We make tHA/TKA
PRO-PM reporting Easy.

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.


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.

SEE HOW WE DID ITCMS' Inpatient Quality Reporting Program Requirements - PatientIQ

When does reporting start?

The voluntary reporting periods require PRO collection as soon as October 3, 2022.

Mandatory reporting is the point of no return. By the mandatory reporting period, the expectation is that your processes and workflows are well established to meet all the necessary reporting requirements. Hospitals that fail to meet any of the IPPS requirements will receive a one-quarter deduction from their annual payment update FY2028.

By participating in voluntary reporting, you provide your hospital the time needed to develop effective workflows that limit administrative burden and ensure reporting accuracy.
Performance Period:
Jan. 1, 2023 - Jun. 30, 2023
Pre-operative Data Collection:  
Oct. 3, 2022 - Jun. 30, 2023
Pre-Operative Data Submission:
Oct. 2, 2023
Post-Operative Data Collection:
Oct. 28, 2023 - Aug. 28, 2024
Post-Operative Data Submission:
Sep. 30, 2024
Performance Period:
Jul. 1, 2023 - Jun. 30, 2024
Pre-operative Data Collection:
Apr. 2, 2023 - Jun. 30, 2024
Pre-Operative Data Submission:
Sep. 30, 2024
Post-Operative Data Collection:
Apr. 26, 2024 - Aug. 29, 2025
Post-Operative Data Submission:
Sep. 20, 2025

Why participate in voluntary reporting?

Voluntary reporting provides hospitals time to develop workflows and ensure reporting accuracy prior to the process being mandatory. Hospitals that fail to meet any of the IPPS reporting requirements will receive a deduction from their annual payment update FY 2028. By participating in voluntary reporting, your hospital can:
  • Identify collection processes that do not disrupt your clinical workflows
  • Test PRO data submission to CMS prior to public reporting
  • Receive confidential feedback reports with information on PRO data response rates


The mandatory reporting period begins on July 1, 2024.

Performance Period:
Jul. 1, 2024 - Jun. 30, 2025
Pre-operative Data Collection:  
Apr. 2, 2024 - Jun. 30, 2025
Pre-Operative Data Submission:
Sept. 30, 2025
Post-Operative Data Collection:
Apr. 27, 2025 - Aug. 29, 2026
Post-Operative Data Submission:
Sep. 30, 2026

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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