Optimal methods for measuring and reporting quality surgical care have predominantly been based on process measures, rather than outcome measures. Efforts to reduce adverse outcomes and increase quality perioperative care, were instituted with the introduction of the Surgical Care Improvement Project (SCIP). These measures were created to reduce postsurgical complications as they have been associated with substantial increase in costs, length of stay and most importantly, patient quality of life and mortality. This quality improvement project focused on four SCIP measures and their effectiveness in reducing post operative infections in lower extremity total joint surgery. Educational sessions regarding infection/complication rates and evidenced based data showing the importance of SCIP measure compliance were held. Pre and post intervention results were analyzed and presented to the surgical and physician office staff.