7 Things to Consider When Choosing PROM Timelines

Measurement timeline

PROMs guidelines from groups such as the International Consortium for Health Outcome Measurement (ICHOM) have recommended pre-operative (baseline) and one-year follow-up as appropriate time points for data collection to provide meaningful data for comparing outcomes across providers. The CJR Final Rule also advises that post-operative surveys be collected between 270 and 365 days post-surgery.

Each time point will have a window for data collection that follows CMS’s accepted time-point intervals. AJRR’s platform will allow for other time points (e.g., three-month, six-month, etc.) to be submitted and stored in AJRR’s database should you wish. However, national benchmarks will only be reported for pre-operative and one-year outcomes.

Further questions to discuss with your colleagues:

 How often would we like to collect a PROM post-surgery?
 At what time points do our patients consistently come back for a follow-up visit? Is this the best time to capture the PROMs? (If patient doesn’t complete via Internet prior to visit, we have a chance to collect at the clinic visit or provide a reminder to complete it after the visit.)
 For what time point has our chosen PROM been validated to detect change (six months vs. one year)?
 What time frame is needed to address our primary aims for PRO data collection (e.g., data at each clinic visit if used to inform clinical encounter vs. pre-operative and one year data to meet minimum reporting requirements for payers)?
 How many time points for data collection can be managed by our staff?
 How frequently are patients willing to complete surveys? Should a random subgroup be utilized for more frequent assessment (this may be an option for research driven initiatives)?
 What is our hospital status regarding federal quality initiatives? Are we in one of the CJR geographic areas? Are we in the Bundled Payments for Care Improvements (BPCI) initiative?

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