Using patient-reported data to better assess quality of care for hip and knee replacements

June 18, 2024 — For the first time, AV�� has combined patient-reported data with clinical outcomes and costing data on hip and knee replacements. This provides a synergistic analysis across data sources for a holistic picture of outcomes and patient experiences related to hip and knee replacements in Canada. The inclusion of patient-reported measures is a way for health providers to understand how well health care systems deliver patient-centred care, namely by measuring outcomes that are meaningful to patients.

This report intends to demonstrate the feasibility and value of combining clinical outcomes, patient-reported experience measures (PREMs), patient-reported outcome measures (PROMs) and costing data.

Key findings

PREMs and PROMs data provides a more comprehensive view of patients’ in-hospital experiences and their outcomes related to health care interventions. Patient-reported data that is analyzed and reported on with clinical outcomes and costing data for hip and knee replacements demonstrates the potential to evaluate the effectiveness of health system performance against the Quintuple Aim.Reference1
Examining measures across patient socio-demographic groups helps identify inequities in outcomes and experiences and inform strategies to optimize care for all patients receiving hip and knee replacements. The results identified variations in the assessed outcomes, experiences and costs by age group, recorded sex or gender, neighbourhood income and geographic location.
Linking routinely collected health data can be used to identify underlying factors that are driving performance or variations between measures and potential areas of focus for quality improvement. Though the correlations observed were not strong, there were statistically significant correlations between PREMs and clinical outcomes, PREMs and PROMs, and costs and PROMs.