A Blueprint for Measuring Health Care Outcomes
The International Consortium for Health Outcomes Measurement (ICHOM) recently developed a 10-step implementation “blueprint” for providers to clarify the process of measuring patient outcomes. ICHOM’s structured approach aims to increase value in health care systems and encourage providers to adopt PRO solutions across their practices. The steps are as follows:
1. Institutional Commitment
Receiving high-level support for a PRO collection program is a major step toward allocating resources and exploring opportunities.
2. Pick a Pilot Site
By beginning PRO collection in a department particularly poised to benefit from this information, health systems are more likely to have a success case to reference in the future when considering further expansion.
3. Organize a Project Team
A diverse team of clinicians, IT professionals, and managers is vital to the success of outcomes measurement programs and navigating administrative hurdles.
4. Develop a Plan
By establishing project meeting milestones, the team can maintain momentum and have a designated forum to address issues as they arise.
5. Choose Outcomes to Measure
A gap analysis will shed light on what outcomes are already measured and which are not that could be useful to include in the program.
6. Map Patient Pathways
Mapping the patient pathway through the clinic and between appointments will reveal suitable points for data collection in addition to numerous opportunities to streamline operations.
7. Select Data Collection Tool
Executing the PRO data collection process is arguably the most difficult step and selecting a comprehensive data collection tool is instrumental to the program’s success.
8. Begin Collecting Data
Once the data collection model is in place, it is of great benefit to begin working with a small group of supportive patients to receive feedback and suggestions.
10. Scale Up!
Once the model is efficiently operating and patient response rates are satisfactory, apply the same steps to more patient pools.
9. Troubleshoot and Refine Plan
Initially there will likely be issues to address, so by front-loading troubleshooting the data collection process will become smoother over a shorter time period and confidence in the program will increase on both sides.