Designing an Ambulatory Clinical Practice for Outcomes Improvement: From Vision to Reality--The Spine Center at Dartmouth-Hitchcock, Year One.

Describes the development of The Spine Center, an ambulatory clinical practice for diagnosis and treatment of spine-related problems, and summarizes the first year of operations. History of the Spine Center initiative; Mission of the center; Creation of a high performing microsystem at the center; Integration of data collection into clinical care processes.