Marcia Friesen & Associates

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"We had a superbly positive experience with Marcia Friesen. They have taken us out of the dark ages. Marcia combines the science and education to dig through the mountains of information to develop best practices customized for us. Marcia's team was available, affable and integrated easily with our team. Physicians could be open about patient care.  Marcia's team was focused, diligent and organized.  They have the processes and knowledge to implement. Marcia Friesen & Associates vigor revitalized our team."

Dr. Sabonghy

Orthopedic Surgeon

Director of Iron Man Sports Medicine Institute

Memorial Hermann


Outpatient Total Joint Replacement centers are experiencing a rapid rate of growth, due to:

  • Advancements in state-of-the-art technology
  • A research proven lower cost higher quality of care for patients
  • Payers are driving consumers to high performing outpatient total joint replacement center
  • Increased Transparency in the episode of care vs. inpatient total joint replacements

Now is the time to start transitioning your total joint replacements to an outpatient setting.  Start preparing for the future. 

Outpatient Total Joint Replacements

At Marcia Friesen & Associates, we assist healthcare executives, orthopaedic service line managers, and expert clinicians accelerate into high performing healthcare leaders. We take pride in developing inspirational and motivational leaders who effectively communicate their innovative organizational visions, and implement cultural cohesion throughout the organization to deliver excellence. 

Please contact us to schedule a private 30 minute complimentary webinar to discuss how we can help you achieve success with bundled payments, transforming your hospital with a customized Clinical Redesign program or implementing the Integrative Advantage™ into your organization.


Bundled Payment Total Hip & Total Knee Joint Replacement Program - Healthcare reform is mandating Orthopaedic Centers to transition to a bundled payment program for Total Hip and Total Knee Joint replacements.

  • Transition from a fee-for-service model to a value-based model to reduce the financial risk of a bundled payment program 
  • Strategically aligns with the IHI Triple Aim Initiative – Exceptional Patient Experience, Decrease Per Capita Costs and Improve the Health of the Population

Together we will help you navigate and successfully implement a bundled payment program that will enhance your market position with the consumer and payers and differentiate your services focused on the exceptional patient experience.

Value-Based Care Models

"Marcia Friesen and I have worked closely over the last three years to advance the outpatient total joint replacement program on a national basis.  Our collaboration in helping other surgeons determine how to start their programs and the steps involved to be successful has been rewarding.  Marcia’s successful programs are innovative and growth focused, offering an exceptional patient experience that drives high performance and national recognition.
Her program provides the foundation and preparation to obtain the future Joint Commission Disease Specific Care certification for outpatient joint replacement and the financial tracking and quality metrics for the new CJR Bundled Payment program." 
Dr. Patrick Toy M.D. 
Board Certified Orthopedic Surgeon
Campbell Clinic