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)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 03, 2021
Footnotes
Supported in part by an Agency for Healthcare Research and Quality National Research Service Award T32 (grant no. 5T32 HS000011-33) and a Center on Health Services Training and Research fellowship funded by theFoundation for Physical Therapy Research.
Disclosures: none.
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
Identification
Copyright
© 2021 by the American Congress of Rehabilitation Medicine
