Recent Australian publications echo the continuing advocay for PROMS.

Dr Zachary Tan of the startup CancerAId states about the app Pulse and IT 23/8/18

“For clinicians the power of the app is its patient-reported outcomes(PRO or PROMs) capability,which Dr Tan described as THE MISSING LINK between the patient and their clinicians.”

ICHOM calls PROMs Outcomes that matter to patients.I say PROMs are the catalysts that will not only not only dramatically improve healthcare but medicine itself.



The Strategy That Will Fix Health Care

Around the world, every health care system is struggling with rising costs and uneven quality, despite the hard work of well-intentioned, well-trained clinicians. Health care leaders and policy makers have tried countless incremental fixes—attacking fraud, reducing errors, enforcing practice guidelines, making patients better “consumers,” implementing electronic medical records—but none have had much impact.

It’s time for a fundamentally new strategy. At its core is maximizing value for patients: that is, achieving the best outcomes at the lowest cost.

In this Harvard Business Review article by Michael E. Porter and Thomas H. Lee, they write about a strategy for moving to a high-value health care delivery system comprising six interdependent components:

  • organising around patients’ medical conditions rather than physicians’ medical specialties,
  • measuring costs and outcomes for each patient,
  • developing bundled prices for the full care cycle,
  • integrating care across separate facilities,
  • expanding geographic reach, and
  • building an enabling IT platform.

The transformation to Value Based Health Care (VBHC) is well under way. Some organisations, such as the Cleveland Clinic and Germany’s Schön Klinik, have undertaken large-scale changes involving multiple components of the value agenda.

The result has been striking improvements in outcomes and efficiency, and growth in market share.

Read more at Harvard Business Review…

Measure outcomes to improve health care.

Positive Feedback Loop for Improving Services

It’s often said, “What gets measured gets managed,” a quote often attributed to management consultant Peter Drucker.

Collecting patient feedback can be vital to guiding general practice services and meeting patient needs.

Collecting and responding to patient feedback is considered such a key aspect of general practice operations that it is enshrined into the RACGP’s Standards for general practices (4th edition) (the Standards). Patient feedback can help guide the
improvement of quality in service delivery, which can then result in better clinical
outcomes for patients.

Learn how Patient Reported Outcome Measures (PROMs) and Patient Reported Experience Measures (PREMs) enable doctors to have a more concrete measure
of the effectiveness of their general practice services.

RACGP Good Practice Issue 3 March 2017 (see page 18)

RACGP – Royal Australian College of General Practitioners

Book Alert – Using Patient Reported Outcomes to Improve Health Care

In a recent book, “Using Patient Reported Outcomes to Improve Health Care”, the authors, Appleby, Devlin and Parkin, demonstrate how in multiple ways Patient Reported Outcome Mesasures (PROMs) can improve healthcare.

It is a practical, introductory guide to the best use of Patient Reported Outcomes (PROs) to improve the quality of health care and patient health.

  • Introduces, explains and shows how PROMs can be best used to improve healthcare and patient outcomes 
  • Includes real life examples and case studies of PROMs in practice 
  • Assesses the growing evidence base for PROMs in practice 
  • Editor team from the UK Office of Health Economics (OHE), The King’s Fund and King’s College London with contributions from practising clinicians, GPs and other healthcare professionals

Buy the eBook from Amazon.

One of the most effective tools to help overcome long term issues, PROMs helps:

  • To reduce hospital adverse events and achieve the largest improvement in the Health and Safety and Quality Patient Care.
  • In the GP environment for the first time to integrate Primary Health Clinical Care and Public Health.
  • In medicine, they are the agency to move from the Newtonian medicine to Einsteinian medicine.

In this way medicine will incorporate the great advances of physics in the last 100 years, to be really medicine based on modern science.

Easily use PROMs to improve healthcare.

PROMs help deliver ‘highest success’ surgeries

Five spine surgeons discuss patient-reported outcome measures (PROMs) in spine and how they have influenced their practice.

“[PROMs] are really imperative to evaluate how well your different operations or procedures are performing.”


Read more at Beckersspine…

Learn how to incorporate PROMS into your practice.

Patient-Reported Outcomes That May Affect Treatment Decisions in Prostate Cancer

Many established therapies for metastatic prostate cancer (mPrCa) have known side effects that can affect a patient’s quality of life.

PROMS can assist in providing high-quality care and improve patient’s experience.

Four trials with actual PROM data showed that by using their respective PROMs, there was at least maintenance of or improvement in QOL outcomes.

Full details at Cancer Therapy Advisor. Read more…

The eHealthier platform provides an easy way to incorporate PROMS into real-life practice.

Learn how to incorporate PROMS into your practice.

Value-Based Health Care Conference

The inaugural Value-Based Health Care Conference will be held in Perth and online in May 2021 to raise awareness of value-based healthcare (VBHC) and the work being done in this area across any/all disease types or conditions. VBHC focusses on delivering the outcomes that matter most to patients at the optimal cost. This approach is already transforming whole health services e.g. NHS Wales, the Dutch health system and has been adopted by some of the largest health care providers worldwide e.g. MD Anderson.

The aim of the conference will be to showcase and celebrate Australian value-based healthcare innovation, initiatives, implementation, research, and training from all areas of the health care system, with discussion on topics as diverse as cancer, stroke, dental health, and more.

Location: Perth, Western Australia

Venue: Parmelia Hilton Perth

Date: 27 May 2021 9:00am to 28 May 2021 04:00pm

More information here.

Want to try eHealthier?

History of Medicine – From Magic to Science to Wellbeing

In early civilisations, there was no distinction between “rational science” and magic, and so far as to sometimes involve the calling of deities. However, empirical observations of illness and the reaction to treatment eventually were systematically recorded, later following scientific methods.

In the West, it was in the early 17th Century that medicine began to separate physical and spiritual in what is now considered “Newtonian medicine”. In short, much like Newton’s Laws of Motion where reaction arose from action, the reasoning was applied to the body in that normal and abnormal functions could be explained by mechanistic changes in the body. This is a mechanistic model taking the human body as a machine.

The Doctor’s Visit, Smithsonian American Art Museum

As scientific methods and tools improved over the centuries, so too did medicine. Systematic analysis of symptoms, reactions to treatments, and understanding of the body rapidly increased. We were able to study the “machine” in much greater detail.

In the 19th century, old ideas of infectious disease epidemiology were gradually replaced by advances in bacteriology and virology. By the late 19th and early 20th century, statistical methods such as correlations and hypothesis tests were introduced making much more sophisticated analysis possible. Now, we were able to study the great variety in “machines” across populations.

Public health became more prominent and important in the 20th century especially during the 1918 flu pandemic. Managing the healthy running of society’s many “machines”.

With all the specialisation in science and medicine, it wasn’t until the mid-late 20th century that medicine began to revisit holistic care in systems theory and the concept of health as a dissipative system.

Systems theory is the multidisciplinary study of systems to investigate phenomena from a holistic approach. Dissipative systems are what’s known as open systems, that is, a system having the capability to operate outside of equilibrium or a stable steady-state, and constantly exchanging matter, energy and information from the external environment with automatic self regulation among other features. In other words, a hyper-complex “machine” interacting, and evolving with its environment.

Patient Reported Outcomes Measures (PROMS) have been shown (ref) to be effective means to bridge the traditional Newtonian medicine practiced widely today, with the systems theory and dissipative systems concepts with the aim of delivering holistic wellbeing for patients. This includes social, lifestyle and
environmental elements.

PROMS are also a key part of providing Value Based Health Care (VBHC) to populations such as groups of patients of a medical practice, employees, customers, through to state, national and worldwide populations.

eHealthier is a digital platform for managing PROMS built by medical practitioners for the healthcare sector. An effective diagnostic tool now available to physicians and public health managers to help identify, measure and track wellbeing, eHealthier simplifies patient data capture, data management and analysis, all in a secure easy to use cloud platform.

Contact eHealthier today for a discussion about improving wellbeing and a demonstration of the eHealthier platform.

Want to improve health outcomes?

Exciting ePROM Start to 2017!

January 2017 produced two publications that are likely to add significantly to interest and uptake of ePROMs in 2017.

  1. Lancet On-line Lead Article of the 8th Jan 2017 was a 4 part paper entitled “Right Care”  These papers confirmed again that overuse of healthcare was estimated as 30% of the expenditure on healthcare in developed countries. eHealthier’s ePROM platform addresses this issue in particular the preventive population ePROMs will enable healthcare providers to create and monitor health in their patients individually and in that provider’s patient population. This will begin the transformation from a health system that concentrates on sick treatments to one that begins to create and measure functional health status in individuals. This will automatically result in the prevention of preventable hospital admissions beginning to reduce the largest cohort of overuse expenditure.
  2. OECD +7 Health Ministerial Statement  The health ministers and representative of the 34 OECD members plus 7 other countries released their statement entitled “The Next Generation of Health Reforms” The most significant of these reforms that they will be implementing are:
    1. Reorienting Health Systems to become more people centred
    2. Implement new health statistics to measure and compare Patient Reported Experiences and Outcomes in healthcare.
      Essentially, they are recommending the implementation of standardised ePROMs across the full gamut of medical conditions and across the OECD. This is reflected in the OECD’s agreement to commission ICHOM to assist in this implementation. eHealthier notes that this paper is called the Next Generation of Health Reforms and feels that eHealthier’s outlined Next generation of ePROMs will significantly  enhance this reform agenda.

Redesign of the practice incentive program

The Australian government’s current consultative process has the potential to catapult Australia’s health system to be the world’s best practice.

The key decision is whether the health minister is bold enough to include in the new Quality improvement incentive patient reported outcome measurement.

These new tools  are the catalyst that will change all of the health care as predicted by Professor Michael Porter of Harvard  Business School.

Patient reported outcome measures  if included will be the first occasion that we will be measuring health rather than healthcare.

Ideally the four types of patient reported outcome measures will be included that is functional measures, cared for measures (PREMS), preventive measures and longevity measures

Should this occur and the government utilises an app such as the eHealthier ePROM app the annual savings set out in my earlier blog of  of $2 billion will eventuate within three years