Foundation Program Sites

Total Knee and Total Hip Replacement Bundle

(Adopted November 2021)


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

Date Materials
January 11 Agenda January 11
TKRTHR Bundle and Warranty Final 2018
Bree Evidence Table January
Conflict of Interest Form
OPMA Training Roster
 February 5 Agenda February 5
Minutes January 11

Draft Bundle and Warranty
Bree Evidence Table February
 March 5 Agenda March 5
Minutes February 5
Ortho refresh 022221
 April 2 Agenda April 2
Minutes March 5
 May 7 Agenda May 7
Minutes April 2
Draft Bundle and Warranty
 June 4 Agenda June 4
Minutes May 7
wk sheet 21.06.01 TJR for 6.4
 July 2 Agenda July 2
Minutes June 4
August 6 Minutes July 2
21.07.30 Same-day TJR
September 3 Agenda September 3
Minutes August 6
wk sheet 21.09.03
November 5 Agenda November 5
Minutes September 3
Public Comment Responses


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
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