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. 2021 Sep;30(9):2551-2561.
doi: 10.1007/s11136-021-02845-x. Epub 2021 Apr 24.

PROMIS Global Health: Feasibility in home health

Jennifer S Riggs  1 , Marisa Roczen  2 , Alan Levitt  3 , Tara McMullen  3 , Joan Proctor  3 , Eugene Nuccio  2
Affiliations

PROMIS Global Health: Feasibility in home health

Jennifer S Riggs et al. Qual Life Res. 2021 Sep.

Abstract

Purpose: This feasibility study assessed if the Patient-Reported Outcomes Measurement Information System (PROMIS®) 10-item Global Health Survey (PROMIS-10) could be a reliable and valid patient-reported outcome measure (PROM) for a population of cognitively intact home health (HH) patients.

Methods: The Centers for Medicare and Medicaid Services (CMS) along with their measurement contractor, Abt Associates, held a field test (2016-2017) to test the feasibility of the PROMIS-10 in in the Outcome and Assessment Information Set (OASIS). Home Health clinician data collectors (registered nurses and physical therapists) were trained to complete the PROMIS-10 along with procedures to facilitate patient self-administration of PROMIS-10. These clinicians provided feedback about their experiences at a focus group at the end of data collection.

Results: 213 HH patients comprised the field test sample, 150 of whom completed PROMIS-10 surveys. Clinicians reported they found the PROMIS-10 relevant and acceptable for their HH patients, and noted the surveys provided insight into patients' views of their health. The PROMIS-10 measured the full range of patient-reported health and was sensitive to change between admission and discharge.

Conclusions: The study confirmed that the PROMIS-10 can be implemented in the HH setting, opening the door for consideration for implementing the PROMIS-10 in post-acute care (PAC) settings. This study is a first step toward establishing an assessment that captures the patient's voice and could be reported by the CMS PAC quality reporting programs.

Keywords: CMS; Centers for Medicare & Medicaid Services; Home health; IMPACT Act; PROMIS®; Patient-reported outcomes; Quality indicators; Quality reporting program.

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