In their article titled “Redesigning a Joint Replacement Program Using Lean Six Sigma in a Veterans Affairs Hospital,” Gayed et al1 were able to reduce length of stay for total joint replacement by 36% and eliminate contracted care. The volume of total joint replacement increased, and $1 million dollars in savings was achieved without affecting the quality of care. This work is but one example of the widespread ferment of change across Veterans Affairs (VA) health care.
Itani KMF. This Is Not Your Father’s VA. JAMA Surg. 2013;148(11):1056. doi:10.1001/jamasurg.2013.3613