(Adopted November 2021)
TJR-Codes-17-1031
Surgical bundles align healthcare delivery, purchasing and payment with an evidence-informed community standard for quality. These models provide an alternative to fee-for-service reimbursement and facilitate value-based contracting. Total joint replacement, including total hip and total knee replacement, are high-volume surgeries nationally and in Washington State. The first bundle was published in 2013, was revised in 2017, and revised again in 2021. The most recent bundle includes segments on same-day discharge for surgery as well as updated references to the HOOS. Jr. and KOOS Jr.
Previous Meeting Materials
Workgroup Members
| Name | Title | Organization |
| Bob Mecklenburg, MD (Chair) | Retired | Virginia Mason Medical Center |
| Matt Albright Kevin Fleming, MBA Michael Griffin |
Regional Director of Orthopedics & Sports Medicine Chief Operating Officer Associate Vice President |
Providence St. Joseph Health |
| Lydia Bartholomew, MD, MHA, FAAPL, FAAFP, CHIE | CMO Clinical Health Services West and Southcentral |
Aetna |
| LuAnn Chen, MD, MHA | Senior Medical Director | Community Health Plan of Washington |
| Michael Chen | Senior Program Consultant | Premera Blue Cross |
| Andrew Friedman, MD Kevin Macdonald, MD |
Physical Medicine & Rehabilitation Specialist Orthopedic surgeon |
Virginia Mason Medical Center |
| Paul Manner, MD | Orthopedic surgeon | University of Washington |
| Cat Mazzawy, RN | Senior Director, Safety and Quality | Washington State Hospital Association |
| Linda Radach | Patient Advocate | |
| Tom Stoll, MD | Chief, Orthopedic Surgery | Kaiser Permanente Washington |
| Emily Transue, MD, MHA | Associate Medical Director | Health Care Authority |
| Steve Overman, MD, MPH, FACR | Medical Director for Population Health & Clinical Integration | KenSci |