Measuring the Quality of Orthopaedic Care at Cedars-Sinai
The Cedars-Sinai Orthopaedic Center continually monitors the care it provides to patients. Several factors are measured:
- Total volume of procedures. Studies have demonstrated that hospitals that regularly perform a particular procedure tend to have better outcomes than those that perform the procedure less frequently.
- The percentage of procedures that are performed on an outpatient basis. When a procedure can be done on a outpatient basis, the patient tends to heal more quickly with less pain and less interference with his or her daily activities.
- Average length of stay (ALOS): This refers to the average number of days a patient stays at Cedars-Sinai Medical Center after being admitted. The goal is to ensure that all patients are appropriately treated in the hospital for their respective conditions, and are not hospitalized longer than they need to be.
The table below highlights the types of procedures done at the Cedars-Sinai Orthopaedic Center in terms of the categories defined above:
| Cedars-Sinai Orthopaedic Center, 2010 Outpatient Procedures | Total Procedures* | % Performed on an Outpatient Basis |
| Minimally invasive outpatient procedures including arthroscopies, knee ligament repair (ACL) and rotator cuff repair | 629 | 100% |
| Hand, fingers and wrist repair including arthroplasties and carpal tunnel release | 300 | 94.9% |
| Foot, ankle and toe procedures including foot fusion procedures, bunion procedures, hammertoe repair and Achilles tendon repair | 232 | 93.1% |
| Shoulder repair | 299 | 92.0% |
The table below highlights procedures done in the hospital.
| Cedars-Sinai Orthopaedic Center, 2010 Inpatient Procedures | Total Procedures | Average Length of Stay for Inpatients | Average Length of Stay for Comparison Group* |
| Hip replacement | 619 | 3.03 days | 3.19 days |
| Partial hip replacement | 80 | 8.96 days | 7.67 days |
| Knee replacement | 736 | 3.54 days | 3.38 days |
| Shoulder replacement | 37 | 2.78 days | 3.56 days |
Source: UHC Clinical DataBase/Resource ManagerTM, patients discharged between January 2010 and December 2010.
UHC is an alliance of 113 academic medical centers and 253 of their affiliated hospitals representing approximately 90% of the nation's nonprofit academic medical centers. The majority of these facilities participate in the Clinical DataBase/Resource Manager.
* The comparison group hospitals are Brigham and Women's, Emory University, New York Presbyterian, University of South Carolina, Stanford University, Thomas Jefferson, University of Virginia and the University of California at San Francisco.
