Pro and Quality of Care

Effective PRO measurement is a key consideration for determining quality of care. Prosk provides accurate, cost-effective outcomes measurement that addresses emerging quality of care measures and determination of treatment effectiveness.

 

The Importance of PRO Measurement

The health care industry has been challenged and legislated to provide better patient quality of care at reasonable prices. Under the Affordable Care Act, insurers are also responding to pressure to offer reasonable coverage at affordable rates. Patient Reported Outcomes (PRO) measurement has become an area of focus for health care providers to demonstrate treatment effectiveness. While other health care systems vendors scramble to address PRO emergence with simple surveys, Prosk remains the established leader in computerized PRO measurement. Prosk addresses several areas of the emerging importance of PRO measugrement.

 

 


HEDIS Quality Standards
HEDIS (Healthcare Effectiveness Data and Information Set) was developed by the National Committee for Quality Assurance (NCQA) and is used by 90% of health plans to measure quality of care and service. HEDIS provides a list of measures to demonstrate quality health care. For 2014, there are 27 measures and Prosk addresses 19 of these measures. The majority of measures involve monitoring or tracking treatment progress. NCQA is adding four new measures to the HEDIS quality specifications for 2015.

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CAT Outcomes Data Effectiveness

Prosk uses proven, standard CAT (Computerized Adaptive Testing) survey instruments with normalized scores developed by leading medical professionals. In an article on the AAOS (American Academy of Orthopedic Surgeons) website, author Jennie McKee writes, “Computerized adaptive testing (CAT) may be more effective than traditional testing systems in capturing patient-reported outcomes, according to a prospective clinical study presented by Charles L. Saltzman, MD, at the 2012 annual meeting of the American Foot & Ankle Society (AOFAS).”

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Patient-Reported Quality of Care

As the Voice of the Patient becomes even more important in the shift toward the patient-controlled Patient Medical Record, insurers are also closely examining patient quality of care assessment for provider network inclusion of high-value providers. Prosk maintains patient-reported progress over time as well as progress compared to normalized results. The Commonwealth Fund believes that PRO measurement is becoming a critical component in measuring quality of care and assessing patient health improvement. A PRO study on their website notes that, “…by 2015, health care providers participating in accountable care organizations will have to provide evidence that the care they've delivered produced value for the patient—as reported by the patient.”
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