A Value-Based Approach to Orthopedic Care

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Dave Janiec is the Director of Contracting at Rothman Institute. He is involved in all facets of payer contracting, but the focus of his work is assisting the 170 doctor practice in its transition from traditional fee-for-service financial models to value-based care models. He is actively involved with payers--government, insurance and employer--engaging in Alternative Payment Model development and implementation. His team is responsible for performance measurement of the practice’s activity pertaining to all APMs and meets with clinical staff to communicate all current program guidelines and financial performance data. Prior to working with Rothman in this role, Dave spent fifteen years with Drexel University, primarily as the Director of Managed Care, with additional roles in the central billing office and clinical department administration. He additionally has ten years’ experience in commercial banking, during which he worked in the Health Care & Public Finance division of PNC Bank, NA.

Chris Vannello is the Director of Quality at Rothman Institute in Philadelphia Pennsylvania. The Rothman Institute is one of the largest orthopedic practices in the country. Chris oversees all quality improvement initiatives internally, locally and nationally for the practice. She is responsible for the episode of care management as it relates to alternative payment models, monitoring of outcomes and the patient navigation process. Chris sits on the Quality committee for the National Orthopedic Spine Alliance and is the co-leader for a national outcomes benchmarking group.

Before working at Rothman Institute Chris was a Director of Quality at Main Line Health Systems, Riddle Hospital in Media, Philadelphia. She was responsible for the overall hospital quality improvement initiatives including the stroke, chest pain and hip and knee replacement programs and certifications. She began her career as a nurse at Bryn in Bryn Mawr, Pennsylvania.


This Forum presentation focuses on how the industry's current fee-for-service model presents a challenge in the transition to value-based care. Steps to prepare for participation in a value arrangement; ways to gauge success in alternative payment models; and how to effectively communication actionable information to providers, are also covered in this session.

Presentation: 57:19