Enhance data collection and reporting on Hospital-level Total Hip Arthroplasty/Total Knee Arthroplasty (THA/TKA) Patient-Reported Outcome-Based Performance Measure (PRO-PM) with PatientIQ.
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The Center for Medicare and Medicaid Services' (CMS) 2023 Hospital IPPS final rule includes a new measure requiring reporting on patient-reported outcomes following elective primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA).
There are two voluntary reporting periods, followed by mandatory reporting.
Leveraging the PatientIQ Platform
By partnering with a third-party platform dedicated to collecting and analyzing patient-reported outcomes, healthcare organizations can reduce costs, increase deployment speed, and ensure their PRO program's scalability. It takes 18-24 months to collect the first PROM when choosing to build internally on Epic. PatientIQ has launched an outcomes program at large integrated health systems in as little as thirteen business days.
Key Information About the IQR
The goal of the hospital-level THA/TKA PRO-PM (National Quality Forum [NQF] #3559) is to measure improvement in patients’ self-reported pain and functional status prior to and after their elective, primary THA/TKA.
The hospital-level THA/TKA PRO-PM is the first ever PRO-PM to incorporate the patient’s perspective directly in the measure outcome, with the intention of promoting collaboration and shared decision–making between patients and providers across the full spectrum of care.
Centers for Medicare and Medicaid Services (CMS) plans to implement the THA/TKA PRO-PM through phased implementation, with two voluntary reporting periods in 2025 and 2026, followed by mandatory public reporting in 2027.
Data collection for the first round of Voluntary Reporting for the measure will begin in Fall 2022. All hospitals eligible for the Inpatient Quality Reporting (IQR) Program are encouraged to participate in the Voluntary Reporting periods.
During Mandatory Reporting in 2027, successful submission of PRO data will impact hospital’s Annual Payment Update (APU) in the IQR Program. CMS recommends hospitals collect and submit complete data on more than 50% their eligible patients for hospitals to maximize the potential for them to be successful in meeting the 50% IQR reporting requirement. Hospitals that fail to meet the reporting requirement will receive a reduction in their APU in Fiscal Year (FY) 2028.
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