The contribution of PROMs to health care sustainability Mark Harrison Stirling Bryan Deborah Marshall Nick Bansback.

Slides:

Advertisements

Similar presentations

Canadian Health Outcomes for Better Information and Care

Advertisements

Donald T. Simeon Caribbean Health Research Council

November 26, Fall Forum Alberta’s Pharmaceutical Strategy and Programs Policy Recommendations.

The Delivery of Radical Prostatectomy to Treat Men With Prostate Cancer ChartbookAugust 2014.

Pricing and Reimbursement Policies 27. Pricing Policies Patented Medicines Patented Medicine Prices Review Board (PMPRB) monitors and sets the price of.

Department of Health and Human Services Measuring Clinical Lab Ordering Quality: Theory and Practice Steven M. Asch MD MPH VA, RAND, UCLA April 29, 2005.

Outcomes that matter to patients: Patient Reported Outcome Measures (PROMs) for people with renal replacement UK Renal Registry 2015 Annual Audit Meeting.

6/1/ :13 AM CMA Ottawa October 2007 On Improving Measures of Outputs and Outcomes in Health Care  what do we want to know?  outputs – why bother.

A METHODOLOGY FOR MEASURING THE COST- UTILITY OF EARLY CHILDHOOD DEVELOPMENTAL INTERVENTIONS Quality of improved life opportunities (QILO)

Rankings: What do they matter, what do they measure? Anne McFarlane August 18, 2010.

World Health Organization Conference on Developing New SPHs Jerusalem March, 2002 What should an MPH graduate be able to do at the end of the training.

Session 3: Can the Best Practice Tariff and price benchmarking lead to better care? Elaine Young Director of Operations National Joint Registry & Peter.

Behavioral Health Services for Injured or Ill workers – Collaborative Care Analysis and Recommendations January 22, 2015.

Health Information Professionals Week March 22nd-28th, 2015 This week is an opportunity to showcase the thousands of certified HIM® professionals who.

Technology and Health Care HCA 701 November 10, 2005.

A Perspective on Canadian Initiatives in Health Care Quality HL7 Clinical Quality Work Group June 26,

Assessing Health and Economic Outcomes William C. Black, M.D. Director ACRIN Outcomes & Economics Core Laboratory Dartmouth-Hitchcock Medical Center.

Briefing: Multi-Stakeholder Collaboration in Patient-Reported Outcomes Measurement Statewide Quality Advisory Committee Meeting June 17, 2013 Linda Shaughnessy,

Generating evidence for change: Implementing the post-ICIUM research agenda Dennis Ross-Degnan, ScD Harvard Medical School and Harvard Pilgrim Health Care.

Strategies for health system performance comparison: some international experience Peter C. Smith Emeritus Professor of Health Policy Imperial College.

Measuring Health Systems Performance and NHA: Agenda for Health Services Research and Evaluation Measuring Health Systems Performance and NHA: Agenda for.

Selection of a Survey Instrument for a Heart Failure Disease Management Study Lee R. Goldberg, MD, MPH Heart Failure/Transplant program University of Pennsylvania.

Inputs, Outputs and Outcomes: What Measures, What Matters Glenda Yeates, President & CEO Canadian Institute for Health Information October 30, 2007.

National Health Expenditure Trends, 1975 to 2014 ChartbookOctober 2014.

Feasibility and validity of four patient reported outcome measures in the Danish Hip Arthroplasty Registry Aksel Paulsen, M.D., Ph.D. Fellow Department.

Patient-Reported Outcomes and Waiting for Elective Surgery: Preliminary Findings Jason M. Sutherland Centre for Health Services and Policy Research University.

Alberta Innovates- Health Solutions- KT Webinar OA Team Grant: Project 1 WCWL Investigators Dr Tom Noseworthy March 9, 2011.

An Atlantic & Manitoba Perspective Toward Building Public Health Capacity A Work in Progress Prepared for: Canadian Public Health Association Conference.

Basic Economic Analysis David Epstein, Centre for Health Economics, York.

Strategic Planning at Sunnybrook Creating a sustainable future for the organization and those we serve.

Surgical Procedures in Wait Time Priority Areas as a Proportion of the Total, 2005–2006 Sources: CIHI, Surgical Volume Trends Within and Beyond Wait Time.

Ontario Public Health Standards and Protocols APHEO Core Indicators Strategic Planning December 5, 2008 Joanne Thanos Public Health Standards Branch.

Centre for H EALTH S ERVICES AND P OLICY R ESEARCH Pharmaceutical Policy in Canada: Reflections on a Shifting Landscape Steve Morgan, PhD Centre for Health.

Chronic Disease Management Why is this an important issue? High numbers of patients affected Effective interventions may be available Concern that there.

EVALUATION OF THE SEE SARMa Project. Content Project management structure Internal evaluation External evaluation Evaluation report.

Community Planning: Monitoring & Evaluation Geddes Institute Research The Geddes Institute Emma Coles.

Module 1 Program Evaluation and Its Practice. 2 Overview n What is evaluation? n Definitions of program evaluation n What can be evaluated? n What is.

Performance assessment A performance assessment framework is a collation of statistics across a district or within a hospital and is far removed from.

1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Community-Based Nursing and Home Care Chapter 6.

The Value of Reference Case Methods for Resource Allocation Decision Making Mark Sculpher, PhD Professor of Health Economics Centre for Health Economics.

Presentation By L. M. Baird And Scottish Health Council Research & Public Involvement Knowledge Exchange Event 12 th March 2015.

From Qualitative to Quality Impact Heather Bryant, MD, PhD Health System Use Summit February, 2016.

PROMs Pilot for Long-Term Conditions in Primary Care Ray Fitzpatrick Department of Public Health.

PROMs in reimbursement and real-world assessments of clinical interventions Stirling Bryan, PhD.

PROMs Martin Orton – NHS Information Centre. Overview PROMs Overview IC’s central role in implementation –Matching & linking to HES & NJR –Applying the.

History of Nursing Informatics in Canada. Brief History “Registered nurses need to be able to demonstrate their unique contribution to the health of Canadians.

NURSING INFORMATICS IN CANADA. BRIEF HISTORY Nursing informatics began to evolve as nurses participated in the early initiatives in hospital information.

Working More Productively: Tools for Information-Rich Environments Ruth-Ann Soodeen, Leslie L. Roos, Ruth Bond, Charles Burchill & Karen Roberts Manitoba.

School of Population and Public Health PROMs to support informed patient decision making Nick Bansback, PhD Assistant Professor School of Population and.

Cancer Drug Funding Sustainability: From Recommendations to Action CADTH SYMPOSIUM 2016 Scott Gavura, Director, Provincial Drug Reimbursement Programs.

ICD-10 Lessons Learned from Canada. Background of ICD-10 in Canada 1995 – Agreement reached between World Health Organization (WHO) and Canada to adopt.

Continuous Improvement & Real World Evidence: A Public Payer’s Perspective Suzanne McGurn, Assistant Deputy Minister and Executive Officer Ontario Public.

BC SUPPORT Unit: Overview and update

National Health Expenditure Trends, 1975 to 2016

Patient engagement in Quality of Care Measurement

IT Solutions – Improving Timely Access to Health Care

Clinical Trial Design for Second Generation TAVI - Academic View

Professor Nancy Devlin Director of Research OHE

Cornerstone Research Group Inc.

NICOR A NICE Commissioned Pilot of Patient Reported Outcome Measures (PROMs) for Ablation of Cardiac Arrhythmias Withers KL 1, Patrick H 2, Cunningham.

Classification of chronic obstructive pulmonary disease (COPD) severity according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD):

Towards UK poSt Arthroplasty Follow-up rEcommendations: UK SAFE

Volume 4, Issue 1, Pages (March 2018)

Turid Heiberg1,2, Bart Baekelandt3,

Connect and learn more at

Value Based Healthcare -A paradigm shift?

Financial Disclosures

The MSK-HQ Developing a generic Musculoskeletal Patient Reported Outcome Measure Policy & Public Affairs Team, Arthritis Research UK e.

Quality Improvement Projects

Timely Access to Health Care Minister George Abbott Ministry of Health Government of British Columbia.

Presentation transcript:

The contribution of PROMs to health care sustainability Mark Harrison Stirling Bryan Deborah Marshall Nick Bansback

PROMs definitions Patient-reported outcome measures ‘PROMs’ –Short, self-completed questionnaires –Measure impact of illness/health condition, from patient perspective Quality of life, symptom severity, functional status, health status –Monitor progress of condition, effectiveness of treatment Change over time –Assess quality of care/services CIHI. PROMs Background Document Available from:

Generic vs. Condition Specific Generic e.g. HUI, EQ-5D, SF- instruments –Comparable across diseases, sectors, against norms –Cost-effectiveness analysis Condition/Disease/Population specific e.g. Oxford Knee Score, Seattle Angina Questionnaire –Developed for a specific setting Sensitive to change/differences between people within condition –Detail & clinical decision making

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) CIHI. PROMs Background Document Available from:

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) Alberta Hip & knee arthroplasty (SF-36, WOMAC) Heart & Lung Transplant Clinic U of Alberta Hospital (HUI2, HUI3) CIHI. PROMs Background Document Available from:

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) Alberta Hip and knee arthroplasty (SF-36, WOMAC) Heart and Lung Transplant Clinic U of A Hospital (HUI2, HUI3) Saskatchewan Joint arthroplasty (EQ-5D) Spinal surgery (EQ-5D) CIHI. PROMs Background Document Available from:

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) Alberta Hip and knee arthroplasty (SF-36, WOMAC) Heart and Lung Transplant Clinic U of A Hospital (HUI2, HUI3) Saskatchewan Joint arthroplasty (EQ-5D) Spinal surgery (EQ-5D) Manitoba Winnipeg Joint Replacement Group (SF-12, Oxford Scores) CIHI. PROMs Background Document Available from:

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) Alberta Hip and knee arthroplasty (SF-36, WOMAC) Heart and Lung Transplant Clinic U of A Hospital (HUI2, HUI3) Saskatchewan Joint arthroplasty (EQ-5D) Spinal surgery (EQ-5D) Manitoba Winnipeg Joint Replacement Group (SF-12, Oxford Scores) Ontario Electronic Rheumatology (eRHeum) and Initiatives Research Program (SF-36) CIHI. PROMs Background Document Available from:

Routine PROMs collection: Canada British Columbia PEAK Project Knee arthroplasty (EQ-5D, SF-12) Alberta Hip and knee arthroplasty (SF-36, WOMAC) Heart and Lung Transplant Clinic U of A Hospital (HUI2, HUI3) Saskatchewan Joint arthroplasty (EQ-5D) Spinal surgery (EQ-5D) Manitoba Winnipeg Joint Replacement Group (SF-12, Oxford Scores) Ontario Electronic Rheumatology (eRHeum) and Initiatives Research Program (SF-36) National: Rick Hansen Research Institute, Spinal Cord Injury Registry (SF-36) Statistics Canada, Canadian Community Health Survey (HUI, RAND SF-36) Canadian Multicentre Osteoporosis Study (HUI, SF-36) CIHI. PROMs Background Document Available from:

Sustainability Issues of health care sustainability

Sustainability Issues of health care sustainability

Sustainability Issues of health care sustainability How PROMs can contribute to sustainability

From: Eliminating Waste in Health Care JAMA. 2012;307(14): doi: /jama “Business as usual” “Sustainable” (equal to growth in GDP) The wedge: unsustainable health care

From: Eliminating Waste in Health Care JAMA. 2012;307(14): doi: /jama Failure of care delivery Failure of co-ordination of care Overtreatment Administrative issues Pricing failure Fraud and abuse “Business as usual” “Sustainable” (equal to growth in GDP) The wedge: sources of waste

From: Eliminating Waste in Health Care JAMA. 2012;307(14): doi: /jama Care delivery failure Poor co-ordination Overtreatment Administrative issues Pricing failure Fraud and abuse “Business as usual” “Sustainable” (equal to growth in GDP) Waste & inefficiency The wedge: the cheese

The potential of PROMs to improve efficiency

Roles for routinely collected PROMs Allocative efficiency Which treatments to offer and to who Which treatment is best for a given patient Technical efficiency Performance Comparison of performance Accountability Are health resources being spent wisely Health system level performance Smith & Street. Health Econ. 22: (2013)

Stirling Bryan PROMs: from technology appraisal to technology management

Deborah Marshall PROMs as an outcome for continuous quality improvement

Nick Bansback PROMs to support informed patient decision-making

Format 3 presentations of 15 mins 5 mins for questions after each presentation Open discussion

Disclosures Nothing relevant I hold the UBC Professorship in Sustainable Health Care, which is funded by: Amgen Canada Inc.; AstraZeneca Canada Inc.; GlaxoSmithKline Inc.; Merck Canada Inc.; Novartis Pharmaceuticals Canada Inc.; Pfizer Canada Incorporated; Boehringer Ingelheim (Canada) Ltd.; Hoffman-La Roche Ltd.; LifeScan Canada Ltd.; and Lundbeck Canada Inc. These companies are represented on my advisory council, offering advice/input but not mandatory recommendations.