Patient Reported Outcome Measures (PROMs)

Skip to MARCQI PROM Questionnaires


The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) works with Michigan healthcare providers to collect data from patients having hip or knee replacements using questionnaires called Patient Reported Outcome Measures (PROMs). These questionnaires help doctors understand the patient’s thoughts about their health and daily life before and after surgery. With this information, doctors can personalize care and understand the results of joint replacement surgeries.

Gathering PROM data can improve the quality of patient care by:

  • Telling doctors about changes in a patient’s pain, mobility, and happiness with their joint before and after hip or knee replacement surgery
  • Focusing conversations between doctors and patients to specific symptoms
  • Allowing doctors to individualize each patient’s care
  • Creating opportunities to improve future joint replacement surgeries techniques and outcomes

MARCQI collects patient’s thoughts about their health before and after surgery using specific questionnaires:

  • HOOS JR – For hip joints
  • KOOS JR – For knee joints
  • PROMIS Global – Overall health status
  • Opioid use – Pain
  • 3 questions from the Centers for Medicare & Medicaid Services (CMS)
  • 1 Patient satisfaction question – After surgery only

MARCQI PROM questions are designed to be quick yet thorough, with 22 questions for hip replacements and 23 for knee replacements. Most patients complete their MARCQI PROM in about 3 to 4 minutes.

MARCQI PROM program helps sites meet CMS requirement for the Patient Reported Outcome-Performance Measure (PRO-PM)

Who is included in MARCQI PROM?

Patients 18 years of age or older scheduled for a hip or knee arthroplasty are included in MARCQI PROM. The included elective surgery types are:

  • Total and unicompartmental knee arthroplasties including revisions
  • Total hip arthroplasties including revisions

MARCQI PROM Collection Intervals:

  • 90 days before the actual date of surgery
  • 2-16 Weeks (14-112 Days) after surgery
  • 4-6 Months (113-181 Days) after surgery
  • 1 Year (300-425 Days) after surgery
  • 2, 5, 10 Years for patients with registered email

Please note: All PROMs are accepted and analyzed regardless of the timeframe of collection.

Questionnaire Sets

Paper PROM – Hip
Paper PROM – Knee

Scoring Tools – Provided by Orthotoolkit

Scoring Tools – HOOS, JR
Scoring Tools – KOOS, JR
Scoring Tools – PROMIS-10 Global

PROM Resources

PROs & PROMs Best Practices
PROs discharge paper
Accessing the Trend Report
Why PROs (1-pager)
PROM – KIOSK Collection
PROM – EMAIL Collection

Alternative Language Questionnaires

KOOS-JR, Egyptian Arabic
KOOS-JR, Saudi Arabic
KOOS-JR, Spanish

PROM CMS Resources

Voluntary Reporting of the Hospital-level THA/TKA PRO-Based Performance Measure