The International Consortium for Health Outcomes Measurement (ICHOM) is a not-for-profit organization that seeks to promote a transition to ‘value-based healthcare’ which focuses on providing high-quality care and achieving optimal patient outcomes. Lynxcare has been an ICHOM techhub partner for the past year and a half. For more information about the collaboration, please check our previous article here.
There is currently a major shift towards capturing healthcare outcomes that are more patient-centered, with significant interest from clinicians, healthcare organizations and health funders.
ICHOM has developed ICHOM Standard Set for Hip and Knee Osteoarthritis was which captures outcomes of care for OA, including joint replacement surgery. This study aimed to:
The Standard Sets incorporate existing PROMs instruments and new measurement items. They are designed to cover the full cycle of patient care (comprising non-surgical and surgical treatment) and can be used across different healthcare settings.
Read the full publication here. Study participants comprised patients and other key stakeholders involved in the assessment or management of patients undergoing hip or knee replacement surgery for OA. Patients undergoing primary hip or knee replacement surgery for OA were approached and screened for eligibility.
The study also recruited orthopaedic surgeons, physiotherapists, hospital executive staff, and clinic administrative staff from the clinical sites.
All patients approached to complete the baseline Standard Set were asked about their preference for paper-based, web-based or iPad-based questionnaire completion. Patient preference data revealed strongly that most participants preferred paper-based questionnaire completion, while few preferred web-based or iPad-based data collection. On average, baseline questionnaires were completed within 6 weeks prior to surgery.
Significant improvements in important health outcomes were identified as early as 6 weeks after surgery, supporting the responsiveness of specific PROMs tools. While the patient interviews were relatively short in duration, they elicited four key themes, as listed below:
Four key themes were identified from the staff interviews:
The study shows it is increasingly recognized that PROMs can be used in a variety of ways: to support clinical care , to guide healthcare funding and resource allocation decisions , and for benchmarking . Supporting these functions, the ICHOM Standard Sets provide a readily available and internationally-recognized mechanism for longitudinal data collection and a means for reporting healthcare outcomes to clinicians, healthcare organizations and health funders. Based on their analysis, the ICHOM Standard Set for Hip and Knee Osteoarthritis can be feasibly implemented in ‘real world’ clinical settings, but with a number of important changes:
As Lynxcare’s technology is able to automatically process unscattered data, the problem underlined by ICHOM is answered. Hence, the challenge clinicians were facing to manually extract the Standard Set clinical data will be solved if they’d use Lynxcare’s platform. Indeed, using AI and NLP, the technologyto mine clinical data outcome directly from medical files and automate the extraction from medical files and to automate extraction and coding of medical concepts from source data.