Promoting Quality - Preliminary Results of a CROSS Sector Implementation of Patient-Reported Outcomes to Improve Quality of Care for Knee and HIP Replacements
Author(s)
Schreckenberger Y
Heartbeat Medical Solutions, Berlin, BE, Germany
Presentation Documents
METHODS: PROMoting Quality is a two-arm multicenter randomized controlled trial. Patients from nine German hospitals are digitally accompanied from hospital admission to 12 months after discharge by regular PROM questionnaires (e.g., EQ-5D-5L, HOOS-PS, KOOS-PS). Algorithm-based thresholds alert study assistants, should patients not recover in line with expected recovery. The study assistants contact patients and their physicians to investigate and, if needed, adjust the post-treatment protocol [1]. Two major insurers will provide claims data at patient level to evaluate cost-effectiveness.
PRELIMINARY RESULTS: Patient enrollment was completed in December 2020 with a sample size of >8,000. To date, patients have provided 9,000 responses to follow-up questionnaires (1, 3, and 6 months post-discharge), resulting in a return rate of 85%. Depending on follow-up month, 15 - 30% of patients in the intervention group have triggered alerts. Concurrently 30% of patients have engaged in conversations regarding their PROMs with their post-treatment physicians. Additionally, surveys among study assistants report time-saving and robust digital workflows with high acceptance rates of PROM-based interventions among physicians involved.
CONCLUSIONS: The study allows participating hospitals and insurers to delve deeper into the systematic collection of PROMs in line with the principles of value-based healthcare. Preliminary results based on excellent patient engagement rates indicate that PROMoting Quality can set a blueprint for using PROMs as an intervention and quality measurement tool in standard care. [1] Kuklinski et al. (2020) https://doi.org/10.1186/s13063-020-04252-y
Conference/Value in Health Info
Value in Health, Volume 24, Issue 5, S1 (May 2021)
Code
PSU19
Topic
Clinical Outcomes, Health Policy & Regulatory, Patient-Centered Research
Topic Subcategory
Comparative Effectiveness or Efficacy, Insurance Systems & National Health Care, Patient Engagement, Patient-reported Outcomes & Quality of Life Outcomes
Disease
Musculoskeletal Disorders, Surgery