As the surgical volume of total joint arthroplasty (TJA) continues to rise, healthcare systems must respond to increasing demand with efficiency. Enhanced Recovery After Surgery (ERAS) protocols are effective tools frequently used in surgical centers to standardize evidence-based practice for a patient population. A quality improvement (QI) initiative set about to develop a multidisciplinary protocol through the condensation of current practices in alignment with ERAS principles for a large multi-center academic hospital (AH). An email survey was sent to all members of the multidisciplinary team to assess current practice standards and a baseline understanding of ERAS guidelines before garnishing feedback on the proposed protocol. A Likert scale and free-text feedback was utilized for data collection. This QI project met its goal of over 60% buy-in from the team as evidenced by an interest in ERAS implementation (69%), agreeing the protocol clarified goals of care (89%), and perceiving a protocol would improve quality, safety, efficiency, and satisfaction among TJA patients (80%). The ERAS protocol developed from this QI initiative has the potential to ignite positive change at the AH. As ERAS ingrains in the culture of care for the TJA population, there is potential for spread to other orthopedic and surgical specialties.