Integrating Patient-reported Outcomes Into Orthopaedic Clinical Practice: Proof of Concept From FORCE-TJR

• DOI: 10.1007/s11999-013-3143-z
• Publication Date: 2013-08-07T14:11:21Z
• Authors: David C. Ayers; Hua Zheng; Patricia D. Franklin
• Keywords: Reimbursement

Good orthopaedic care requires a knowledge of the patient's history musculoskeletal pain and associated limitations in daily function. Standardized measures patient-reported outcomes (PROs) can provide this information. Integrating PROs into routine patient visits key information to monitor changes symptom severity over time, support shared clinical decisions, assess treatment effectiveness for quality initiatives value-based reimbursement. WHERE ARE WE NOW?: Although standardized, validated PRO surveys are routinely used comparative research, they not consistently or efficiently collected practice. DO NEED TO GO?: Ideally, need be directly from patients before their surgeon visit so data readily available at time office visit. In addition, should integrated electronic health record status time. HOW GET THERE?: integration practice minor modifications flow, some additional staff facilitate collection, technical infrastructure score, process, store responses. We document successful procedures collecting one busy clinic suggested methods extend model Function Outcomes Research Comparative Effectiveness Total Joint Replacement (FORCE-TJR) consortium 121 surgeons where process is centralized obtained consent send home. Both options broader adoption office-based PROs.