Data-Supported Outcomes and Quality Improvement

Frederick N. Meyer, MD

With implementation of the Affordable Care Act, change has become the byword for the U.S. healthcare system. The way physicians deliver and get paid for healthcare services is changing, and many physicians have shifted from private practice to hospital employment. These changes—as well as the expectation of additional changes—concern many practicing orthopaedic surgeons. They also create the need for us to lead and manage our practices in new ways.

As orthopaedic surgeons, we need a new set of competencies to guide career paths and manage our businesses. Whether in practice or graduating residents, we are faced with several challenges and decisions. Should I go into (or stay in) solo practice? Should I join (or merge with) a small or large specialty group? Should I become employed by a hospital? Each of these decisions has its pros and cons.

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