The use of patient-reported measures is the subject of a recent Institute for Healthcare Improvement (IHI) article titled How Do Patient-Reported Measures Contribute to Value in Health Care? The article is based on an interview by IHI Vice President Kathy Luther with IHI Communications Specialist Jo Ann Endo. Ms. Endo discusses the potential for patient-reported measures (PRMs) to catch direct input from patients to improve care delivery and assist organizations to develop value-based systems.
Highlights from the article include:
- PRMs provide the patient’s perspective on their health status. PRMs are different from other types of standardized data collection tools because they ask patients specific questions related to their condition and their life at the time of the interview.
- PRMs require baseline data through questions that obtain information on how the patient is functioning before treatment or interventions. Following treatment or interventions the patient is then questioned at regular intervals on the same PRMs.
- Collecting PRMs from patients with similar conditions, over time, allows providers to learn what works and what doesn’t in patient care. This information enables providers and patients to make informed treatment decisions.
- The challenge to using PRMs is that the data needs to be collected over time. This requires health care organizations to have a long term relationship patients and embed tools and procedures into normal procedures.
Use of PRMs is relatively new in the U.S. but it has been used extensively and successfully in Europe. PRMs don’t easily fit into the U.S. fee-for-service system but this type of data will be crucial as population health and value-based health care become the norm.