MARCQI is working with providers across Michigan to obtain Patient Reported Outcome (PRO) surveys on patients that have their hip or knee joint replaced. PRO collection is a very powerful tool that helps providers better care for the individual patient completing the PRO survey. This also helps other patients across Michigan who will be having joint replacements in the future.
While a doctor can judge the clinical outcome of the surgery, only the patient can convey how much they have improved after surgery. Patients will be asked to complete a survey about how their health and lifestyle have been affected by hip or knee pain and/or stiffness. The surveys used are the PROMIS-10, HOOS Jr or KOOS Jr, and 3 supplemental questions recommended by the Centers for Medicare & Medicaid Service (CMS).
Each survey consists of 19-20 questions and usually takes less than five minutes for a patient to complete. MARCQI recommends PRO collection at the following times:
- Within 90 days prior to surgery
- 5-13 Weeks post-op
- 1 Year post-op
- 2, 5, 10 Years post-op
PRO Collection Process Overview
- Pre-op PROs are collected when an elective Hip or Knee replacement/revision is scheduled (for patients 18 years and older).
- Post-op PROs are collected after surgery at 5-13 weeks post-op, 1, 2, 5, and 10 years post-op.
- Perform a search to determine if patient exists in the database.
- If patient is found, confirm birthdate and proceed to add a new case.
- If patient is not found, proceed to add the patient and case.
- Save the information and log out of Quick Registration.
- Verify that the “Welcome” screen is visible on the tablet or kiosk.
- Explain the survey to the patient and offer assistance if needed.
- The patient will be prompted to answer 18-20 questions, which should take less than 5 minutes.
- Staff will record the displayed survey score in the patient’s record and provide the exit ID of 1234 to return to the “Welcome” Screen.
- If the patient provided an email address, a PRO survey link will be sent electronically at 5-13 weeks, 1, 2, 5, and 10 years post-operatively.
- Individual patient scores and trends.
- Status reports to track collection efforts:
A pre-operative PROS completion list
A post-operative PROS forecast
To learn more about MARCQI’s recommended PROs collection process, please review our MARCQI PROS Process Guide and the PROs Implementation Webinar recording which can be found in Forms and Resources section of the Participants menu on this website. Please note: A login will be required to access these documents.