In 2003, Professor Osborne and senior clinical colleagues initiated an orthopaedic waiting list reform in partnership with the Victorian Government, the Victorian Orthopaedic Association and other clinical and health service groups. The purpose of the reform was to develop an equitable model of care for people waiting for joint replacement. This Orthopaedic Waiting List Reform (www.health.vic.gov.au/oahks) was developed and implemented with meticulous care, particularly with regard to partnership negotiation and planning, whole-of-systems thinking, front-end evaluation, and implementation approaches. By 2008, the program was fully embedded in the public healthcare system in Victoria, and was implemented state-wide in SA and NSW by 2010.

PHI's chronic disease self-management national quality and monitoring system, operationalised through the heiQ (www.heiq.org.au), has been applied across England through the Expert Patients Program, in a county in New Zealand, and in Western Australia through partnership with Curtin University. It is also being widely applied in Germany through a large grant from the German Government.