This project set out to demonstrate that policy reforms could significantly reduce wait times and better serve patient needs. The Alberta Bone and Joint institute is a non-profit organization focused on developing a sustainable system of patient-centered bone and joint health care that is evidence based and efficient. This intervention was designed to streamline patient care across the complete continuum of care offered in Alberta, utilizing the known “best practices” uniformly in different regions, in order to create baseline standards related to access, wait times, clinical quality, resource usage, and health outcome measures. The purpose was to significantly minimize, and where possible eliminate all the current gaps and barriers to arthroplasty care