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Quality Improvement

MyPractice: Orthopaedic Surgery Report

For orthopaedic surgeons who perform hip and knee replacements

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Learn more about your surgical practice by signing up for a new confidential, voluntary report that includes personalized data about your post-operative opioid prescribing for hip and knee replacements, along with suggestions to support you in improving care for your patients.

The MyPractice Orthopaedic Surgery report is part of Health Quality Ontario’s provincial strategy to support quality improvement in surgery. Other tools include the Ontario Surgical Quality Improvement Network (see below). These complimentary data sources support evidence-based surgical quality improvement across the province.

What’s in the report?

  • Provincial-level data so you can see your post-operative opioid prescribing patterns for hip and knee replacements in relation to your peers

  • Practical tools and resources to help manage your hip and knee replacement patients’ post-surgical acute pain, including advice on the appropriate use of opioids

  • Suggestions alongside your data so you can spend less time looking for solutions that may already exist and more time helping your patients use opioids wisely after surgery


As of February 2024, 136 (or 45%) of approximately 300 eligible orthopaedic surgeons are signed up for a MyPractice orthopaedic report.

Sample Report

MyPractice: Orthopaedic Surgery Sample Report (PDF)

Technical Appendix

MyPractice: Orthopaedic Surgery Report Technical Appendix (PDF)

Ontario Surgical Quality Improvement Network

A community of surgical teams from all specialties and hospital types dedicated to improving surgery for better patient outcomes.

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Enhancing Surgical Recovery Campaign 2021-2022

Hospitals are supporting pandemic recovery and easing the surgical backlog by enhancing care before, during and after surgery to help patients feel better fast so they can get back to their daily lives.

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Opioid Wisely

Learn about Choosing Wisely Canada's campaign to reduce harms associated with opioid prescribing.

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For more information, contact practicereport@ontariohealth.ca.

Note: MyPractice Reports will only be sent to the email address you used to register and will not be shared with anyone, including other agencies or physician groups.


Frequently Asked Questions

MyPractice: Orthopaedic Surgery report will provide you with confidential information about your opioid prescribing patterns — for your patients after discharge from the hospital following hip and knee surgery — in relation to peers across the province.

You will also get practice ideas specific to opioid prescribing improvement topics for the various patient stratifications displayed in your report, which means less effort and time having to search for solutions that may already exist.

This report is not available for anyone else to see other than the orthopaedic surgeon who consents to it.

No, your report will not be shared with the College of Physicians and Surgeons of Ontario. Your MyPractice report will only be sent to the hospital-affiliated email address you provide upon registration and will not be shared with others, including other agencies, surgeon groups, or other members of your surgical team. The data and practice ideas featured in your confidential MyPractice report are specific to your practice to help you better understand your patients and how you can support them.

Yes, this report can help you earn credits towards the Maintenance of Certification (MOC) Program. The activity can be claimed under “Section 3: Practice Assessment” and you will receive 3 credits per hour. Please note that this may include the time spent receiving feedback and reflecting on the feedback.

You can receive your confidential MyPractice: Orthopaedic Surgery report by completing the consent form found here. Once you provide your consent, your individual report will be sent to you via email as a PDF attachment, in alignment with the report release schedule.

Reports are available based on when consent is provided. The report registration and consent deadline was March 15, 2019 for the first release of the report in May 2019. New registrations and consents received after the March deadline will be eligible to receive subsequent reports. Reports are refreshed with new data every 6 months.

The report is available to orthopaedic surgeons who perform hip and knee surgery and bill to OHIP as the primary attending surgeon (i.e. with an "A" suffix).

The report is not available to surgeons, such as medical residents, students and trainees who have an eligible specialty and a CPSO number but do not bill to OHIP as a primary attending surgeon for a procedure during any of the reporting periods. For detailed methodology on how we assign orthopaedic surgeons to procedures, please see the Technical Appendix.

The MyPractice report was developed jointly by Health Quality Ontario and the Institute for Clinical Evaluative Sciences, in consultation with orthopaedic surgeons, anesthesiologists and scientists/ researchers.

The data in the report is confidential and secure. Health Quality Ontario will only release identified/identifiable surgeon-level data to participating surgeons. Identified/identifiable surgeon-level data will not be shared with other parties without additional written consent from the participating surgeon.

For more information about how Health Quality Ontario manages and safeguards personal information, please review our privacy policy: www.hqontario.ca/Policies-and-Procedures/Privacy-Policy.

The reporting period covers six months of data, with approximately a seven-month delay in reporting. For example, in the May 2019 report, the most recent data period spans from April 1, 2018 to September 30, 2018. While the data is delayed due to how the data are collected/ processed, they provide a snapshot of your indicator values at a moment in time and a comparison to your peers for context. While Health Quality Ontario and our partners are always looking for ways to provide more timely data, we encourage you to also use local data sources to track and measure your progress.

In the report, all opioid prescriptions for pain management are included. Opioids for cough, antidiarrheals and opioid agonist therapy (methadone maintenance therapy or buprenorphine/naloxone) and injectable mixtures or injectable in cassette are excluded.

The Ontario values and percentages found in your report are provided for context only and do not represent a target.

If you would like information about other supports throughout the system as you help patients manage pain, visit the Ontario Pain Management Resources. To learn about participating in the Ontario Surgical Quality Improvement Network’s Cut the Count campaign to help patients’ effectively manage their pain while reducing the number of opioid pills prescribed at discharge, visit Cut the Count.

To ensure confidentiality and to avoid additional steps in verifying your CPSO number, we request your consent using your hospital-affiliated email address.

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