Latest information on COVID-19

Our Vision

A healthcare system designed by patients

Our Mission

To develop tools to improve the delivery of patient-centered care


VOICES Center for Health Policy is focused on improving the health of patients with musculoskeletal conditions. We use qualitative and quantitative methods to develop tools that improve the delivery of patient-centered care.

Our Research

Patient values and preferences should drive healthcare decisions.  Patients, and how they define quality, should be how our health system defines “quality.”  Our goal is to create these definitions from the patient perspective and create tools to improve healthcare delivery. 


We have developed several tools for preference elicitation in common orthopaedic conditions. These tools educate patients about their diagnosis and treatment options to help patients make a decision that aligns with their values and preferences

Recent Publications

Development of a Needs Assessment Tool to Promote Capacity Building in Hand Surgery Outreach Trips: A Methodological Triangulation Approach.

Shapiro LM, Park MO, Mariano DJ, Kamal RN.  

We developed a comprehensive needs assessment tool for use in medical outreach trips to low and middle income countries. This tool includes 7 domains: (1) human resources; (2) physical resources; (3) procedures; (4) cultural and language barriers; (5) safety, quality, and access; (6) regulation and cost; and (7) knowledge transfer and teaching and associated subdomains relevant to hand surgery.

Click here to access the article. 

Cost-Minimization Analysis and Treatment Trends of Surgical and Nonsurgical Treatment of Proximal Humerus Fractures.

Wu EJ, Zhang SE, Truntzer JN, Gardner MJ, Kamal RN

We used a US private-payer claims database of 22 million patient records from 2007 to 2016 to compare (1) cost for the episode of care from the payer perspective between each surgical group and nonsurgical treatment of proximal humerus fractures, and (2) annual trends and complication rates of each group. Cost data, including facility fees, physician fees, physical therapy, and clinic visits, were used to complete a cost-minimization analysis.

Click here to access the article. 

Quality Measures to Reduce Opioid Use After Common Soft Tissue Hand and Wrist Procedures.

Hand Surgery Quality Consortium.

Using a validated consensus-building approach, we developed process and outcome quality measures for reducing opioid use after soft tissue hand surgery that were demonstrated to be valid according to 4 quality indicators.

Click here to access the article.