Together, knowledge can be powerful.

Join the conversation.

Listen in on a webinar, attend a conference and stay up to date on the latest news.

Articles Learn from our team of knowledge experts and stay up-to-date on the latest news

Performance Solutions recognized by HealthTech Outlook as a Top 10 Healthcare Analytics Solutions Provider in 2018.


Our solutions enable physicians and hospitals to provide best class care while consistently focusing on outcomes improvement and success in bundled payment program opportunities

BPCI Advanced program:
What we know, don’t know and how to prepare for it

August 10, 2017

While a final decision should await the release by CMS of the details of the program and an analysis of the actual claims data made available by CMS (more recent than the data currently available), our BPCI Advanced Opportunity Analysis provides directionally correct indications of which episodes of care present the best opportunity.

Published on Becker’s Hospital Review, August, 2017

Clinically integrated networks:
The path forward through a fog of uncertainty

July 26, 2017

Despite the bi-partisan paralysis over insurance coverage, there is bi-partisan support for the transition from the traditional fee-for-service payment system to value based care.Published on Becker's Healthcare Publication, July 2017

Condition based bundled payments – the wave of the future?

March 1, 2017

While many observers question the long-term survival of ACOs, bundled payments have been shown to produce savings while improving quality and observers see them expanding in the future.Published on Becker's Spine Review, February 2017

Predictive analytics: Is this the wave of the future for orthopaedic surgery?

July 25, 2016

Poor clinical or financial patient outcomes are an increasing concern as hospitals and surgeons are finding themselves placed at risk. Because of this, advanced analytics used to make predictions about unknown future events are now being utilized to quantitatively predict various outcomes of joint replacement patient care.Published on Becker's Hospital Review, July 2016

Bundled payments – The market and the message are becoming consistent

June 30, 2016

It is abundantly clear that bundled payments are here to stay and will continue to expand their reach.Published on Becker's ASC Review, June 2016

Operating a successful outpatient total joint replacement program

June 29, 2016

History demonstrates that the fee-for-service system is unsustainable and that value-based care as a solution has long had strong bi-partisan support in Congress.Published on Becker's ASC Review, May 2016

Operational efficiencies: Improvement in first-case start times

June 13, 2016

As published in OR Manager, Beloit Memorial Hospital, a 100-bed community-based facility with six ORs, teamed up with Stryker Performance Solutions and aggressively focused on first-case start times.Published on OR Manager, MAY 2016

Ready for Risk? 4 Key Ways Medicare Episode Claims Data Analytics Offer a Competitive Advantage in CJR

April 15, 2016

Published on Becker's Hospital CFO, JANUARY 2016

February 11, 2016 – How CJR Will Encourage and Incentivize Regional Centers of Excellence

February 11, 2016

Published on Becker's Hospital Review, FEBRUARY 2016

5 Methods to Help Change Discharge Patterns: Understanding and Shifting Away From the Post-Acute Culture in Light of CJR

January 21, 2016

Published on Becker's Hospital Review, JANUARY 2016

Case studies Success starts with great partnerships. Learn how our partners have implemented successful programs.

Orthopedic Center of the Virginias

With Performance Solutions support and program management, OCV was able to focus on care redesign and access to care, which resulted in increased efficiencies throughout the practice and improved patient experience and satisfaction.

Pro Sports Orthopedics

Whether you are looking to improve the performance and alignment of your practice or grow within your market, Performance Solutions partners with you to develop a relevant strategy to move your business operations from where they are … to where they need to be.

Our team of experts begin by objectively assessing your practice against industry benchmarks and provide implementation support to help transform your practice and achieve long lasting results.

Augusta Health

In 2013, Augusta Health partnered with Stryker Performance Solutions to implement a Destination Center of Superior Performance for Total Joint Replacement. Prior to the implementation they had many pieces of a joint program in place, however, patients noted variability in their hospital experiences and staff noticed variability among surgeon protocols. Their desire was to turn their already good program into a center of excellence for joint care, with a consistent experience for patients resulting in reliable favorable outcomes. Augusta chose this partnership due to Stryker’s reputation for successfully transforming the delivery of care for joint patients.

Mercy Medical Center

In 2010, Mercy Medical Center partnered with Marshall | Steele (now part of Stryker Performance Solutions) to implement a Destination Center of Superior Performance for Total Joint Replacement. The healthcare market for joint replacement in Maryland is intensely competitive. Mercy Medical Center is located in Baltimore, between Johns Hopkins and the University of Maryland, and recognized the need to adapt their joint program to ensure a patient-centered approach that set them apart from the competition. The combined efforts of hospital leadership, orthopedic surgeons and multi-disciplinary staff led to the launch of the Joint Journey at Mercy.

Monroe Clinic

Monroe Clinic is a not-for profit, single hospital health system serving the communities in southern Wisconsin and northern Illinois. In 2013 Monroe Clinic partnered with Stryker Performance Solutions to implement a Patient Reported Outcomes program. As value-based care continues to evolve, Monroe recognized it’s not enough to just deliver the desired clinical outcome. Patients are demanding the ultimate in patient experience while providers are being asked to quantify their outcomes. They felt it was difficult to improve the patient experience and delivery of care if they were not actively tracking it.

Monongahela Valley Hospital

Monongahela Valley Hospital is a 210 bed hospital, located in the metropolitan area of Pittsburgh. Located at the crossroads of Pennsylvania’s interstates, patients have no shortage of options in where to receive their healthcare. In an effort to differentiate their joint replacement program and establish themselves as a leader in Orthopedics, they partnered with Stryker Performance Solutions to implement a Destination Center of Superior Performance for Total Joint Replacement in 2012. Leveraging the model developed by Dr. Marshall Steele, Stryker helped Monongahela Valley implement The Orthopedic Institute at Monongahela Valley. The patient-centric program offers a unique experience to help guide patients and their family through the entire continuum.

Paradise Valley Hospital

Paradise Valley Hospital is a 291 bed acute care community hospital located in the competitive South Bay area of San Diego, California. Paradise Valley saw the opportunity to meet the needs of the South Bay community with a comprehensive spine care program. In 2013, they partnered with Stryker Performance Solutions to implement a Destination Center of Superior Performance for Spine with the goal to create a unique and exceptional spine program. Stryker worked closely with Paradise Valley to redesign their care delivery model and implement a patient- and family-centric spine program focused on healing and excellent post-operative outcomes.

St. Vincent’s Health

CareSt. Vincent’s HealthCare is a faithbased, not-for-profit health system that has served the people of Jacksonville, Florida and the surrounding area since 1916. In 2012, St. Vincent’s HealthCare partnered with Stryker’s Performance Solutions to prepare for the CMS Bundled Payments for Care Improvement (BPCI) initiative. St. Vincent’s HealthCare chose this partnership due to previous success partnering with Stryker on physician alignment via orthopedic comanagement structures and population health initiatives through Accountable Care Organization formation and development. They felt Stryker’s team of experts, including actuaries, clinical advisors, lawyers and operations executives, would be the perfect bundled payment partner. Stryker immediately assessed the business opportunity, successfully applied for BPCI, identified areas for clinical care redesign and supported gainsharing and alignment initiatives. Throughout BPCI, Stryker has provided ongoing data analytics as well as reconciliation audit and support.


“The key is gathering data. The data will set you free in this new world we live in. Until you gather data and share it with people you will never see change. No one wants to be on the bad list"

Dr. Briant Smith, Medical Director and Orthopedic Surgeon Sutter Santa Rosa

“A process improvement focus is the core of our program. It allows us to continually improve the care that we deliver to our patients. The outcomes we have achieved are being recognized internationally."

Dr. Rajeev Jain – Medical Director Kishwaukee Hospital

“The key is gathering data. The data will set you free in this new world we live in. Until you gather data and share it with people you will never see change. No one wants to be on the bad list."

Dr. Briant Smith, Medical Director and Orthopedic Surgeon Sutter Santa Rosa

“Stryker’s Performance Solutions helped us build a program that has served us well, has served our patients well, changed the way we practiced medicine, changed the way we think about and treat patients and helped us improve our bottom line, period."

VP Business Development, WV

“I see a day when we are doing 70% of TKA as outpatient."

Brodie Wood, MD - Orthopaedic Surgeon, Olympia Orthopaedic Associates

“We can see the change in how we think of the whole process. One of the most important changes is the improvement in on-time first case starts. This time improvement has set the tone for the rest of the day. Improvements in our pre-anesthesia questionnaire and our standardized PAT testing have also improved our cancellation rates.”

Dr. Tse, Anesthesiologist – Beloit Health System

Past events

The National ACO, Bundled Payment and MACRA Summit

June 6 - 8, 2018
Washington, DC

Success in Physician Led Bundles by Robyn McGann, BSN, MBA, Senior Managing Consultant & BPCI Compliance Officer and Nick Jewell, Managing Consultant.

MGMA: The Operations Conference

April 22 - 24, 2018
Phoenix, AZ

Practice Excellence, MACRA and Bundled Payments conversations with Kristy Fresh (Program Mgr, Physician Practice, Service Line Development).

AAOE 2018 Annual Conference

April 14 - 16, 2018
Orlando, FL

Practice Excellence, MACRA and Bundled Payments conversations with Amy Wondolkowski (Sr Consultant, Alignment Strategy & Reform, Service Line Development).

Past webinars

BPCI Advanced Webinar: Utilizing Analytics to Effectively Manage your Episodes.

Presented by Jordan McInerney, Sr Managing Consultant, Alignment Strategy & Reform, Service Line Development.

Thursday, May 17th, 2018
2pm – 2:30pm eastern

Data analytics are vital to understanding and managing your orthopedic episodes.

The trifecta of providing the right care at the right place at the right time is crucial for optimizing your patients while reducing costs. The utilization of data to drive this optimization is crucial.

Monitoring your episode costs with real-time data on provider referral patterns and adherence to post-acute care plans increases your ability to succeed in BPCI Advanced.

Performance Solutions has developed robust tools to help you understand…

  • if your patients are complying with post-acute care plans
  • where your patient go after discharge and for how long
  • what your post-acute provider usage is
  • how your costs compare to your target price
  • if you are making or losing money in the bundle and why

During this 30-minute webinar, Jordan McInerney discussed why both real-time and Medicare claims data are vital for success under BPCI Advanced. He provided a live data analytics demonstration and answered questions you submited during the registration process.

Please contact to be sent a recording of the webinar.

BPCI Advanced Webinar: Identifying Care Redesign Gaps & Efficient Use of Staff Resources.

Presented by Robyn McGann, MBA, Senior Managing Consultant and BPCI Compliance Officer.

Wednesday, April 18th, 2018
2pm – 2:45pm eastern

During this 45-minute webinar, Robyn McGann BSN, MBA explained the ways in which our expertise and infrastructure help fill in the gaps that may be missed by other conveners.

The webinar explains the criticality of:

  • Pre-op optimization for surgical episodes
  • Patient tracking throughout the episode of care
  • Managing patients by exception to ensure efficient resource use
  • The importance of patient navigation through their episode and gaining their engagement in the plan
  • Considerations regarding your convener partner in BPCI Advanced

Please contact to be sent a recording of the webinar.

Educational video

BPCI Advanced. What is it and how to take advantage of it now.

During this 45-minute webinar, we will explain:

  • the structure of the program, including the March 12th application deadline
  • the episodes of care eligible to participate, including Total Joint Replacement
  • program opportunities, which include earning savings on episodes of care and receiving a 5% increase on all Medicare payments under MACRA
  • how physician groups can apply and participate through the Performance Solutions convener

The deadline to apply is rapidly approaching. Stryker’s Performance Solutions will be a convener under the new program, continuing its five-year record of helping orthopedic physician groups achieve success in Total Joint Replacement bundled payments. Learn how physician groups can preserve their option to participate in this program through the Performance Solutions convener.

MACRA – Why You Should Care.

Starting in 2019, Medicare will either reward you with extra income or will penalize you under MACRA.

This is a “net zero” plan which means there will be winners and there will be losers. It’s that simple.

We help you, and your practice, “win”.

  • What you can do?
  • How can you do it?
  • When should you do this?
  • What will the penalties cost you?
  • What investments could you make with the rewards?

The decision to actively participate in MACRA is yours. In a 10-minute call, we can discuss how reporting requirements create real upside opportunities and potential downside risks. It’s not too late to capitalize on the opportunities and to set yourself up for greater reward going forward.

In addition, ((MACRA. The roadmap to success)) was produced by Robyn McGann, BSN, MBA and Amy Wondolkowski, MS, OTR/L. This 50-minute educational video provides background and education about MACRA for your office manager and other business partners.

Value Stream Mapping

  • Is your practice as efficient as other orthopedic practices?
  • What steps and inefficient processes can you eliminate and still have great patient care?

Value stream mapping is a great tool that can help create a patient care system that eliminates waste and improves a practices’ operational flow. Value stream mapping considers all stakeholders -- patients, clinicians, staff, suppliers and vendors -- to develop a plan for the future state of patient care by strategizing across multiple areas of your practice.

Watch this quick overview by Stephanie Trevino, BSIE, MBA, Lean Six Sigma and Amy Wondolkowski, MS, OTR/L. In ten-minutes they explain the importance of successfully mapping value streams and how mapping fits into lean principles you can be utilizing today.

Data. What does it really mean to the viability of your practice?

How do these processes impact your bottom line?

  1. First pass denials
  2. Charge lag
  3. Days in accounts receivable4. Phone wait times5. Payment reform

Watch this quick overview by Stephanie Trevino, BSIE, MBA, Lean Six Sigma and Amy Wondolkowski, MS, OTR/L. In ten-minutes they explain the importance of successfully mapping value streams and how mapping fits into lean principles you can be utilizing today.

Succession planning for your medical practice. Yes, this should be on your radar. Are you a physician approaching retirement age or planning ahead?

What the video below to learn:

  1. Six benefits to a good succession plan
  2. How often you should conduct a needs assessment
  3. Recruitment and retention strategies for your top surgeons
  4. The importance of succession planning for the first 3 years in practice
  5. The amount of time that should be devoted to this effort

In just 14 minutes, Kristy Fresh, MBA, FACMPE and Shanelle Elzinga, BS, RPSGT share their insights into succession planning for medical practices. They expand on the value of planning, the needs assessment, current trends and issues, working toward realistic timelines, and provider recruitment, onboarding, transitioning, and retention.