Discover Dr. D

Re-imagining Healthcare


For decades, Dr. Tony DiGioia has worked to improve care for patients and families in Pittsburgh, across the United States and around the world. His work stems from the belief that to transform healthcare and care delivery, providers must put the patient at the center of everything that they do. Click below to learn how Dr. DiGioia has used this innovative approach to advance clinical care in the third-world, operationalize process improvement all over the world, reform healthcare and payment models in the United States and redefine what delivering value means to patients. Join Dr. D on the journey to reimagine...

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Operation Walk Pittsburgh

Since the inaugural international mission in 2009, Operation Walk Pittsburgh has performed total knee and hip replacement surgeries in Pittsburgh and across Central America, for more than 500 patients. Each year, a team of surgeons, anesthesiologists, physical therapists, medical technicians, nurses and volunteers spend a week in country, screening, determining surgical candidates and caring for patients and their families. Although the trip lasts only a little more than a week, the task of fundraising hundreds of thousands of dollars, gathering millions of dollars worth of in-kind donations and planning to take over 70 people and 10,000 pounds of cargo abroad occurs year-round.

Dr. DiGioia brought the nationally recognized organization, Operation Walk, to Pittsburgh to bring the gift of mobility to patients with debilitating knee and hip arthritis who would not otherwise have the opportunity to receive the care that they so desperately need. Operation Walk Pittsburgh also uses their international missions as a way to exchange medical knowledge and to create cultural sharing communities with local families and caregivers. Learn how to get involved and watch some of our patients take their first steps toward a happier, more active life.


Bone and Joint Center

Dr. DiGioia has been a practicing orthopedic surgeon for more than 30 years. When he moved to the Bone and Joint Center of Magee Women’s Hospital of UPMC, Dr. D worked with his partners, clinical and office staff to reimagine how care would be delivered in their practice. The Patient Centered Value System was put in place to ensure that patients and their families felt that their voices were heard and to incorporate their experiences into the design of an ideal orthopaedic experience.


Patient Centered Value System

The PCVS is the new operating system that will help hospitals, healthcare systems, clinicians and insurance companies to co-design and achieve value-driven clinical outcomes while improving patient experience and reducing cost.  This approach, is a simple, replicable and transformational system for viewing all care through the eyes of patients and families, building implementation teams to improve processes and for determining the true cost to deliver care in any setting.

To learn more about the Patient Centered Value System and see PCVS in action.

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How to Evaluate and Design Orthopaedic and Other Surgical Service Lines?

In today’s evolving healthcare environment, it is important to prepare for inevitable growth while recognizing the needs for efficiency, value, and profitability. Orthopaedic services and product lines, for example, are a growing economic force for hospitals, surgery centers, and rehabilitation facilities. According to many estimates, the demand for orthopaedic services, including hip and knee replacements, will triple within the next decade as our population ages. At the same time, clinical emphasis will move toward short stays and outpatient surgical interventions while bundled care and new payment models require coordination and efficiency. To foster this expansion, leaders must employ methodologies that focus on delivering value while improving profitability across the continuum.

Dr. DiGioia specializes in the evaluation and design of care delivery systems using the Patient Centered Value System, a methodology he created to evaluate orthopaedic and other surgical service lines. The Patient Centered Value System, used nationally as well as internationally, couples clinical and financial performance to deliver value-driven outcomes and experiences. Dr. DiGioia’s approach prepares organizations to achieve the value trifecta: improved outcomes and experiences with reduced costs.

How to Develop Orthopaedic Specialty Hospitals and Centers of Excellence Using a “Hospital within a Hospital” Model?

Accelerated recovery programs and the safe performance of outpatient joint replacements are driving the growth of specialty hospitals and clinical centers of excellence (COE). Dr. DiGioia is a leader in the development of Total Joint Replacement Centers of Excellence (TJR COE), using the hospital within a hospital, focused care center model.  Included in his focus are the evaluation and application of new technologies that support process improvement, efficiencies in patient management, community outreach programs and the engagement of providers to enhance the delivery of care. To support COE development, Dr. DiGioia is actively involved in contracting for implant pricing and other capital purchases such as robotic and navigation systems.


Meet Dr. Tony DiGioia

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Anthony DiGioia MD


Anthony (Tony) DiGioia, III, M.D., is an engineer, entrepreneur, and practicing orthopaedic surgeon. He is the Founder and Medical Director of both the UPMC Bone and Joint Center and The UPMC Innovation Center, and an engineer by training. Tony graduated with university honors from Carnegie Mellon University’s Civil Engineering program, obtained a graduate degree in Civil and Biomedical Engineering, then attended Harvard Medical School where he graduated with Honors in a Special Field. He completed his orthopaedic residency in Pittsburgh and a Fellowship at Massachusetts General Hospital.

Tony is recognized as a pioneer and world leader in the early development of medical robotics and computer assisted surgery. He co-founded the Center for Medical Robotics and Computer Assisted Surgery within the Robotics Institute at Carnegie Mellon University and he holds several patents in these areas. In 2006, Tony founded the Bone and Joint Center (BJC) at UPMC Magee Womens Hospital as a focused care “hospital within a hospital” which specializes in the treatment of patients with hip and knee arthritis, joint replacement surgery and revision surgery. The Bone and Joint Center performs over 1600 joint replacement surgeries a year and utilizes a unique care based model based on the Patient Centered Value System. The Bone and Joint Center has expanded to include 2 satellite offices in the Greater Pittsburgh region with a total of five surgeons.

Tony developed the Patient Centered Value System (PCVS), a comprehensive relationship-based approach that combines process and performance improvement with supporting technologies to improve clinical outcomes and patients’ care experiences while reducing costs. The Patient Centered Value System is a simple, replicable, and sustainable approach for viewing all care through the eyes of patients and families, identifying opportunities to improve value, and building the implementation teams needed to drive change. Dr. DiGioia recently published his book, The Patient Centered Value System: Transforming Healthcare Through Co-Design, which details the step-wise approaches of the PCVS – shadowing, team building for patient centered system improvement, and determining the true cost of care delivery. Shadowing and the Patient Centered Value System have been implemented in over 65 different clinical conditions and are increasingly being adopted nationally and internationally.

Dr. DiGioia is board certified in orthopaedic surgery and a Fellow of the American Academy of Orthopaedic Surgeons and the American College of Surgeons. He is a Faculty Member for the Institute for Healthcare Improvement and an Adjunct Faculty Member in the Department of Biomedical Engineering and the Robotics Institute at CMU. He has authored and co-authored many scientific papers and book chapters and serves on several editorial advisory boards.



goShadow® is a two part digital tool for shadowing, data aggregation and process co-design and improvement.  Based off of a traditional pen and paper method, the goShadow® app and online platform can quickly and easily synthesize data and allows for the creation of one touch reports to share within teams. Reimagine the way you see any process or product, goShadow®.

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UPMC Innovation Center


The UPMC Innovation Center (or the “IC”) is breaking down silos, building teams, and shifting the focus of care to where it truly belongs – on patients and families.

Using the Patient Centered Value System (PCVS) as a foundation, the IC is partnering with patients, families, caregivers, and hospital administrators to bridge the gap between current practices and ideal experiences. The Innovation Center has partnered with patients, families, frontline caregivers, and hospital administrators to bridge the gap between current practice and ideal experiences.