Implementation of Patient-Reported Outcome Measures in U.S. Total Joint Replacement Registries: Rationale, Status, and Plans

Franklin, Patricia D.; Lewallen, David G.; Bozic, Kevin J.; Hallstrom, Brian R.; Jiranek, William A.; Ayers, David C.

doi:10.2106/jbjs.n.00328

Cited by 99 publications

(91 citation statements)

References 21 publications

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“…However, it has become increasingly important to measure patient satisfaction and functional activity after TKA. The Patient Protection and Affordable Care Act of 2010 created the Patient Centered Outcomes Research Institute that uses outcome assessment as a key component of comparative effectiveness research to determine best practices in medicine [4]. TKAs are increasingly being scrutinized by payers for cost-effectiveness and quality, and patient outcome measures and functional outcomes are important metrics for monitoring interventions and procedures.…”

Section: Discussionmentioning

confidence: 99%

The Knee Society Short Form Reduces Respondent Burden in the Assessment of Patient-reported Outcomes

Scuderi

Sikorskii

Bourne

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

The Knee Society Short Form Reduces Respondent Burden in the Assessment of Patient-reported Outcomes

Scuderi

Sikorskii

Bourne

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Patient-reported outcomes and adverseevent data have been reported by more than 3000 California patients. This represents approximately 70% of patients scheduled to undergo total joint replacement and 30% of those who have undergone total joint replacement enrolled in this registry 10 . Thus, the U.S. total joint replacement registries have addressed the need for broader post-procedure outcome measurement.…”

mentioning

confidence: 99%

Joint Replacement Registries in the United States: A New Paradigm

Ayers

Franklin

2014

The Journal of Bone and Joint Surgery

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“…11 Thus, state, regional, and national TJR quality programs now collect PROMs. 12,13 Beyond CMMI, private health care payers, (e.g., Blue Cross/Blue Shield of Massachusetts, the Minnesota Community Measurement network, and the Pacific Business Group on Health) are requiring the collection of PROMs for participation in valuebased payment programs.…”

Section: Proms In Total Joint Replacement Surgery (Tjr): An Early Casmentioning

confidence: 99%

Framework To Guide The Collection And Use Of Patient-Reported Outcome Measures In The Learning Healthcare System

Franklin¹,

Chenok²,

Lavalee³

et al. 2017

eGEMs

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Background:Web-based collection of patient-reported outcome measures (PROMs) in clinical practice is expanding rapidly as electronic health records include web portals for patients to report standardized assessments of their symptoms. As the value of PROMs in patient care expands, a framework to guide the implementation planning, collection, and use of PROs to serve multiple goals and stakeholders is needed. Methods:We identified diverse clinical, quality, and research settings where PROMs have been successfully integrated into care and routinely collected and analyzed drivers of successful implementation. Findings are based on key informant interviews with 46 individuals representing 38 organizations, of whom 40 participated in a webinars series, and 25 attended an in-person workshop designed to enable broad stakeholder input, review and refinement of the proposed PROMs implementation model. Stakeholders identified differing uses of PROMs to support: 1) individual patient care decisions, 2) quality improvement initiatives, 3) payer mandates, and 4) population health and research. Results:The implementation framework and steps that are consistently identified by stakeholders as best practices to guide PROM capture and use are described. Of note, participants indicate that webbased informatics tools are necessary but not sufficient for PROM use, suggesting that successful PROM implementation requires integration into clinic operations and careful planning for user's analytic needs. Each of the four identified uses may require implementation modifications at each step to assure optimal use. Conclusions:The proposed framework will guide future PROM implementation efforts across learning health care systems to assure that complete PROMs are captured at the correct time, and with associated risk factors, to generate meaningful information to serve diverse stakeholders.

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Implementation of Patient-Reported Outcome Measures in U.S. Total Joint Replacement Registries: Rationale, Status, and Plans

Cited by 99 publications

References 21 publications

The Knee Society Short Form Reduces Respondent Burden in the Assessment of Patient-reported Outcomes

The Knee Society Short Form Reduces Respondent Burden in the Assessment of Patient-reported Outcomes

Joint Replacement Registries in the United States: A New Paradigm

Framework To Guide The Collection And Use Of Patient-Reported Outcome Measures In The Learning Healthcare System

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