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Invited Commentary
November 2013

This Is Not Your Father’s VA

Author Affiliations
  • 1VA Boston Health Care System, Boston University, Harvard Medical School, West Roxbury, Massachusetts
JAMA Surg. 2013;148(11):1056. doi:10.1001/jamasurg.2013.3613

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.