Jonathan Slotkin, M.D., is the Director of Spinal Surgery at the Geisinger Health System Neurosciences Institute and Director of Spinal Cord Injury Research for Geisinger Health System. Dr. Slotkin and his colleagues have spent the last 50 weeks applying Geisinger’s patented ProvenCare® methodology to the acute episodic care of elective lumbar spine fusion surgery. More than two dozen providers, administrators, process improvement experts and information technology engineers have been working to reengineer care in a program called ProvenCare® Lumbar Spine. There have been significant contributions from neurosurgery, orthopedics, medicine and many other service lines. The core of Geisinger’s ProvenCare® model – first applied to cardiac surgery at Geisinger – is process improvement to re-engineer acute episodic and chronic care delivery.