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Code Technology | We Collect Patient Outcomes

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P.R.O. Capture Rate: 5 ways to improve it

Capture rate is the percentage of eligible patients who complete the Patient Reported Outcomes (P.R.O.) assessments. In our CODE system, the overall capture rate is displayed along with the capture rate for each of the P.R.O. intervals: pre-op, 3 month post-op, 1 year etc. It is very important to monitor each P.R.O. administration interval and not just the overall capture rate.
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Box and Whisker Plots- How To Guide

The Basics:

The box-and-whisker plots are very effective and easy to read. They summarize data much better than just a simple ‘average’, and provide a deeper insight into the distributional characteristics of a group of scores. Here’s how they work:

To begin with, scores are sorted. Then four equal sized groups are made from the ordered scores, That is, 25% of all scores are placed in each group. The lines dividing the groups are called quartiles. The ‘inter-quartile range, aka the ‘middle box’, represents the middle 50% of scores for the group. Now for the whiskers- the upper and lower whiskers represent scores outside the middle 50%. Whiskers often (but not always) stretch over a wider range of scores than the middle quartile groups do.
Whisker Quartile Range Graph
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About CAHPS

What is CAHPS?

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program is a multi-year initiative of the Agency for Healthcare Research and Quality (AHRQ) to support and promote the assessment of consumers’ experiences with health care. In addition to the AHRQ, several other Federal agencies contribute to the CAHPS program. The Centers for Medicare & Medicaid Services (CMS) has been a major partner in the CAHPS program since 1996.

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Shoulder Patient Reported Outcome Tools

Whether it be for arthritis, or Rotator Cuff issues, there are many different measures that can be used for Shoulder surgery or disability. This article discusses some of the most popular Shoulder Patient Reported Outcome Tools and their strengths and weaknesses.  If you would like to learn more about how you can adopt patient reported outcome measures, have questions about what tools are right for you, or simply want to find out more, contact us and member of our team will get back with you.

 

UCLA  |  PSS  |  SPADI  |  DASH  |  ASES

 

Hip Patient Reported Outcome Tools

Whether it be for total hip replacement, hip resurfacing, or osteoarthritis, or even a intertrochanteric hip fracture, there are several different patient reported outcome measures for the hip that you can use. This article discusses the strengths and weaknesses of some of the most widely used hip PROs. If you would like to learn more about how you can adopt patient reported outcome measures, have questions about what tools are right for you, or simply want to find out more, contact us and member of our team will get back with you.

 

 

Knee Patient Reported Outcome Tools

Whether it be for partial or uni-compartmental knee replacements, total knee arthroplasty, or even a joint preserving osteotomy, you have several different Knee patient reported outcome tools for the knee that you can choose from. This article discusses the strengths and weaknesses of some of the most widely used Knee PRO tools. If you would like to learn more about how you can adopt patient reported outcome measures, have questions about what tools are right for you, or simply want to find out more, contact us and member of our team will get back with you.

 

TKA and THA Implant Costs

Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are the two of the most common orthopaedic procedures performed in the U.S.A. Excellent outcomes have been documented that demonstrates improvement in daily living for millions of patients. With each passing day, new TKA and THA implants are introduced and claim to be more “anatomic” and longer lasting, without specific evidence for these claims. The financial incentives for these new generation implants are clear. The orthopaedic industry has gone from a six billion dollar market in 1995 to seventeen billion dollars in 2005 to 35 billion dollars in revenue in 2014.1,2 The market is expected to grow to 42 billion in 2019.2 These are combined total revenues from the 5 major implant companies. The average implant cost ranged from $1797 to $12,093 per procedure.1

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WOMAC KNEE SCORE- Patient Reported Outcome Tool

WOMAC Score

WOMAC Score and patient reported outcomesThe Western Ontario and McMaster University Arthritis Index (WOMAC) tool was developed in 1982 to assess pain, stiffness, and physical function in patients with knee osteoarthritis. It consists of 24 questions divided into 3 subscales: pain, stiffness, and physical function. Each subscale has a different scoring range, and an overall score is generated from the results of each subscale. The WOMAC is among the most widely used patient reported outcome (PRO) tools in arthritis research.

 

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Oxford Knee Score Tool for Patient Reported Outcomes

Oxford Knee Score (OKS)

ThPatient Reported Outcomes OKSe Oxford Knee Score was developed in 1996 specifically to evaluate knee replacement outcomes. The OKS is a validated and widely accepted disease-specific patient reported outcome (PRO) measure that has been employed in numerous knee arthritis and TKA focused studies. It consists of 12 questions about daily activities that assess the level of function and amount of knee pain patients are experiencing. There is no clinician reported component in the Oxford Knee. The OKS provides a single summed score, which reflects the severity of problems that the patient has with his or her knee. Scores range from 0 – 48, with the lowest score indicating the most severe level of disability.

 

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Knee Society Score Tool for Patient Reported Outcomes

Knee Society Score

The Knee Society Score (KSS) has been around for over 2Knee Society Score PRO0 years, with it’s most recent version released in 2011. It was designed specifically to measure function before and after total knee replacement surgery. The KSS has both patient reported and a clinician reported components. There are five components of the score: patient demographics, objective knee score patient expectations, patient satisfaction score, and functional knee score.

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