Comprehensive Care for Joint Replacement (CJR)

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Learn more about the roles of orthopedic teams, the disorders they treat and how treatment plans can be streamlined for your needs.

Some Common Orthopedic Disorders

The Orthopedic Treatment Team

Health Quest is participating in a New Care Improvement Initiative from Medicare 

Health Quest Hospitals (Vassar Brothers Medical Center, Northern Dutchess Hospital, Putnam Hospital Center) are participating in a Medicare initiative called the Comprehensive Care for Joint Replacement (CJR) model. The CJR model aims to promote quality and financial accountability for care surrounding lower-extremity joint replacement (LEJR) procedures, commonly referred to as hip and knee replacements. Our participation in the CJR model should not restrict your access to care for your medical condition or your freedom to choose your health care providers and services. 

The CJR model aims to help give you better care.

The CJR model aims to support better and more efficient care for beneficiaries undergoing joint replacement procedures. Medicare is using the CJR model to encourage Vassar Brothers Medical Center, Northern Dutchess Hospital and Putnam Hospital Center to work more closely with your doctors and other health care providers that help patients recover after discharge from the hospital, including nursing homes (skilled nursing facilities), home health agencies, inpatient rehabilitation facilities, and long-term care hospitals. The goal of the model is to encourage these providers and suppliers to provide you with better, more coordinated care during and following your hospital stay. The model is expected to lower the cost of care to Medicare but your costs for covered care will not increase due to these changes.

Vassar Brothers Medical Center, Northern Dutchess Hospital and Putnam Hospital Center are working closely with the doctors and other health care providers and suppliers who will care for you during and following your hospital stay and extending through the recovery period. By working together, your health care providers and suppliers are planning more efficient, high quality care as you undergo treatment.

The following list includes health care providers and suppliers that have established a collaborator agreement with Putnam Hospital Center and Northern Dutchess Hospital in order to share in financial rewards and/or losses in the CJR model:

Northern Dutchess Hospital:

  • William Coleman, MD
  • Frank Lombardo, MD
  • Michael Schweppe, MD
  • Russell Tigges, MD

Orthopedic Associates of Dutchess County
1910 South Road 
Poughkeepsie, NY 12601

Putnam Hospital Center:

  • Dr. Joel Buchalter
  • Dr. Douglas Fauser
  • Dr. Stuart Styles

Somers Orthopaedic Surgery & Sports Medicine Group, PLLC
664 Stoneleigh Ave. # 300
Carmel Hamlet, NY 10512

More Information

The physician requesting Collaborator status must meet the following minimum criteria:

  1. Be a credentialed member of the Hospital’s medical staff in good standing, as outlined in the Hospital’s Bylaws.
  2. Practice as an orthopedic surgeon.
  3. Orthopedic surgeon must be an active Medicare provider in good standing.
  4. Commit to, as requested by Health Quest, and participate in CJR-specific care redesign meetings and related activities.
  5. Orthopedic surgeons participating in Collaborator Agreements must sign a written CJR Collaborator Agreement that will include parameters and metrics related to quality, care provision, and savings payment triggers appropriate for the services provided.
  6. Orthopedic surgeons entering into Collaborator Agreements must have (or their practice entity must have) compliance program that includes oversight of the Collaborator Agreement and compliance with CJR requirements.

If you have questions or want more information about the Comprehensive Care for Joint Replacement (CJR) model, call 800-MEDICARE. You can also find additional information at https://innovation.cms.gov/initiatives/cjr.