The implementation of clinical pathways for total hip replacement was carried out by five hospitals in the metropolitan area of Syracuse, New York. This process occurred under the leadership of clinical nurse specialists and nurse managers. It was supported by preadmission patient education programs and active physician involvement. The participating hospitals shared utilization quality assurance data and benchmarked with respect to the experience of Sacramento, California, and each others' progress. The effort produced substantial reductions in hospital stays without adverse impacts on quality of care.
Orthopedic Clinical Nurse Specialist: Crouse Hospital Syracuse, New York (Card)
Nurse Manager: Auburn Memorial Hospital Auburn, New York (Herrling)
Quality Improvement Coordinator: Community-General Hospital Syracuse, New York (Matthews)
Surgical Clinical Nurse Specialist: St. Joseph's Hospital Health Center Syracuse, New York (Rossi)
Quality Assurance Coordinator: Oswego Hospital Oswego, New York (Spencer)
Executive Director: Hospital Executive Council Syracuse, New York (Lagoe)