HealthMeasures PRO-PMs

HealthMeasures patient-reported outcome (PRO) measures are included in PRO-performance measures (PRO-PMs).

PRO-PMs are used to track or report on the performance of healthcare providers and healthcare delivery organizations with an aim of improving the quality of healthcare services. Such use is likely to become more common as PROMIS and other PROs are increasingly integrated into electronic health records, registries, and routine practice workflow.

PROMIS PRO-PMs

The PROMIS Global Health scale is included in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Care for Joint Replacement (CJR) model. Learn more>>
PROMIS Physical Function and PROMIS Pain Interference are used in a set of PRO-PMs to measure physical therapy outcomes for the Merit-Based Incentive Payment System (MIPS) Program through Limber Health’s Qualified Clinical Data Registry (QCDR). Learn more>>
PROMIS Pain Interference short form 4a is used in a PRO-PM assessing pain outcomes in women with breast cancer receiving chemotherapy (3718). Learn more>>
PROMIS Fatigue short form 4a is used in a PRO-PM assessing fatigue outcomes in women with breast cancer receiving chemotherapy (3720). Learn more>>
PROMIS Ability to Participate in Social Roles and Activities (MBHR4) is used in a PRO-PM for the Merit-Based Incentive Payment System (MIPS) through the American Psychological Association’s Mental and Behavioral Health Registry (MBHR). Learn more>>
PROMIS Alcohol Use – Negative Consequences (MBHR08) is used in a PRO-PM for the Merit-Based Incentive Payment System (MIPS) through the American Psychological Association’s Mental and Behavioral Health Registry (MBHR). Learn more>>
PROMIS measures can be used in PRO-PMs focused on assessing functional status in people with congestive heart failure (00282-05-E-MIPS), undergoing total knee replacement (00279-06-E-MIPS), and total hip replacement (00278-05-E-MIPS).
In 2017, RAND Corporation demonstrated validity of the PROMIS-29 profile with older adults with multiple chronic conditions. They then explored the challenges in developing a PRO-PM for this population including the relative stability of health-related quality of life and need for a longer follow-up period and large sample size. Learn more>>

Search for additional quality measures included in the Merit-Based Incentive Payment System (MIPS) at CMS. Learn more>>

In 2020, Lawrie and colleagues demonstrated the feasibility of using PROMIS computer adaptive tests (CATs) in the Centers for Medicare & Medicaid Services’ Bundled Payment for Care Improvement program. They evaluated PROMIS Physical Function, Pain Interference, and Depression CATs for patients undergoing total knee and total hip arthroplasty.

Lawrie, CM, Abu-Amer, WY, Clohisy, JC. (2021). Is the Patient-Reported Outcomes Measurement Information System feasible in bundled payment for care improvement total knee arthroplasty patients? Journal of Arthroplasty, 36(1): 6-12. doi: 10.1016/j.arth.2020.07.041

Lawrie, CM, Abu-Amer, W, Barrack, RL, Clohisy, JC. (2020). Is the Patient-Reported Outcomes Measurement Information System feasible in bundled payment for care improvement total hip arthroplasty patients? Journal of Arthroplasty, 35(5): 1179-1185. doi: 10.1016/j.arth.2019.12.021