Clinical Outcomes
Clinical outcome report cards are a way for payors and case managers
to see what sets a center of excellence apart from other spine treatment
options. By presenting statistical data on patient satisfaction, pain
resolution, return to function and types of treatments most commonly
administered to patients, these entities can see the effective approach
of a multidisciplinary center motivating them to send referrals.
The trend in medicine today is to explore non-surgical solutions to
various health problems. The same trend is occurring in the specialty
of spine care. Compared to other countries, back pain sufferers in
the United States receive twice as much back and neck surgery. Non-surgical
approaches are too often overlooked for surgery.
The clinical outcome report card
is useful in showing case managers and insurance providers both
the short- and long-term effectiveness of a non-surgical first
approach to spine care.
To compile a report card, it is first necessary to meet with
large employers, managed care organizations and workers compensation
carriers in the area where their concerns related to the treatment
of spine care are documented. For example, a managed care company
may complain that they are seeing a higher than average rate
of spine surgeries performed. Others may complain about excessive
drug use by back pain sufferers. These concerns are noted and
used to compile a list of questions intended for graduates of
the spine group Prizm is representing.
We subsequently work to create a clinic that is based on the
needs of both the employer and back pain sufferers, making it
consistent with the market's desire for providers that track
the outcomes of each patient. The spine center carefully documents
clinical outcomes, relief of symptoms, functional status and
patient satisfaction.
The outcomes presented are provided by an outside firm that specializes
in tracing spine outcomes and is involved with several other spine
centers nationally comparing outcomes and developing new techniques
to make the center as effective as possible.
Results in the report card are based on phone interviews by an RN
with a random sample of patients three months after the patient's first
visit. This is the most unbiased, statistically relevant method for
outcomes analysis.
The statistics are then distributed to show results. Prizm is also
able to help centers of excellence compile databases to ensure the
report cards are sent to the most relevant managed care decision makers
for the spine center.
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