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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Optimizing PROM Implementation in Orthopedic Clinics for Longitudinal Outcome Monitoring: Lessons from a Multisite

Christina Pavetto, Martha Burla, Danielle C Lavallee

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    Summary
    This summary is machine-generated.

    Collecting patient-reported outcome measures (PROMs) is feasible using multimodal strategies. The Arthritis care through Shared Knowledge (ASK) study demonstrated improved PROM completion rates in orthopedic practices.

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    Area of Science:

    • Health Services Research
    • Clinical Informatics
    • Patient-Reported Outcome Measures

    Background:

    • Systematic collection of patient-reported outcome measures (PROMs) presents challenges for clinics, especially remotely.
    • The Arthritis care through Shared Knowledge (ASK) study aimed to overcome these challenges.

    Purpose of the Study:

    • To implement and evaluate a multimodal approach for collecting PROMs in orthopedic practices.
    • To assess the effectiveness of a clinical microsystem framework in supporting PROM collection and use.

    Main Methods:

    • Twelve orthopedic practices were coached using a clinical microsystem model to implement shared PROM collection processes.
    • PROMs were collected from new patients pre-visit via online assessments and post-visit at 6 and 12 months using email and phone reminders.

    Main Results:

    • Approximately 60% of new patients completed a pre-visit PROM, with 36.6% completing online after one email and 31.1% after additional contact.
    • Of eligible patients, over 83% completed 6- and 12-month follow-up surveys, with over 91% completing at least one post-visit PROM.

    Conclusions:

    • A multimodal PROM collection strategy, guided by a clinical microsystem approach, effectively supports sustained PROM completion rates.
    • Further research is needed to enhance patient engagement in understanding and reporting PROMs for informed care.