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Making the Case for Patient-Reported Outcome Measures in Big-Data Rehabilitation Research: Implications for Optimizing Patient-Centered Care

Published:February 03, 2021DOI:https://doi.org/10.1016/j.apmr.2020.12.028

      Abstract

      Advances in data science and timely access to health informatics provide a pathway to integrate patient-reported outcome measures (PROMs) into clinical workflows and optimize rehabilitation service delivery. With the shift toward value-based care in the United States health care system, as highlighted by the recent Centers for Medicare and Medicaid Services incentive and penalty programs, it is critical for rehabilitation providers to systematically collect and effectively use PROMs to facilitate evaluation of quality and outcomes within and across health systems.
      This editorial discusses the potential of PROMs to transform clinical practice, provides examples of health systems using PROMs to guide care, and identifies barriers to aggregating data from PROMs to conduct health services research. The article proposes 2 priority areas to help advance rehabilitation health services research: (1) standardization of collecting PROMs data in electronic health records to facilitate comparing health system performance and quality and (2) increased partnerships between rehabilitation providers, researchers, and payors to accelerate health system learning. As health care reform continues to emphasize value-based payment strategies, it is essential for the field of physical medicine and rehabilitation to be at the forefront of demonstrating its value in the care continuum.

      Keywords

      List of abbreviations:

      APM (alternative payment models), BPCI (Bundled Payments for Care Improvement), CAT (computerized adaptive test), CJR (Comprehensive Care for Joint Replacement Model), CMS (Centers for Medicare and Medicaid Services), EHR (electronic health record), PROM (patient-reported outcome measure), PROMIS (Patient-Reported Outcomes Measurement Information System)
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