The Orthopaedic Forum   |    
AOA SymposiumEvidence-Based Medicine, the Quality Initiative, and P4P: Performance or Paperwork?*
M. Bradford Henley, MD, MBA1; Charles Turkelson, PhD2; Joshua J. Jacobs, MD3; Robert H. Haralson, MD, MBA2
1 Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104. E-mail address: bhenley@u.washington.edu
2 American Academy of Orthopaedic Surgeons, 6300 North River Road, Rosemont, IL 60018-4262. E-mail address for C. Turkelson: Turkelson@aaos.org. E-mail address for R.H. Haralson: haralson@aaos.org
3 Rush University Medical Center, 1725 West Harrison Street, Suite 1063, Chicago, IL 60612-3828. E-mail address: joshua.jacobs@rushortho.com
View Disclosures and Other Information
This report is based on a symposium presented at the Annual Meeting of the American Orthopaedic Association on June 13, 2007, in Asheville, North Carolina.
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. Commercial entities (Zimmer Holdings, Wright Medical, Medtronics, Spinal Motion, Archus, and Advanced Spine Technology) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Dec 01;90(12):2781-2790. doi: 10.2106/JBJS.H.00374
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This symposium has four parts. The first part reviews the preparation of evidence-based clinical practice guidelines. The second part discusses the integration of evidence-based guidelines into clinical practice and the role of organized medicine in this process. The third and fourth parts summarize the United States government's pay-for-performance (P4P) program, the pros and cons of pay for performance, and participation in the quality initiative as it relates to practicing physicians in 2008.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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