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Market-wide Adoption of Patient Reported Outcomes Measures

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Widespread adoption of patient-reported outcome measures (PROMS) is central to improving patient experience and quality, advancing value-based payment and reducing health care costs.  Impacting care redesign and payment reform requires multi-stakeholder engagement and alignment across public and private payers.  Both public and private sector payers are committing to value-based payment mechanisms such as population-based models, episodes of care and physician payment under MACRA and other CMS demonstrations.  Major suppliers, such as pharmaceutical and device manufacturers, are pledging to shift to outcomes-based contracts, but such contracts require broad availability of standardized outcomes measures.  Implementation and use of patient-reported outcomes measures in the U.S. has been limited due to administrative challenges, perceived patient burden, and lack of consensus on appropriate methods.

PBGH and International Consortium for Health Outcomes Measurement (ICHOM) seek to increase the availability of these measures for patient-centered outcomes research, quality improvement, value purchasing, outcomes-based contracting, and patient engagement.  An initial planning process will be undertaken to design a business model and work plan that would support the measurement of health outcomes in two to four U.S. communities (defined as a geographic market or a collaboration of multiple health systems in a market), including patient-reported outcomes across an entire population, sufficient to support improvements in patient care, value-based contracting and payment.  The goal is to catalyze the transformation of the healthcare system by measuring and promoting high quality, high value care in key clinical areas through multi-purchaser, multi-stakeholder collaboration.

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For additional information, contact Rachel Brodie at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .