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PRO Data Interpretation: 5 Analytic Resources and Tools to Consider

Jan 24, 2018 12:00:00 PM

A successful orthopaedic patient-reported outcomes (PRO) program must have resources that allow it to collect, store, and access its data (i.e., clinical information, device data, and PRO data) so that participants have an ability to compare their data to aggregate, national benchmarks. Understanding your patient outcomes compared to peers can support quality improvement efforts at both the hospital and surgeon level. Having the data from a robust national registry like the American Joint Replacement Registry (AJRR) enables hospitals and clinical practices to make informed decisions based on clinical facts and figures. Click here to review the data elements collected by AJRR and used for national benchmarking efforts.

 

5 PRO Analytic Resources and Tools to Consider:

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Topics: Patient-Reported Outcomes

PRO Data Collection and Reporting: 5 Workflow Features to Implement

Jan 17, 2018 12:00:00 PM

Patient-reported outcomes (PROs) provide insights beyond standard clinical quality-of-care measures and further guide physician and patient understanding concerning patient health status, the decision-making process regarding patient care, and the evaluation of effectiveness of quality improvement initiatives. Building your PRO program begins with setting program goals and creating a successful process for PRO data collection and reporting.

One of the biggest challenges within a developing PROs program is compliance with the data gathering process. The diagram at the link below represents the typical workflow supporting a hospital's electronic-based patient-reported outcome measures (PROMs) collection to action effort.

 

View a Collection to Action Workflow Diagram for Electronic-Based Survey Administration here.

 

Research has shown that the five workflow features listed below demonstrate valuable efficiencies within this process, and help to ensure that clinicians and patients will find program data collection and reporting requirements manageable and worthwhile.

 

5 Workflow Features for Implementation:

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Topics: Patient-Reported Outcomes

Monitoring PRO Quality Measures: 5 Government Initiatives to Watch

Jan 10, 2018 12:00:00 PM

The increased demand for patient-reported outcome (PRO) data by regulators, payers, accreditors, and professional organizations is widely recognized. However, this blog installment will primarily address government initiatives that focus on PRO quality improvement and reimbursement considerations. Both federal and state governments are actively launching pilots and passing legislation related to the utilization of PROs to underpin value-based reimbursement of care. Maximize your institution's quality improvement and related reimbursement by monitoring PRO quality measures and creating a PROs program design that considers the future direction and requirements of the key government initiatives listed below.

At the federal level, PROs have already been incorporated into a variety of Centers for Medicare & Medicaid Services (CMS) efforts. At the state level, Texas became the first legislature to pass a bill related to PROs for musculoskeletal care through SB55. Governor Greg Abbott signed the bill into law on June 15, 2017, and a pilot program has commenced. Other states are monitoring the results of the initiative. Even if your institution is not in Texas, this pilot program may be considered by other states in the future.

Because government initiatives are subject to change, Rulemaking Alerts (RA) will be incorporated as a supplement to core content throughout this blog.

 

Top 5 Government Initiatives (Inclusive of PRO Measures):

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Topics: Patient-Reported Outcomes

Starting a Goal-Driven Patient-Reported Outcomes Program: 5 Steps to Launch

Jan 3, 2018 12:00:00 PM

Three fundamental goals should stand out when starting a patient-reported outcomes (PRO) program. First, you are determined to evaluate care by including outcomes based on the patient’s viewpoint along with other clinical measures. Longitudinally tracking patient assessment of pain and function can provide insights into the effectiveness of hip and knee arthroplasty across a much broader patient population than the relatively small number of patients that suffer implant failures and require surgery.

Second, you are determined to enable your institution’s provision of PRO data to the Centers for Medicare & Medicaid Services (CMS) and other payers as they continue defining quality measures for value-based reimbursement. For example, CMS defines PRO requirements within their Medicare reimbursement programs such as Comprehensive Care for Joint Replacement (CJR) model and the Merit-based Incentive Payment System (MIPS). MIPS recently replaced the Physician Quality Reporting System (PQRS). The demand for PRO data by regulators, payers, accreditors, and professional organizations has accelerated, as patient care associated with PRO programs has demonstrated improvement. Better technology for data capture has also accelerated demand.  

Finally, you are determined to use comparative data and PRO benchmarking to provide evidence for needed quality improvement work at both the hospital and surgeon level. National Registry data is often used to enable this effort.

 

If these goals are important to your institution, the five steps shared below will help you launch a successful PRO program:

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Topics: Patient-Reported Outcomes

A Message for Our Readers

This blog was created by the American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program. The blog is part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable hip and knee arthroplasty data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for weekly news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. It will be information you can use each week!

The more interactive you are, the greater the value shared. Visit us at www.aaos.org/ajrr, speak with a Registry Engagement Associate at 847-292-0530, or follow us on Twitter.

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AJRR Staff Writers

AJRR Blog posts are researched and created by AJRR staff writers: Karen Metropulos, Erik Michalesko, and Lori Boukas. If you would like to contact the writing staff, email us at AJRRInfo@aaos.org

Disclaimer

This blog shares health care information from a variety of independent expert sources. Some sources offer opinions that may be of interest to other professionals facing similar challenges. Our approach helps ensure diverse, well-rounded presentation of important, often complex health care content. Shared content does not necessarily represent AJRR or AAOS findings and practices.