes d’ACQ qui evaluent rigoureusement les services de sante permettent des decisions plus eclairees quant aux ameliorations a apporter, grace au transfert de connaissances. Parmi les resultats positifs de ces programmes, on peut compter une plus grande satisfaction et une amelioration des resultats rapportes par les patients, des plans d’intervention particulierement efficients, et une reduction des couts. De nombreuses etapes dans la mise en place des programmes d’ACQ necessitent une collabora- tion entre les medecins, le personnel de soutien, les gestionnaires de l’hopital et les autres professionnels de la sante afin d’atteindre les objectifs desires. La Division de chirurgie orthopedique de l’Hopital d’Ottawa a lance un programme d’ACQ concu selon le modele classique Donabedian, qui poursuit un triple objectif : 1. ameliorer les soins, 2. ameliorer l’experience des patients, et 3. minimiser les couts. La creation d’une base de donnees electronique pour l’ACQ sera une composante cle du plan strategique de 5 ans (2015-2020) de la Division, et se conforme a l’objectif de l’Hopital d’Ottawa de devenir l’un des plus performants en Amerique du Nord, sur le plan de la qualite et de la securite des soins aux patients. Le but de cet article est de decrire brievement le developpement de nombreuses facettes de notre programme d’ACQ, et notre conformite aux normes de la qualite.

Continuous Quality Improvement in Orthopaedic Surgery: Improving Patient Experience, Safety and Outcomes