AAOS Registry Program Blog

PRO Data Collection and Reporting: 5 Workflow Features to Implement

Jan 17, 2018 12:00:00 PM

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Patient-reported outcomes (PROs) provide insights beyond standard clinical quality-of-care measures and further guide physician and patient understanding concerning patient health status, the decision-making process regarding patient care, and the evaluation of effectiveness of quality improvement initiatives. Building your PRO program begins with setting program goals and creating a successful process for PRO data collection and reporting.

One of the biggest challenges within a developing PROs program is compliance with the data gathering process. The diagram at the link below represents the typical workflow supporting a hospital's electronic-based patient-reported outcome measures (PROMs) collection to action effort.

Research has shown that the five workflow features listed below demonstrate valuable efficiencies within this process, and help to ensure that clinicians and patients will find program data collection and reporting requirements manageable and worthwhile.


5 Workflow Features for Implementation:


#1 – Response automation refers to data entry through electronic options such as touch screen, stylus, or mouse.


#2 – Tailored item selection and reporting algorithms refer to consideration of specific needs for both clinical and administrative reporting. A clinical example would include factors like the type of recipients (physician, patient), type of reporting (alerts, in-visit reports), or the degree of score interpretation tailored to various participants. An administrative example might need to accommodate a patient's non-English, cognitive impairment, or visual impairment requirements.


#3 – Flexibility in collection location refers to consolidation of multiple data sources including at-home, in-clinic assessments, hardware used, and Internet connectivity available.


#4 – Integration with patient data elements include capacity for PROs to be stored in the patient's electronic health records (EHR) or a registry, adherence to patient privacy laws, user authentication, and granularity of PRO data reporting (item/raw score/standardized score).


#5 – An assessment completed in less than ten minutes helps ensure compliance with the reporting process.


PRO Data Collection and Reporting Lessons Learned From Peer Focus Groups


*R. Jensen, PhD, N. Rothrock, PhD, E.M. DeWitt, MD, M.S.C.E., The Role of Technical Advances in the Adoption and Integration of Patient-Reported Outcomes in Clinical Care.


Next Week: Wednesday, January 24, 2018  -  PRO Data Interpretation: 5 Analytic Resources and Tools to Consider



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Topics: Patient-Reported Outcomes

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This blog was created by the American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons' (AAOS) registries portfolio. The blog is part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable hip and knee arthroplasty data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for weekly news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. It will be information you can use each week!

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This Week's Blog

How to Build a Patient-Reported Outcomes (PRO) Program for Hip and Knee Arthroplasty is a 4-part blogging series:

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Learn About AJRR, RegistryInsights,™ and the PRO Module

AJRR’s RegistryInsights™ platform, including a patient-reported outcomes (PROs) module that allows hospitals, surgery centers, and practice groups to administer and analyze PROs, is available to Registry participants. The module can collect both preoperatively and postoperatively to gain insights into patients’ outcomes on a large scale. For information about joining AJRR, speak with a Business Development Representative at (847) 292-0530.  New Call-to-action

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AJRR Blog posts are researched and created by AJRR staff writers: Karen Metropulos, Erik Michalesko, and Lori Boukas. If you would like to contact the writing staff, email us at RegistryInfo@aaos.org


This blog shares health care information from a variety of independent expert sources. Some sources offer opinions that may be of interest to other professionals facing similar challenges. Our approach helps ensure diverse, well-rounded presentation of important, often complex health care content. Shared content does not necessarily represent AJRR or AAOS findings and practices.