POPULARITY
The Journal of Rheumatology's Editor-in-Chief Earl Silverman discusses this month's selection of articles that are most relevant to the clinical rheumatologist. The State of Patient-Reported Outcome Measures in Rheumatology - doi.org/10.3899/jrheum.2023-1073 Interpersonal Process of Dyadic Coping in Rheumatoid Arthritis: A Perspective From the Australian Rheumatology Association Database - doi.org/10.3899/jrheum.2023-0664 Implementation of a Clinician-led Medication Adherence Intervention Among Patients With Systemic Lupus Erythematosus - doi.org/10.3899/jrheum.2024-0071 Long-Term Data on Efficacy and Safety of Selexipag for Digital Systemic Sclerosis Vasculopathy - doi.org/10.3899/jrheum.2024-0103 Prevalence and Risk Factors of Postacute Sequelae of COVID-19 in Adults With Systemic Autoimmune Rheumatic Diseases - doi.org/10.3899/jrheum.2023-1212
In deze podcast bespreekt internist-oncoloog Koos van der Hoeven met verpleegkundig specialist Corinne Tillier (Antoni van Leeuwenhoek, Amsterdam) over haar proefschrift getiteld “Patient Reported Outcome Measures to Individualized Prostate Cancer Care”. Aan bod komen onder andere de late gevolgen van de operatie, verschillen tussen antwoorden via PROM's en interviews, vertaling PROM's naar geindividualiseerde behandeling. Corinne zal op 5 september haar proefschrift verdedigen aan de Universiteit van Amsterdam bij Henk van der Poel en Lonneke van de Poll-Franse.
JAMA Statistical Editor Roger J. Lewis, MD, PhD, discusses Patient-Reported Outcome Measures in Clinical Research with Kevin P. Weinfurt, PhD, and Bryce B. Reeve, PhD. Related Content: Patient-Reported Outcome Measures in Clinical Research
Dr. Chad Heatwole is a Professor of Neurology and the Director of the Center for Health and Technology at the University of Rochester Medical Center and Dr. Michael Benatar is a Professor of Neurology and Chief of the Neuromuscular Division and Executive Director of the ALS Center at the University of Miami. They will be discussing their recent publication “The amyotrophic lateral sclerosis-health index (ALS-HI): development and evaluation of a novel outcome measure” and its role as a patient reported outcome measure for ALS.
With 1 out of every 3 U.S. health care dollars emanating from Washington, the federal government is the single largest payer of health services in the United States and accounts for nearly half of all national health spending. As our country ages, these forces are accelerating, with Medicare spending alone projected to increase by 7.5% annually through 2031. Healthcare companies that depend on government revenue – or are downstream from it – must begin to view policymakers as among their most important customers. Impactful organizations that will succeed in the new era of value-based care will learn how to leverage the unparalleled value of internal advocacy. By creating extraordinarily powerful messaging for policymakers to understand what is needed for value-based innovation, we exercise our right to form a more perfect union. While healthcare will never be perfect, we must still strive for perfection – that is at the heart of value-based care transformation in our country! On the Race to Value this week, we interview Andrew Schwab – a value-based care leader, an intentional strategist, and a master of Washington's internal game. He brings a bold, brash, no-holds-barred approach to government affairs by coaching and mentoring forward-thinking organizations ready to invest in their internal policy teams so they can thrive in a new era of value-based care. Prior to establishing his own firm, Platform Government Strategies, Andrew advocated in-house on behalf of both nonprofits and private sector organizations. Most recently, Andrew established Oak Street Health's first government affairs function that put them at the center of the national value-based care conversation and contributed to their recent acquisition by CVS Health. Episode Bookmarks: 01:30 The federal government is the single largest payer of health services and accounts for nearly half of all national health spending. 02:00 Healthcare companies that depend on government revenue must begin to view policymakers as among their most important customers. 02:30 Introduction to Andrew Schwab and his public affairs consulting firm, Platform Government Strategies. 05:30 The glacial pace of the value-based care movement. Is there truly bipartisan consensus on the aims of health value? 07:00 2030 Medicare VBC Goal (“The government is putting its thumb on the scale for value-based care.”) 08:15 The 1st Amendment right to petition government for redress of grievances (“Advocacy and lobbying are quintessentially American.”) 09:00 “Elected officials and appointed regulators in Washington D.C. and in state capitals react to a different set of incentives.” 10:00 Explosive growth of the Medicare Advantage program. 11:00 Consumer-centric innovation and higher quality of care in MA plans. 11:30 Political controversy with MA (e.g. PE-backing, overpayment concerns, risk adjustment gaming, “perverse business model”) 13:00 Critics of MA ranging from physicians and hospitals protecting the “sanctity of fee-for-service" to those leery of privatization. 13:30 The incredible popularity of MA and the research showing it has superior outcomes. 14:00 Mitigating the potential for upcoding with the new V28 risk adjustment methodology being implemented over next 3 years. 15:00 MA is paid more than Traditional Medicare, but it offers more in terms of benefits (e.g. hearing, dental, vision, population health interventions). 16:00 Private equity investment and payvider innovation (e.g. Oak Street Health, VillageMD, Centerwell, Archwell). 17:00 The importance of Patient-Reported Outcome Measures since process measures alone don't achieve patient-centeredness. 19:00 “Outcomes should be the most important metric by which we judge the health of our healthcare system.” 20:00 “We need to put providers that participate in value-based relationships at the center of advocacy pushes in Washington and in state capitals.” 21:00 If we are incentivized to keep patients healthy and out ...
Panelists: Prakash Jayakumar, MD, PhD (host); Kevin Bozic, MD, MBA, FAAOS; Judith F Baumhauer, MD, MPH, FAAOS; Mark S. Vrahas, MD, FAAOS; and Catherine H. MacLean, MD, PhD discussing the JAAOS October 15, 2023 special issue on Patient-Reported Outcome Measures (PROMs) https://journals.lww.com/jaaos/toc/2023/10150 See also aaos.org/proms The JAAOS Journal Club podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly. Disclaimer: Any statements about commercial products or services, healthcare systems, hospitals, or policies are solely the opinion(s) of the panelist(s) and do not represent an AAOS endorsement or evaluation of these products, services, organizations, or policies. These statements may not be used in advertising or for any commercial purpose.
As the shift towards value-based healthcare reform gains momentum, there will be major strategic and organizational changes to how care delivery is redesigned, measured, and reimbursed. This episode delves into the realm of value-based care, exploring fundamental concepts related to alternative payment models in clinical orthopaedics, and how Patient Reported Outcome Measures impact individual patient care, as well as their role in new population health measures with the Centers for Medicare & Medicaid Services. Guests: Eric Makhni, MD, MBA, FAAOS with the Henry Ford Health and Prakash Jayakumar, MD, PHD with the University of Texas at Austin, Dell Medical School Host: Adam Bruggeman, MD, FAAOS, FAOrthA, Chair, AAOS Advocacy Council
Host Liana Tedesco, MD Guest interviewee David N. Bernstein MD, MBA, MEI discussing his article “Operationalizing PROMS at the Musculoskeletal Practice and Policy Levels” (https://journals.lww.com/Jaaos/toc/2023/10150) Guest interviewee Prakash Jayakumar, MD, PhD discussing the October 15 Patient Reported Outcome Measures (PROMS) Special Issue and the value of PROMS in Orthopaedic Surgery Articles summarized from the October 1, 2023 issue (https://journals.lww.com/Jaaos/toc/2023/10010) Research article “Technology-Assisted Hip and Knee Arthroplasty in Orthopaedic Residency Training: A National Survey” Research article “Determinants of High Facility Costs in Total Joint Arthroplasty Patients: A Time-Driven Activity-Based Costing Analysis” Article summarized from the October 15, 2023 issue (https://journals.lww.com/Jaaos/toc/2023/10150) PROMS article “Population-based Applications and Analytics Using Patient Reported Outcome Measures” Follow this link to download these and other articles from the October 1, 2023 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2023/10010) and the October 15, 2023 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2023/10150). The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
Patient-reported outcome measures (PROMs) can help predict clinical outcomes and improve shared clinical decision-making discussions. There remains a paucity of research assessing how the use of PROMs may drive improved patient experience and patient activation. In conclusion, highly rated foot and ankle surgeons who show and discuss PROM results may not improve patient experience or activation and may, in fact, decrease understanding or patient activation in select populations. Future work is needed to determine when PROM discussions are most beneficial and how best to present PROMs data, as we suspect that how the information was presented—and not the use of PROMs—resulted in our findings. Health literacy tools and/or communication training may better engage different patient groups regarding PROMs. To view the article, click here.
In this episode, we talk about a paper published in 2013 by a group of surgeons from Germany called, Characteristics and Patient-Reported Outcome Measures in Lipedema Patients—Establishing a Baseline for Treatment Evaluation in a High-Volume Center.
Patient Reported Outcome Measures has always been a topic many have engaged with but ultimately never committed to actually solving and using. Cue Louise Tulloh to tell us the How's, Why's and Wherefores of PROMs. I am sure many of you will say "I use PROMs". Do you though... Do you actually... What do you do with the information, where do you store it, do you utilise it? Probably not. You will after this chat. Find out more about VALD HERE
Rick Greene, MD, and Audree Tadros, MD, MPH, FACS, discuss the BREAST-Q, a validated patient-reported outcome measure for satisfaction and quality of life after breast surgery, to determine whether patient satisfaction and quality of life differs among T4 breast cancer patients based on their decision to pursue reconstruction and the timing of reconstruction. Dr. Tadros is author of “Patient-Reported Outcome Measures in Patients with Clinical T4 Breast Cancer Treated with Mastectomy with and without Reconstruction.” Dr. Audree Tadros is the Jeanne A. Petrek Junior Faculty Chair, Memorial Sloan-Kettering Cancer Center, New York, and Assistant Attending Surgeon, Memorial Sloan-Kettering Cancer Center, New York, NY.
In this episode, Marc and Mo discuss the important questions of (1) how surgeon-related factors affect patient outcomes (e.g., PROMs, length of stay, discharge disposition, 90-day readmission, etc.) and (2) how researchers should apply this information to the design of future trials. Links: Sinclair ST, Klika AK, Jin Y, Higuera CA, Piuzzi NS; on behalf of the Cleveland Clinic OME Arthroplasty Group. The Impact of Surgeon Variability on Patient-Reported Outcome Measures, Length of Stay, Discharge Disposition, and 90-Day Readmission in TKA. J Bone Joint Surg Am. 2022 Nov 16;104(22):2016-2025. doi: 10.2106/JBJS.21.01339. Epub 2022 Aug 31. PMID: 36047698. https://bit.ly/3P5lfOZ Subspecialties: Hip Knee Orthopaedic Essentials Trauma
On today's episode we discuss the patient-reported outcomes measurement information system (PROMIS) with Brocha Stern and Craig Velozo. We discuss what patient-reported outcomes measures are and head from our guests how to access, administer, score and use them within organizations and throughout clinical practice. Please help AOTA improve it's podcasts and the translation of research to practice by completing this one-minute survey: https://forms.aota.org/forms/everyday_evidence_copy?PODCAST=patientreportedoutcomemeasures Additional resources: Health Measures Site: https://www.healthmeasures.net/search-view-measures PROMIS Health Organization: https://www.promishealth.org/ AJOT Article: https://research.aota.org/ajot/article/76/2/7602090010/23200/Clinical-Potential-of-Patient-Reported-Outcome?searchresult=1
Dr. Koto Ishida is an Associate Professor in the Department of Neurology at NYU Grossman School of Medicine. She also serves as Medical Director of the Stroke Program at NYU Langone Health and Director of Clinical Affairs at the Center for Stroke and Neurovascular Diseases. She is Board-certified both in vascular neurology and neurology by the American Board of Psychiatry & Neurology. Her medical degree is from the University of Rochester. She completed her residency in neurology at the Hospital of the University of Pennsylvania where she had a fellowship in vascular neurology. Dr. Ishida has her name on 70 publications in the professional literature. The following topics were discussed in Part 3: Patient-Reported Outcome Measures employed in vascular technology at NYU and their utility; the extent to which patients who experienced a stroke are suitable candidates for becoming competent self-managers so that they can be effective in self-monitoring, recognizing and reporting symptoms, and treating side effects, and efforts undertaken at NYU to foster self-management by patients; if patients are treated at a presenting hospital, whether teleneurology is involved in providing care; and assessing the value of self-wearable devices for diagnostic purposes and their future prospects for achieving better health care outcomes?
Invitée : Marie-Eve Poitras, PhD inf, Professeure - Chercheure Junior 1 FRQ-S, Département de médecine de famille et de médecine d'urgence à l'Université de Sherbrooke Objectifs :1. Expliquer ce que sont les PREMs et les PROMs (Patient-Reported Experience Measures et Patient-Reported Outcome Measures)2. Explorer l'utilisation des PREMs et des PROMs en première ligne3. Détailler comment les PREMs et les PROMs peuvent aider dans l'amélioration continue de la pratique Messages clés : 1. Les mesures PREMs et PROMs sont une composante essentielle des données devant être collectées auprès des patients et patientes2. Les PREMs et PROMs permettent un regard réel sur les soins offerts, basé sur ce qui est important pour le patient ou la patiente et sur ce qui aide leur santé3. Les PREMs et les PROMs sont fortement préconisés en recherche mais du travail reste à faire pour une utilisation par les cliniciens et les cliniciennes et par les cliniques de soins primaires; il y a beaucoup de défis à venir et beaucoup d'opportunités de collaboration
Today I'd like to tell you about a study by a group of surgeons from a reconstructive and aesthetic Surgery center in Germany. The title of the paper is: Characteristics and Patient-Reported Outcome Measures in Lipedema Patients-Establishing a Baseline for Treatment Evaluation in a High-Volume Center It was published in the Journal of Clinical Medicine in May 2022. This study aims to provide further insights into the characteristics of lipedema and also to provide a baseline prior to surgery in order to better assess the effectiveness of surgical procedures for lipedema. Mentioned in this episode: Lipedema & Lymphedema Heart to Heart: A Collaborative 3-Day Learning Event Join us for three days full of immersive learning and discover cutting-edge holistic strategies that would help to drastically improve your health... and your quality of life. https://lipedema.captivate.fm/heart2heart (Join our Event!)
In this episode, Antonia and Andrew discuss a selection of articles from the April 20, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Articles Discussed: Rate of Return to Work After Periacetabular Osteotomy and Its Influencing Factors, by Fujita et al. Spinopelvic Characteristics Normalize 1 Year After Total Hip Arthroplasty. A Prospective, Longitudinal, Case-Controlled Study, by Innmann et al. The Effect of Patient Age and Surgical Appropriateness and Their Influence on Surgeon Recommendations for Primary TKA. A Cross-Sectional Study of 2,037 Patients, by Hawker et al. Survivorship of 4,748 Contemporary Total Ankle Replacements from the French Discharge Records Database, by Dagneaux et al. Assessment of Staphylococcal Clinical Isolates from Periprosthetic Joint Infections for Potential Bacteriophage Therapy, by DePalma et al. Comparison of 2 Patient-Reported Outcome Measures in Brachial Plexus Birth Injury. A Systematic Validation Study, by Vuillermin et al. Risk Factors for Delayed Hospital Admission and Surgical Treatment of Open Tibial Fractures in Tanzania, by Holler et al. Creating Crosswalks for Knee Outcomes After ACL Reconstruction Between the KOOS and the IKDC-SKF, by Johnson et al. Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by the Miller Review Course. Subspecialties: Foot & Ankle Basic Science Infection Hip Knee Trauma Spine Sports Medicine Pediatrics
Clinical Journal of the American Society of Nephrology (CJASN)
Dr. Ben Lidgard discusses findings from his study "Patient-Reported Symptoms and Subsequent Risk of Myocardial Infarction in Chronic Kidney Disease," on behalf of his colleagues.
In Folge #17 des PhysioBib Podcasts hatten wir Georg Supp zu Gast. Georg setzt sich schon seit vielen Jahren mit der sinnvollen Integration sogenannter Patient Reported Outcome Measures (PROMs) in die physiotherapeutische Praxis auseinander. Wir haben mit ihm darüber gesprochen welche Erfahrungen er mit standardisierten Fragebögen gemacht hat, warum Outcome Messungen so wichtig sind, und wie er aktuell mit PROMs arbeitet. Viel Spaß beim Hören!
Bronwyn Spira is the CEO of Force Therapeutics which is supplying tools to manage procedure-based care. CMS created CMMI, the Centers for Medicare and Medicaid Innovation to evaluate new alternate payment models and service delivery models that were designed to reward high-value, high-quality care while also reducing payments. They would reduce the payments to clinicians who were not meeting the performance standards but preferentially reimburse high-quality and high-value providers. And these were called alternate payment models or APMs. Bronwyn explains, "I think the important key here is that in order to reward quality, you first have to be able to measure quality and collect quality measures. So this is where patient-reported outcome measures and performance measures become so key. You actually now need those measures to submit for reimbursement based upon the services you're providing." "And this has changed provided behavior in a big way because before these APMS were implemented, a lot of providers actually didn't even have organized ways to collect or report quality measures, patient-reported outcomes. Some of them were using pieces of paper or mailing them to patients' homes and then spending a lot of money on nurses or medical assistants who would then have to input the data into some kind of a system." @ForceTherEx #carecoordination #carepathways #careredesign #COVID19 #digitalcare #HospitalatHome #patientengagement #patientexperience #PhysicalTherapy #PROMS #Recovery #Rehab #RehabatHome #Rehabilitation #RehabTherapy #Treatment #ValueBasedCare ForceTherapeutics.com Download the transcript here
Bronwyn Spira is the CEO of Force Therapeutics which is supplying tools to manage procedure-based care. CMS created CMMI, the Centers for Medicare and Medicaid Innovation to evaluate new alternate payment models and service delivery models that were designed to reward high-value, high-quality care while also reducing payments. They would reduce the payments to clinicians who were not meeting the performance standards but preferentially reimburse high-quality and high-value providers. And these were called alternate payment models or APMs. Bronwyn explains, "I think the important key here is that in order to reward quality, you first have to be able to measure quality and collect quality measures. So this is where patient-reported outcome measures and performance measures become so key. You actually now need those measures to submit for reimbursement based upon the services you're providing." "And this has changed provided behavior in a big way because before these APMS were implemented, a lot of providers actually didn't even have organized ways to collect or report quality measures, patient-reported outcomes. Some of them were using pieces of paper or mailing them to patients' homes and then spending a lot of money on nurses or medical assistants who would then have to input the data into some kind of a system." @ForceTherEx #carecoordination #carepathways #careredesign #COVID19 #digitalcare #HospitalatHome #patientengagement #patientexperience #PhysicalTherapy #PROMS #Recovery #Rehab #RehabatHome #Rehabilitation #RehabTherapy #Treatment #ValueBasedCare ForceTherapeutics.com Listen to the podcast here
PBB Special Bulletin/Interview with Alecia Staines, Director of Maternity Consumer NetworkIf you are tuning in from Australia, this is an important message to women, people, families and community members accessing maternity healthcare services. A federal election is coming up and your voice is needed in improving maternity care! Welcome to Pregnancy, Birth and Beyond, I’m Annalee Atia with a special News Bulletin for Australians listeners today, Tuesday 30th March. I’m speaking with Alecia Staines, Director of one of our largest maternity consumer advocacy organisations - Maternity Consumer Network, she is also the host and creator of the podcast ‘Birth - the forgotten Feminist Issue’ (check it out, its excellent), a Hypnobirthing teacher and mother of five. We caught up last night after one of Alecia’s classes to discuss our upcoming Federal elections in Australia and how we can use the opportunities federal elections bring about to improve maternity health care services. Some of you might know that I am also the National President of Maternity Choices Australia, our longest standing maternity advocacy organisation and this is the first time I have had the pleasure of interviewing Alecia, after many years of crossing paths through our work. Join us for a fast-paced and illuminating discussion on how you can participate in improving maternity healthcare services in your area, and why its so important that you do! Share this interview with friends and family, write to your local MP and keep us posted about your progress! All the details are in the show notes following. WHAT YOU CAN DO TO IMPROVE MATERNITY SERVICES: Get in touch with your local federal MP and candidates and let them know that maternity care matters to you! HOW TO DO IT:Look up the Federal PM for your electorate (your town/where you live is located within a specific electorate). You will also want to look up the candidates for this seat for the three major parties. Email them with your personal note and attach the Brief (see below) if applicable. You can request a meeting with them to ensure they understand just how important these issues are. In your email and within the brief, add your name, contact number and postal address (this will ensure a reply). Follow up with a phone call to your MP.->> Keep up posted about your progress! Email hello@pbbmedia.org or management@maternitychoices.org.au you can also let us know via socials! Use the hashtag #BetterMaternity2021 and we will find you on FB, IG, Twitter etc!WHO CAN DO IT?Anyone who cares about our Australian maternity healthcare services, especially health consumers (people who access healthcare services) and support people. THE BRIEF / AKA what to ask your elected federal MP's and candidates to commit to this coming election (you can also find this online at www.maternotyconsumernetwork.org.au under campaigns):Background:Current maternity spending by government is about $7 billion per year. The current birth rate is around 300,000 births per year. Outcomes:Despite having such high financial input, outcomes are relatively poor:* 1/3 women have birth trauma. 2/3 of this is due to disrespectful treatment* Only 8% of women can access continuity of midwifery carer- the best type of maternity care* Caesarean rate 36% - more than double the recommended rate by WHO* 43% of low risk women having their labour induced. Many are reporting not having informed consent. * 11-fold variance in 3rd/4th degree tears * Preterm birth rate of aboriginal babies is between 2 and 7 times that of non-indigenous babies. Solutions (what to ask your MP to lobby for)1. Increase continuity of midwifery carer to:-Reduce unnecessary intervention -reduce preterm birth rate for Aboriginal women and babies-increase breastfeeding rates-reduce birth trauma and PNDAThis is outlined in the 2019 National Strategy for Australian Maternity Services. The Federal Government provides continuity of midwifery carer to women via private midwives. 2. Bundled Funding as suggested by IHPA in 2017, national strategy in 2019 and MBS review of Participating Midwives report in 20193. Published data on hospital and clinician outcomes including: Patient Reported Experience Measure and Patient Reported Outcome Measures. Woman Centred Care:To ensure regular monitoring and evaluation of the National Strategy for Australian Maternity Services, consumers need to be involved through consultation and decision-making processes. Contact: Add your personal details here!For more information about this brief and if you need any support with the process, you can get in touch with Alecia directly:Alecia Staines, Director Maternity Consumer NetworkPhone/text: 0401033348 Email: management@maternityconsumernetwork.org.auShow Links: Maternity Consumer Network - https://www.maternityconsumernetwork.org.au/usPodcast: Birth - The Forgotten Feminist Issue with Alecia Staineshttps://open.spotify.com/show/6bHPMCtZ7B3GhafyYotbL0?si=N_iPY5LUSTinTIK_l3DmhwContinuity of Midwifery Carer:https://www.midwives.org.au/midwifery-continuity-careWoman-Centred Care - the new Australian Strategic Directions for Maternity Care (yet to be fully implemented and requires constant nudging to move forward in each state): https://www.health.gov.au/resources/publications/woman-centred-care-strategic-directions-for-australian-maternity-servicesPrecolonial history of Gadigal people: https://www.centennialparklands.com.au/getmedia/e32ae90a-e730-4c28-82c4-4b17e9e3c5e1/Appendix_S_-_Pre-colonial_Archaeology_report_Val_Attenbrow.pdf.aspxThis podcast was recorded on Gadigal clan lands, an area encompassing the Centennial, Queen’s and Moore Parklands. I pay my respects to elders past, present and those emerging and deeply acknowledge the traditional custodians of this land whose cultures and customs have nurtured and continue to nurture this land and waters for over 60,000 years and upon which we now work and live. I recognise that the sovereignty of the pre-colonial peoples of these lands was never ceded and that recognition of culture, connection to land and waters and the sovereignty of all indigenous peoples across Australia is a matter of current and vital importance.Recorded on 29th March, 2021Guest: Alecia StainesAlecia is a mother-of-5, maternity reform lobbyist, Director of Maternity Consumer Network, former classroom teacher turned birth nerd and lives in Noosa, Queensland. She's received all her maternity care through continuity of midwifery carer in a range of settings- hospital, birth centre and home. She passionate about politics, birth and feminism and ensure women have access to care that supports their needs, allows them to make informed decisions and autonomy in how and where they birth.>> hashtag #BetterMaternity2021Produced and presented by Annalee AtiaAll rights reserved.www.pbbmedia.org
Have you tried installing Patient-Reported Outcome Measures into your practice as an Athletic Trainer? “PROMs just tell a story” – Dr. Lam Brian Columbe from Texas Luthern University and Dr. Kenny Lam join the Sports Medicine Broadcast today to help discuss what they are and how we can add them to our practice to add […] The post Patient-Reported Outcome Measures – 648 appeared first on The Sports Medicine Broadcast.
Welcome to our fifth episode of the Ankle Surgery Update. We are a little bit delayed and we hope you do excuse :) We decided to split this month's episode in two parts. In this first part, we will be presenting and discussion the following 2 papers published recently:Patient Reported Outcome Measures in the Foot and Ankle: Normative Values Do Not Reflect 100% Full Function. By Matheny et al. published in KSSTA (doi: 10.1007/s00167-020-06069-3)Outcomes of bilateral simultaneous hallux MTPJ fusion. By Methan et al. published in Foot and Ankle Surgery (doi: 10.1016/j.fas.2020.04.012)Thank you very much for listening to Ankle Surgery Update – Science Guiding Treatment. We hope you enjoyed this episode and make sure to tune in in 3 weeks, when the second part will go online!Hans & Sebastian
Dr. Eddie Price is the Nostradamus of the evolution of modern healthcare. His new book is called Out Of His Mind: Medical Revolutionary. You can check out his book here: https://amzn.to/3aaIRMxAt eHealthier we provide physicians, health providers, hospitals, mental health providers, health insurers and injury insurers value-based healthcare platforms that enable patients and clients to complete electronic Patient Reported Outcome Measures.Specifically, we provide physicians and health professionals the capacity to select the ePROMs most appropriate for their individual patients or clients. The clients/patients complete the ePROMs on their digital device and their ePROM scores compared to normal values are available to both the physician and patients. These new tools measure a client’s progress to total well-being.“Working with our partners, we measure and treat reductions in function until full function is restored.”This is consistent with moves by governments, health organisations and insurers worldwide who are seeking ways to reduce the number of people succumbing to injury, disease or chronic ailments.At eHealthier, we focus on restoring patients in the quickest time possible to a state where they can function to a degree that represents, for them, their best achievable ‘quality of life’.Our goal, working together with our healthcare and insurer partners, is to measure and treat those suffering reductions in function… until full function is restored!http://www.ehealthier.net/
As our practice embraces a patient-centered care model, PROMs - Patient Reported Outcome Measures, can help identify patient's concerns and measure the progress of therapy to address those complaints. Bonnie Slavych answers the important questions of what a PROM is, what it does, and how to use it in your practice. These are simple tools to incorporate into your practice that can help steer your evaluation process to ensure the patient's goals are foremost in the creation of the plan of care. PROMs can also give us valuable qualitative and quantitative data to report in our discharge notes regarding the impact therapy has had on the patient's impairments. Visit the show notes for additional resources: https://www.speechuncensored.com/podcastepisodes/s3e16
As our practice embraces a patient-centered care model, PROMs - Patient Reported Outcome Measures, can help identify patient’s concerns and measure the progress of therapy to address those complaints. Bonnie Slavych answers the important questions of what a PROM is, what it does, and how to use it in your practice. These are simple tools to incorporate into your practice that can help steer your evaluation process to ensure the patient’s goals are foremost in the creation of the plan of care. PROMs can also give us valuable qualitative and quantitative data to report in our discharge notes regarding the impact therapy has had on the patient’s impairments. --- Send in a voice message: https://anchor.fm/speech-uncensored/message
Dr. Lizzie Hibberd interviews Dr. Ashley Marshall and Dr. Kenny Lam about their recent paper "Patient-Reported Outcome Measures in Sports Medicine: A Concise Resource for Clinicians and Researchers." Dr. Ashley Marshall is an Assistant Professor in the Department of Health and Exercise Science at Appalachian State University. Dr. Kenny Lam is an Associate Professor of clinical research at AT Still University and the director of the Athletic Training Practice-Based Research Network.
Ankle osteoarthritis is a significant cause of pain and disability. Despite the effectiveness of treatments, a subset of patients remains with persistent pain and functional limitations. The purpose of this study was to use preoperative patient-reported outcome measures to predict which ankle osteoarthritis patients would be most likely to experience postoperative improvements in functional outcomes. Preoperative patient-reported outcomes measures could predict postoperative improvement in ankle arthritis patients. The results of this study may be used to facilitate discussion between physicians and patients regarding the expected benefit of surgery. To view the article click here.
Welcome to Sports Med Res’ this week in review podcast where we highlight the news in sports medicine research from the week ending on February 14, 2020. This week we will focus on gluteal muscle activation during balance tasks among people with chronic ankle instability. * Too Much Glute (Max) and Not Enough Reach * Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018 * Patient-Reported Outcome Measures in Sports Medicine: A Concise Resource for Clinicians and Researchers Evidence-Based CEU Courses from Sports Med Res and Human Kinetics (3-10 EBP CEUs/course) The post Chronic Ankle Instability: It’s the Hip Thing to Do During Balance appeared first on Sports Medicine Research.
Patient-reported outcome measures: Development and application
Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
Suzanne Delbanco calls Rachel Brodie, Director of the Performance Information programs at Pacific Business Group on Health (PBGH) to discuss patient-reported outcomes (PROs). Listen in to learn how PROs work and why employers are paying attention to this new area of quality measurement.
Interview Information: Dr. Johanna Hoch The Relationship Among 3 Generic Patient-Reported Outcome Instruments in Patients with Lower Extremity Health Conditions Dr. Kenneth Lam Use of Patient-Reported Outcome Measures in Athletic Training: Common Measures, Selection Considerations, and Practical Barriers Social Media Information: Journal of Athletic Training Facebook Twitter Instagram
Use of Patient-Reported Outcome Measures in Athletic Training: Common Measures, Selection Considerations, and Practical Barriers Find the Journal of Athletic Training: Facebook Twitter Instagram
In this episode of the Award-winning PRS Journal Club Podcast, 2019 Resident Ambassadors to the PRS Editorial Board – Raj Parikh, Lily Mundy, and Kyle Sanniec- and special guest Rudolf Buntic, MD, discuss the following articles from the April 2019 issue: “Myth-Busting the DIEP Flap and an Introduction to the Abdominal Perforator Exchange Breast Reconstruction Technique: A Single-Surgeon Retrospective Review” by DellaCroce, DellaCroce, Blum, et al. “Patient-Reported Outcome Measures for Toe-to- Hand Transfer: A Prospective Longitudinal Study” by Tsai, Fries, Hsiao, et al. “Abdominal Etching: Surgical Technique and Outcomes” by Husain, Salgado, Mundra, et al. Special Guest Rudolf Buntic, MD is Program Director for the Hand Microsurgery Fellowship at the Buncke Medical Clinic, Head of the Division of Microsurgery at California Pacific Medical Center, Associate Professor affiliated in Plastic Surgery at Stanford University, and Clinical Faculty member of the University of California. #PRSJournalClub #PlasticSurgery
Outcome measures evaluate various aspects of patient health, and when appropriately utilized can provide valuable information in both clinical practice and research settings. The orthopedic community has placed increasing emphasis on patient-reported outcome measures, recognizing their value for understanding patients’ perspectives of treatment outcomes. Patient-reported outcomes are information directly reported by patients regarding their perceptions of health, quality of life, or functional status without interpretation by healthcare providers. The American Orthopaedic Foot & Ankle Society (AOFAS) supports the use of validated patient-reported outcome (PRO) instruments to assess patient general health, functional status, and outcomes of treatment. It is not possible to recommend a single instrument to collect quality orthopedic data as the selection is dependent on the population being examined and the question being asked. We support the use of the PROMIS Physical Function Computerized Adaptive Test (PF CAT) or Lower Extremity Computerized Adaptive Test (LE CAT), which can be assessed with other domains such as Pain Interference. In addition, a disease-specific measure can be used when available. To view the article click here.
Listen NowHealthcare payment models have been increasingly evolving to include quality performance in determining reimbursement. For example, the Medicare program, including Medicare Advantage, is today littered with quality performance measurement. Measuring quality in healthcare is, however, not as simple or straight forward as frequently assumed. Among other challenges, measures developed to date overwhelming measure healthcare process, not outcomes. Providers typically report on measure sets unique to each payer causing them undue collection and reporting burden, which measure is attributed to which provider can be or is an inexact and under pay for performance agreements comparatively higher quality scores does not always translate to comparatively greater financial reward. Because of these problems and related others, Patient Reported Outcome Measures (or PROMs) are increasingly seen as a solution. They reduce provider reporting burden, they are largely outcome based, are more responsive to patient care goals, help to better engage or activate the patient, PROMs data can be, or is, reported real time and can enable more efficient and more timely care delivery.During this 27 minute conversation Dr. Tim Williams discusses how/why My Clinical Outcomes was formed, how PROMs measures are used in the clinical practice setting and for primarily what disease conditions, what opportunities or advantages they present to improve care delivery and outcomes, the extent to which they've been adopted in the UK, and what might American payers and providers learn from My Clinical Outcomes' PROMs experience. Dr. Tim Williams is currently CEO (and cofounder) of My Clinical Outcomes a London-based, an IT company that automates for health care providers, via a web-based platform, the collection and analysis of Patient Reported Outcome Measures (PROMs). He founded My Clinical Outcomes in 2011 to help bridge the gap in patient-centered care data available to inform clinical care. Previously, Dr. Williams worked as a physician for the UK's National Health Service and as a healthcare management consulting also for the NHS. For more information on My Clinical Outcomes go to: http://www.myclinicaloutcomes.com/. See also this recent April 19 essay by Dr. Williams and myself in The Health Care Blog, "Patient Reported Outcome Measures: Progress Across the Pond," at: http://thehealthcareblog.com/blog/2018/04/19/patient-reported-outcome-measures-progress-across-the-pond/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
Dr. Field and I discuss the clinical significance of patient reported outcomes and Care Response. Care Response is a free and pragmatic system to help practices gather and report clinical outcome and patient satisfaction information with minimal work from practice staff. Dr. Field is a clinical and NHS services lead at the Back2Health partnership providing […]
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 15/19
Inflammatory Bowel Disease (IBD) is a chronic disabling disease of the gastrointestinal tract. The disease is strongly associated with limited performance of everyday activities and restrictions in work and employment, recreation and relationships to others, as well as reduced quality of life. Thus, suffering from IBD includes not only impairments of body functions and body structures but also limitations of activities in everyday life and restrictions in participation. Consequentially, a comprehensive approach of functioning and disability is required when addressing the impact of IBD. There are a large number of outcome measures that assess health status problems of persons with IBD. Many of these measures used in clinical practice or research are classification or scoring systems that refer to disease activity and symptomatology in IBD in terms of impaired body functions and structures (e.g., Crohn's Disease Activity Index (CDAI), Harvey Bradshaw Index). Hence, disability and functioning from a comprehensive point of view are poorly addressed in these measures and do not cover the whole spectrum of problems persons with IBD have to deal with. Patient-reported outcome measures (PROMs) offer the possibility to assess health status problems from the perspective of persons suffering a disease. The number of IBD-specific PROMs which focus on aspects of functioning, disability and health (e.g., Inflammatory Bowel Disease Questionnaire (IBDQ-32), Rating Form of IBD Patient Concerns (RFIPC), Inflammatory Bowel Disease Stress Index (IBDSI)) has increased over the last years so that the selection of appropriate PROMs for specific purposes or subpopulations has become a challenge for clinicians and researchers. However, up to now it remains unclear whether currently used IBD-specific PROMs cover the whole spectrum of functioning and disability. This doctoral thesis examines the content of IBD-specific PROMs using the International Classification of Functioning, Disability and Health (ICF) as a reference to facilitate the selection of appropriate PROMs by clinicians and researchers. The ICF endorsed by the World Health Organization as a common language of functioning and disability is a proven and useful tool for the examination and comparison of the content of outcome measures. A systematic literature review was performed to identify IBD-specific PROMs used in studies involving persons with IBD. Searches were performed in the literature databases Medline®, EMBASE, PsycINFO, CINAHL and CENTRAL. Searches were limited to English articles published between 1999 and 2009. Eligibility checks of abstracts and full-texts were performed applying pre-defined inclusion and exclusion criteria. IBD-specific PROMs reported in the selected studies, as well as study-related characteristics, were extracted. The items of the identified PROMs were translated (“linked”) to the most specific ICF category according to standardized and established linking rules. The linked ICF categories provided the basis of the descriptive analysis and the comparison of the content of the different PROMs presented in this thesis. A total of 9,728 papers were identified by the searches in the five electronic databases. The randomly selected abstracts of 2,579 papers were checked on inclusion and exclusion criteria according to the defined eligibility criteria. Based on this abstract check, 221 studies were identified for further analysis. Screening these 221 full-text articles, 46 studies were finally selected that reported the use of IBD-specific PROMs. The following eight IBD-specific PROMs were identified: Cleveland Global Quality of Life (Faszio Score) (CGQL), Inflammatory Bowel Disease Quality of Life Questionnaire (IBDQOL), IBDQ-32, IBDSI, Inflammatory Bowel Disease Questionnaire – short form (IBDQ-9), RFIPC, Short Inflammatory Bowel Disease Questionnaire (SIBDQ) and Work Productivity and Activity Impairment: Crohn’s Disease (WPAI:CD). In total, these eight IBD-specific PROMs included 129 items which were linked to ICF categories. The most frequently identified ICF categories are 'b1300 Energy level' and 'b5254 Flatulence' (IBDQOL, IBDQ-32, IBDQ-9, RFIPC and SIBDQ), as well as 'd920 Recreation and leisure' (IBDQOL, IBDQ-32, IBDSI, IBS-QOL and SIBDQ). Most of the analyzed questionnaires do not cover a wide range of aspects needed to assess functioning and disability from a comprehensive perspective; they only focus on selected aspects of functioning and disability of persons with IBD (e.g., emotional functions, pain, intimate relationships and remunerative employment). This doctoral thesis provides an item-based examination of the content of IBD- specific PROMs using the ICF as a reference. It offers a clear and precise picture of the addressed PROMs and their contents and enable physicians and researchers a direct comparison of these contents. The ICF was established as a useful framework for examining and comparing IBD-specific PROMs and their items with respect to the areas of functioning and disability covered. This information can be useful in selecting PROMs for clinical practice, as well as for any kind of investigations in which functioning and disability of persons with IBD is a relevant study outcome.