Perform a minimum of 200 spine surgeries annually

Have the active participation of both Neurosurgeons and Orthopedic Surgeons

Commit to the use of a standard patient registry

Commit to active participation in collaborative quality improvement activities

Have, or hire, a data abstractor, registered health information technician, research nurse or clinical reviewer to abstract data into the project registry

Commitment of at least one orthopedic surgeon and one neurosurgeon who will be active participants in collaborative activities

Have an active quality improvement structure and process