Wyles CC, Smith HM, Amundson AW, et al. - This present study was intended to improve institutional value-based patient care processes, provider collaboration, and continuous process improvement mechanisms for primary total hip arthroplasties and total knee arthroplasties through the establishment of a perioperative orthopedic surgical home. An institutionally-sponsored initiative commenced known as the orthopedic surgery and anesthesiology surgical improvement strategy project on June 1, 2017. The results of this study demonstrate that, through the application of perioperative surgical home tools and concepts, key advances included a phase of care integration, enhanced data management, decreased length of stay, coordinated perioperative management, elevated surgical volume without personnel additions, and more efficient communication and patient care flow across preoperative, intraoperative, and postoperative phases.