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Impact Statement & Summit Goal

Impact Statement
The cost of musculoskeletal disease in the United States is approaching $1 trillion each year and is likely to increase as the population ages and life styles become more active.  These increases are occurring at a time of unprecedented changes in the delivery of health care including implementation of the Affordable Care Act.  A key facet of future health care will be the determination of best practices and their delivery in cost-effective programs that are patient-centered.  These programs should advance the health of the population as a whole and meet the goals of individual patients who may have important differences reflecting not only the biology of their conditions but also factors such as activity level, socioeconomic status, gender, ethnicity and co-morbidities.
Optimally, recommendations on best practices should be evidence-based and result from deliberations and interactions among disciplines.  As such, these recommendations should leverage and unify work accomplished by various disciplines and allow creation of innovative multidisciplinary programs for prevention and treatment.  Thus, to meet the challenge of building value in the delivery of musculoskeletal care, the musculoskeletal health care community must determine strategies to establish and implement best practices.  The United States Bone and Joint Initiative (USBJI), the U.S. National Action Network of the worldwide Bone and Joint Decade, views this issue as critical and is convening a Summit to address best practices in patient-centered musculoskeletal care from the perspective of patients, providers, industry, payers and other stakeholders.
In the Summit, the USBJI will build upon the 2011 Summit on value in musculoskeletal care and engage a broad range of stakeholders to consider the concept of best practices and determine strategies for their determination and dissemination.  These practices should derive from solid evidence to the greatest extent possible and reflect input from multiple stakeholders.  Establishing and promoting best practices should meet the goals of enhancing patient outcomes, quality and value as well as reducing disparities.  Given the increasing costs of health care, changing demographics and a societal commitment to increase the health of the population, it is imperative that we focus attention on patient-centered musculoskeletal care that builds value by promoting best practices.  The USBJI is committed to a leadership role in improving the health of the nation and making patient-centered care an important goal of musculoskeletal care in all of its dimensions.
Summit Goal
The goal of the Summit is to provide a platform to enable musculoskeletal specialty organizations to develop a framework to determine and promote best practices in patient-centered care, and an opportunity for organizations with similar areas of interest to connect and collaborate on this objective.  A specific outcome of the Summit will be the development of a position paper that incorporates priorities and a framework for an action plan.  The position paper will include a definition of both best practices and patient-centered care, a plan for their determination and a framework for implementation.  The action plan will include strategies for assessing best practices, the levels of evidence for establishing guidelines and recommendations, and a framework for advancing best practice in care settings where multi-disciplinary care is essential for optimal outcomes.