The paradigm in healthcare delivery is changing. The focus is shifting in response to the converging forces of payment reform and consumer expectations toward more efficient, higher quality value-based care. By automating the collection of patient-reported outcome measures (PROMs), you enable patients’ active participation and meet their expectations for greater convenience, leading to higher patient satisfaction.
PROMs can offer tremendous value to patients, hospitals, and clinicians. If you haven’t started automated collection of this data, you could be falling behind other healthcare providers offering better and more connected care.
Why PROMs Matter
Total joint replacement surgeries are one of the costliest procedures for Medicare, but more importantly, their success can have an enormous impact on a patient’s quality of life.
Implementing PROMs collection can:
- Allow you to analyze changes in the patient’s condition throughout their episode.
- Benchmark the performance of surgeons so you can identify opportunities for improvement.
- Capture the real reason patients seek care: to improve their symptoms.
- Deliver actionable data to measure clinical performance and patient improvement.
- Demonstrate the quality of a care a patient received in terms of effectiveness and a patient’s subjective sense of well-being.
- Empower patients to engage in their care.
- Help you increase your quality score in Medicare’s CJR bundled payment model.
- Offer insight into treatment, care providers, and institutional success over time.
- Provide actionable data to inform clinical decision-making.
- Find out whether patients are satisfied with their care.
These benefits can increase success of meeting the goals of your total joint replacement program, but making change happen is not always as easy as making the decision to change.
Five Tips for Effective Patient-Reported Outcomes Collection
- Get your entire team on board – Physician acceptance is often one of the biggest barriers to implementing PROMs collection. That’s why it’s important to create a convincing case for why the system will be helpful to patients, care teams, and doctors. Seeing colleagues change their behavior will encourage others to follow suit. Use the reasons why above, but tailor your pitch to each stakeholder; emphasize to surgeons how it will help them improve their skills; highlight the long-term financial benefits to executives; explain how it will help the care team manage their workflow for TJR patients.
- Use automated PROMs collection – Adding more paperwork to an already overburdened staff’s workload will not produce an effective PROMs collection program. If your staff have hesitations, they won’t stress the importance to your patients. A PROMs collection program is only valuable when patients are completing the process. Additionally, studies have shown that patients prefer electronic collection for reasons of convenience and confidentiality. Patients are concerned with security and access to their data with paper surveys—you can double your compliance rates and make patients feel more comfortable responding with digital collection.
- Train the care team on how PROMs will be used – One of the most common reasons for low compliance is that patients think completing assessments will be a waste of time—they are concerned that clinicians won’t review the data. Evidence shows that patients are more likely to complete an assessment when the surgeons emphasize its importance. When care teams understand the overall purpose of PROMs collection, they will understand the benefits and share that information with patients. This encouragement lets the patient know that his or her voice will be heard.
- Educate patients on how this will help them – Patients need consistent reminders of the importance of completing PROMs surveys. Let them know in joint classes and other patient education channels that PROMs collection will help them take charge of their treatment and track their progress. Post signs around the clinic and include a pamphlet in their information packets. If you’re using electronic PROMs collection, patients can access the survey on any device when it’s most convenient for them—and receive automated reminders to complete them. Consider providing a device in the clinic for patients who may not have their own.
- Use the data to improve performance – Don’t let the engagement of stakeholders fall off. Share the data monthly with your team to:
– Drill down on outliers. Find out what went wrong and why.
– Create healthy competition between surgeons. Show them how they compare to each other based on patient completion rates and results.
– Measure progress over time so you can celebrate improvements!
Ready to take the next step? Learn about Wellbe’s PROMs solution and get a free e-book here.