Joint Replacement

Joint Replacement Class

We offer a joint replacement class every Tuesday at St. Francis Community Health Center, 2600 Tower Drive in Monroe, led by Rebecca Brown, RN. The program includes a pre-surgical and post-surgical orientation to help prepare you for joint replacement surgery. This program is offered free-of-charge to those who are planning joint replacement surgery at St. Francis Medical Center. For a reservation to attend the class, please contact:

Rebecca Brown, RN
Total Joint Program Coordinator
(318) 966-6010

Comprehensive Care for Joint  Replacement

St. Francis Medical Center is participating in the Comprehensive Care for Joint Replacement (CJR) model. Medicare designed this model to encourage higher quality care and greater financial accountability from hospitals when Medicare beneficiaries receive lower-extremity joint replacement procedures (LEJR), typically hip or knee replacements. [Hospital name]’s 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. All existing Medicare beneficiary protections continue to be available to you.

The CJR model aims to help give you better care.

The CJR model aims to support better and more efficient care for beneficiaries undergoing LEJR procedures. A CJR episode of care is typically defined as an admission of an eligible Medicare beneficiary to a hospital participating in the CJR model for an LEJR procedure. This model uses episode payment and quality measurement for an episode of care associated with LEJR procedures to encourage hospitals, physicians, and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization through recovery. Under the CJR model, St. Francis can earn additional payments from Medicare if we meet the high quality goals set by Medicare, while keeping hospital costs and care spending under control. If we don’t meet these quality and cost goals, we may have to repay Medicare.

Medicare is using the CJR model to encourage St. Francis to work more closely with your doctors and other health care providers that help patients recover after discharge from the hospital including, but not limited to, nursing homes (skilled nursing facilities), home health agencies, inpatient rehabilitation facilities, and long-term care hospitals. If you require a stay in a Skilled Nursing Facility (SNF) to assist with your recovery from surgery and if, and only if, it is clinically appropriate, the CJR model permits St. Francis to discharge you to a high quality SNF sooner than the three days Medicare usually requires to cover a SNF stay.

Medicare will monitor your care to ensure you and others are receiving high quality care.

St. Francis Medical Center entered into financial arrangements with collaborating health care providers and suppliers who are engaged in care redesign with the hospital and who may furnish health care services to you during your episode of care. Under these arrangements, St. Francis may share payments received from Medicare as a result of reduced episode spending and hospital internal cost savings with collaborating providers and suppliers. St. Francis may also share financial accountability for increased episode spending with collaborating providers and suppliers.

The following list includes health care providers and suppliers that have established a financial arrangement with St. Francis Medical Center in order to share in financial rewards and/or losses in the CJR model:

Physician Group Practice
North Louisiana Orthopedic Clinic (NLOC)
Affinity Health Group
Participating Physicians:
Sidney Bailey, MD - NLOC
Grant Dona, MD - NLOC
James Extine, DO - Affinity
Elliot Nipper, MD - NLOC
Kristopher Sirmon, MD - NLOC
Timothy Spires Sr., MD - NLOC
James Finley, MD - NLOC
Rolf Morstead, MD
Clemens Soeller, MD - Affinity

Additionally, this website,, includes this list of health care providers and suppliers that have established a financial arrangement with St. Francis Medical Center.

It’s your choice which hospital, doctor, or other providers you use.

  • You have the right to choose which hospital, doctor, or other post-hospital stay health care provider you use.
  • If you believe that your care is adversely affected or have concerns about substandard care, you may call 1-800-MEDICARE or contact your state’s Quality Improvement Organization by going to:
  • To find a different doctor, visit Medicare’s Physician Compare website,, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
  • To find a different hospital, visit, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
  • To find a different skilled nursing facility, visit Medicare’s Nursing Home Compare website,, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
  • To find a different home health agency, visit Medicare’s Home Health Agency Compare website,, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

For an explanation of how patients can access their health care records and beneficiary claims data, please visit

Get More Information

If you have questions or want more information about the Comprehensive Care for Joint Replacement (CJR) model, call St. Francis Medical Center at 318-966-4942 or call 1-800-MEDICARE. You can also find additional information at 

Written Policies for CJR Financial Arrangements

Type of Collaborators

St. Francis Medical Center has elected to only offer financial arrangements to Physician Group Practices and individual Physicians who specialize in Physiatry and Orthopedics.

For an individual physician to be eligible to receive a gainsharing payment, they must meet all of the eligibility and quality criteria below: 

Financial Arrangement Selection

Eligibility Criteria

  1. Annual CJR / Compliance Training
  2. Participate in Care Redesign by participating in 3 out of 4 quarterly meetings to improve (i) quality metrics, (ii) cost reduction, (iii) and care plan improvement and standardization.
  3. Agree to implement CJR Standardized Pathways
  4. Meet Patient Communication Requirements
  5. Adequacy of Care Requirements