Determining Patient Outcomes

In the new age of medicine, incentives will not be based on how many tests were ordered or the degree of difficulty for a specific treatment. The new system rewards VALUE - the best possible outcome divided by the actual cost of delivery. Before you can do the math, you have to determine how to measure outcomes.

Scoring Systems within Orthopaedic Medicine

For many years, researchers and a select few orthopaedists have worked to develop questionnaires that help partitioners discover patient outcomes. These questionnaires have been researched thoroughly and validated to ensure that when used in multiple systems and over hundreds of patients, the results are reliable. Each questionnaire results in a Score; a structure data point that can shared with a physician to improve diagnosis as well as compared over time to determine the effectiveness of an intervention.

This system works for a single patient as questionnaires are repeated after an intervention and then a various time points; months and years. When brought together with hundreds, thousands and even millions of other patients, researchers can discover patterns that
will have a dramatic impact on value driven healthcare.

What to Collect?

We work with physicians to help them determine the right scoring systems for their practice. Most collections include general health questions combined with joint-specific and disease-specific questionnaires.


How to Collect?

One of the biggest challenges is how to collect patient and physician derived answers within an extremely time-stressed medical clinic. The electronic medical record (EMRs), systems - deployed in most healthcare systems - capture information for billing as well as dictated notes and other legal requirements for care - but not structured outcome data. So we work with technology companies to discover efficient solutions for each practice.
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Process Flow Charts define the joint, the corresponding questionnaires and the timing for initial and follow up collection within a given clinical environment

We have process flows in place for:

Sports Shoulder

Sports Knee

Elbow

Hip

Foot/Ankle

Spine

Knee - Total Joint Replacement

Shoulder - Total and Reverse Shoulder