AOHC Encore 2023-223 You Can't Manage What You Don't Measure

Video Transcription

Video Summary

In this video, Dr. Moses and Dr. Miller discuss the use of patient-reported outcome measures (PROMs) in managing recovery for injured workers. They explain that PROMs are evidence-based validated tools used to measure recovery and assess function. The QuickDASH questionnaire is highlighted as an example of a PROM, which measures functional status of the arm, shoulder, and hand. The video emphasizes that PROMs should be used in conjunction with a patient's clinical assessment and not as a sole measure of recovery. The presentation also addresses barriers to using PROMs in clinical practice, such as lack of familiarity and time constraints. Dr. Miller discusses the work she and the American Psychological Association have done to recommend functional PROMs for impairment ratings in the sixth edition of the AMA Guides. The PROMIS-29 and specific subscales, such as physical functioning and ability to participate in social roles, are discussed as potential tools for rating functional change. The video concludes with audience questions and comments regarding the use of PROMs and suggestions for initial screens for head injuries and concussions.

Keywords

patient-reported outcome measures

PROMs

recovery management

functional assessment

QuickDASH questionnaire

clinical assessment

barriers to using PROMs

AMA Guides

PROMIS-29