Methods for Developing Patient-Reported Outcome-Based Performance Measures (PRO-PMs).

Journal Article (Journal Article)

OBJECTIVE: To recommend methods for assessing quality of care via patient-reported outcome-based performance measures (PRO-PMs) of symptoms, functional status, and quality of life. METHODS: A Technical Expert Panel was assembled by the American Medical Association-convened Physician Consortium for Performance Improvement. An environmental scan and structured literature review were conducted to identify quality programs that integrate PRO-PMs. Key methodological considerations in the design, implementation, and analysis of these PRO-PM data were systematically identified. Recommended methods for addressing each identified consideration were developed on the basis of published patient-reported outcome (PRO) standards and refined through public comment. Literature review focused on programs using PROs to assess performance and on PRO guidance documents. RESULTS: Thirteen PRO programs and 10 guidance documents were identified. Nine best practices were developed, including the following: provide a rationale for measuring the outcome and for using a PRO-PM; describe the context of use; select a measure that is meaningful to patients with adequate psychometric properties; provide evidence of the measure's sensitivity to differences in care; address missing data and risk adjustment; and provide a framework for implementation, interpretation, dissemination, and continuous refinement. CONCLUSION: Methods for integrating PROs into performance measurement are available.

Full Text

Duke Authors

Cited Authors

  • Basch, E; Spertus, J; Dudley, RA; Wu, A; Chuahan, C; Cohen, P; Smith, ML; Black, N; Crawford, A; Christensen, K; Blake, K; Goertz, C

Published Date

  • June 2015

Published In

Volume / Issue

  • 18 / 4

Start / End Page

  • 493 - 504

PubMed ID

  • 26091604

Electronic International Standard Serial Number (EISSN)

  • 1524-4733

Digital Object Identifier (DOI)

  • 10.1016/j.jval.2015.02.018


  • eng

Conference Location

  • United States