Richard Skolasky Sc.D., M.A. , director of the Spine Outcomes Research Center, discusses his paper Measuring Value in Spine Care Using the PROMIS-Preference Scoring System. Follow Dr. Skolasky on Twitter to hear more about his latest research.
With rising health care costs, efforts are underway to transition to value based health care that is understanding the improvement in patients, health and quality of life from the care that we provide relative to the costs associated with that care. These efforts come at the same time that we are recognizing the importance of the patient's voice in describing how disease impacts their quality of life through the use of patient reported outcomes measures. As health care systems increase the use of these measures for clinical care. This data represents a unique opportunity to understand health care value. To that end, we sought to establish the reliability and validity of a preference based measure of quality of life using the patient reported outcomes measurement information system or promise preference score in patients undergoing spine surgery. In our cohort of more than 900 patients, we were able to show that the proper score was associated with increasing level of pain related disability before surgery and was responsive to improvements in symptoms and health following surgery. This study showed that clinically collected patient reported outcomes measures could be used in economic evaluations of the value of care provided to patients with cervical and lumbar spine disease. This points to the ever increasing importance for health care systems to routinely collect robust quality of life. Specifically using the components of the proper score. Future work will focus on determining the minimum set of P measures that can be used to estimate this preference based measure to reduce patient response burden and improve our ability to measure value based care.
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