Orthopedic and Neurological Surgeon Quality Project

Orthopedic and Neurological Surgeon Quality Project


With input from Washington surgeons, L&I developed the Orthopedic and Neurological Surgeon Quality Project as a pay-for-quality initiative to improve workers’ outcomes through more timely access to high quality surgical care.  Surgeons participating in the project receive incentive pay for demonstrating high quality and efficient patient care.

To determine the appropriate level of incentive pay for individual participants, every 6 months L&I’s project team assesses each surgeon’s aggregate performance on a set of 6 quality indicators.  Surgeons meeting or exceeding all performance thresholds are eligible for Tier 3 incentive pay (the highest level), while those who are unable to meet minimum thresholds risk losing incentive pay privileges.

To download a one page visual summary of enrollment, tier assignment, and incentive pay view the following flow chart in PDF.

Project Manual

For detailed information on the project, its background, and how it works, see the Orthopedic & Neurological Surgeon Quality Project Participants Manual.

Project participants

Orthopedic, neurological, and hand surgeons were invited to join the project for participating in some or all of these cooperative quality improvement efforts:

  • Development of this project; or
  • Participation in the Centers for Occupational Health and Education (COHE); or
  • Utilization Review Program Group A providers.



For questions about the Orthopedic and Neurological Surgeon Quality Project, Tier assignments, or reports you may call: 360-902-6060 or email ONSQualityPilot@lni.wa.gov

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