Development and Implementation of a Health Informatics Outcome System in Orthopaedic Surgery

Abstract

The objective of this study was to develop, validate, and determine the effectiveness(compliance rate and patient satisfaction) of a multi-center, integrated, web-based outcome assessment application used to evaluate pre- and post-operative outcomes. We hypothesized that an integrated outcomes system can be established across multiple centers, and that proof-of-concept testing will demonstrate adequate interoperability and inter-system communication streams. A health informatics musculoskeletal (MSK) outcome system that provides a web-based, HIPAA compliant, patient friendly, platform has been transformative for military musculoskeletal care, providing the means to a military-wide evidenced-based treatment system. Our web-based data collection platform went live in October 2016 and patients have been enrolled under the standard of care initiative. We are actively enrolling patients at 9 performance sites across the Military Health System (MHS) and are continuing to expand. As of December 2017, we are able to enroll any surgically managed orthopaedic patient. As of April 2018, we are able to enroll any conservatively (i.e., rehabilitation)managed musculoskeletal injury patient. The Defense Health Agency (DHA) recognized MOTION's potential value in improving MSK care and so in December 2018 the DHA incorporated MOTION as an official program of record under the Patient Reported Outcomes Clinical Record (PROCR). We currently have 10,000 unique patients enrolled into our platform.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2020
Accession Number
AD1121699

Entities

People

  • Jonathan F. Dickens
  • Matthew Bradley

Organizations

  • Walter Reed National Military Medical Center

Tags

DTIC Thesaurus Topics

  • Air Force
  • Biomedical Research
  • Computer Programs
  • Data Storage Systems
  • Electronic Mail
  • Hard Copy
  • Health
  • Health Care
  • Health Services
  • Instructors
  • Medical Personnel
  • Medical Specialties
  • Military Medicine
  • North America
  • Orthopedics
  • Pain
  • Pain Management
  • Students
  • Therapy
  • United States
  • United States Military Academy
  • United States Naval Academy

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Medical or Health Care Field.
  • Trauma or Military Medicine