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Transforming Care through Outcomes Measurement: Experience in a Southern Brazilian Hospital
Jonas Michel Wolf1, Arthur Pille1, Lucas Felipe Kist1
1Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.
Journal of Evaluation in Clinical Practice
|April 23, 2026
Summary
Implementing standardized outcome measurement in care pathways improved patient outcomes, reducing readmissions and mortality. This approach drives continuous, patient-centered care improvements across diverse specialties.
Area of Science:
- Healthcare quality improvement
- Value-based healthcare systems
- Clinical pathway implementation
Background:
- Standardized outcome measurement is crucial for value-based healthcare.
- Limited real-world data exists on long-term, system-wide implementation of outcome measurement.
- Implementing outcome-driven care pathways is a key strategy for healthcare improvement.
Purpose of the Study:
- To assess the long-term impact of condition-specific, outcome-driven care pathways on clinical and patient-reported outcomes.
- To evaluate the effectiveness of implementing standardized outcome measurement across multiple medical specialties.
- To understand how care pathway implementation affects patient recovery and quality of life.
Main Methods:
- A longitudinal study (2017-2024) involving 9549 patients across ten care pathways.
- Progressive introduction of Patient-Reported Outcomes Measures (PROMs) collection, digital follow-up, and monitoring teams.
- Analysis of temporal trends in risk-adjusted clinical outcomes, functional recovery, and quality-of-life measures.
Main Results:
- Increased patient enrollment and PROMs completion, with reduced loss to follow-up.
- Despite increased patient complexity, significant improvements were observed in reduced 30-day readmissions, 1-year mortality, length of stay, and surgical complications.
- Positive impacts noted across various specialties, including improved functional independence in stroke patients, reduced symptom burden in heart failure, better functional recovery for post-COVID/sepsis survivors, and enhanced quality of life in oncology patients.
Conclusions:
- Systematic outcome measurement is linked to sustained improvements in survival, complication rates, functional recovery, and quality of life.
- These improvements persist even with increasing patient population complexity.
- The findings support outcome measurement as a key driver for continuous, patient-centered care enhancement.
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