This product demonstrates that for patients receiving hip and knee replacements, separate data sources can be combined and linked at the patient level to provide a holistic assessment of their care, health care costs and outcomes. In addition, examining measures across patient subgroups helps to inform strategies to optimize experiences and outcomes for all patients.

As patient-reported data is increasingly collected in other health sectors and care pathways, comprehensive health data can be used to inform improvements toward more patient-centred care delivery. Ultimately, health care planning and decisions should take into account important aspects of quality of care, including clinical indicators of success and patient-reported measures. This approach will ensure that the patient’s perspective is included in individualized care plans and shared decision-making.

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Hip and knee replacement surgery is undertaken to reduce pain and improve quality of life. Assessing patients’ perception of their outcome along with their experience of care is critically important for improving the quality of care that we deliver. — Dr. Eric Bohm, Orthopedic surgeon, Manitoba

• The use of patient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) in Canada is evolving and jurisdictions have expressed the desire to accelerate the collection and reporting of patient-reported data together. Expanding the collection of PREMs and PROMs to include more patients and more provinces and territories is needed to boost the utility of these measures for health care planners and clinicians. 
• PREMs data is important not only for improving patient experiences in hospital but also for maximizing the potential for favourable hospital outcomes (e.g., reducing hospital harm and readmission to hospital after discharge).
• More comprehensive digital collection of patient-reported data will benefit hospitals and registries such as the Canadian Joint Replacement Registry. 

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Health care providers can use PROMs and PREMs to help the patient understand the best path for improving their quality of life. — Janet, Hip and knee replacement recipient

• Canadian Joint Replacement Registry (CJRR)
• Patient Experience
• Patient-reported outcome measures (PROMs)