Use Region of Injury to determine the corresponding PRO Measure

The patient's region of injury should determine which patient reported outcome forms should be assigned to a patient. Based upon the CMS-approved patient reported outcomes, Keet has included the corresponding treatment areas and patient reported outcome measures for both surgical and non-surgical patients include:

  • Neck Or Upper Back (Neck Disability Index)
  • Shoulder Or Upper Arm (Quick Dash)
  • Elbow Or Forearm (Quick Dash)
  • Wrist Or Hand (Quick Dash)
  • Mid Back Or Lower Back (Modified Oswestry Low Back Disability Questionnaire)
  • Hip Or Thigh (Lower Extremity Functional Scale)
  • Knee (Knee Outcome Survey)
  • Lower Leg (Lower Extremity Functional Scale)
  • Ankle Or Foot (Lower Extremity Functional Scale)

If a patient is being treated for multiple cases that align to multiple patient reported outcome measures, the therapist can assign multiple measures to the patient. However, common practice is to pick the area that is of the biggest issue for that patient and to assign that measure. Additionally, if multiple cases could confound a patient’s progress, therapists can use their clinical judgment to exclude (disqualify) patients who are extremely medically complex, who in their experience are likely to make poor clinical progress. In this scenario the patient would be excluded from that denominator.