Achieve CMS Compliance with THA/TKA PRO-PM

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We have tailored our globally validated ePRO platform to support the specific needs of the CMS THA/TKA PRO-PM mandate

Our solution is designed specifically to address the challenges of the PRO-PM implementation for inpatient providers and outpatient providers, including HOPDs and ASCs.

We know first-hand that implementing PRO-PMs is challenging and patient engagement across the care journey is resource intensive. Our solution solves these implementation challenges AND will help you avoid costly CMS penalties.

CMS THA/TKA Reporting Timeline

“The best patient engagement solution I’ve used in my nine years of experience as an orthopedic nurse navigator. The product is a ready-to-go PRO-PM solution without the expensive and labor-intensive setup. The Clinician’s design is streamlined and intuitive, making CMS compliance a snap!”
— Pam Cupec, MS, RN, ONC, CRRN, ACM

Past President of the National Association of Orthopaedic Nurses USA (NAON) 

Ready to master THA/TKA PRO-PM compliance?

We have distilled our experience and capability into a solution that gives you exactly what you need to meet CMSs’ requirements

 Small clinic

$500 / month

Or $5,400 per year

(10% discount with yearly upfront payment)

  • Enrol up to 500 patients
  • Unlimited users
  • Set up within 2 hours
  • Pre-op and post-op patient data collection via email*
  • Track response rate and clinical benefit thresholds
  • Pre-submission data validation
  • Patient eligibility determination
  • Cancel with 14 days’ notice
*If texts are required, please confirm this with us during your onboarding and our team will initiate the registration process

 Medium clinic

$800 / month

(10% discount with yearly upfront payment)

Or $8,640 per year

  • Enrol up to 1000 patients
  • Unlimited users
  • Set up within 2 hours
  • Pre-op and post-op patient data collection via email*
  • Track response rate and clinical benefit thresholds
  • Pre-submission data validation
  • Patient eligibility determination
  • Cancel with 14 days’ notice
*If texts are required, please confirm this with us during your onboarding and our team will initiate the registration process

Enterprise

or Hospital network

Custom pricing is available for hospital networks or for organisations with multiple sites

  • Discounted pricing for multiple sites
  • Unlimited patients
  • Unlimited users
  • Integration (EMR, PAS/ADT, integration engines)
  • Pre-op and post-op patient data collection via email and text
  • Track response rate and clinical benefit thresholds
  • Pre-submission data validation
  • Patient eligibility determination

All Prices are in US Dollars

Our Features

Automated Data Collection

  • Streamlines pre-op and post-op data gathering

  • Collected via an intuitive and multilingual patient web app
    (no download required)

Real-time Analytics

  • Tracks response rates and clinical benefit thresholds

  • Provides actionable insights for quality improvement and patient follow up

CMS Compliance Assurance

  • Built-in rules to meet complex CMS requirements

  • Pre-submission data validation to ensure SCB thresholds are met

Eligibility Calculator

  • Simplifies patient eligibility determination

“We are excited to work with orthopedic surgeons so they can quickly and simply adapt to the THA/TKA PRO-PM mandate”

Dr. Ron Tenenbaum
CEO and Co-Founder - The Clinician

A global leader and trusted partner in PRO implementation

The Clinician is trusted by state and national healthcare organizations in more than 5 countries, with our platform having collected patient-reported outcomes (PROs) from millions of patients across the globe.

What sets our platform apart from others

Rapid Deployment

Go live in under 2 hours, not months

Significantly lower price point than other available solutions

An Affordable Solution

Track response rates using intuitive charts to meet CMS reporting requirements

User-Centric Design

SCB Data Validation prior to submission. Unique survey logic to ensure you are meeting the CMS set thresholds.

Pre-submission Data Validation

The solution includes English and Spanish - contact us for additional languages

Multilingual Capability

Dedicated helpdesk and guidance from specialists

Expert PRO-PM Support

How does it work

The Clinician Advantage

Trusted Partnerships, Secure & Specialized Solutions

Connected with Leading Networks

Collaborating with esteemed organizations like ICHOM (International Consortium for Health Outcomes Measurement) to lead the movement towards value-based healthcare. Our partnership ensures that our solutions align with the latest standards in patient-centered care.

A Specialized PRO-PM Solution

Our experience serving large scale health systems enables us to offer a highly capable PRO-PM solution that is fast to implement and available at a lower cost.

Purpose-Built for Compliance

Our THA/TKA PRO-PM solution is designed to help customers meet CMS mandates. Beyond THA/TKA, we offer a range of solutions tailored to meet diverse clinical needs.

Data Privacy & Security

We adhere to industry-leading data protection standards (HIPAA, GDPR, ISO27001, SOC2), ensuring your data remains safe, secure, and compliant.

THA/TKA PRO-PM FAQs

Data Collection

  • HOOS-Jr, KOOS-Jr, SILS2, Oswestry Index Question, and VR-12.

  • Yes, we offer multiple ways for a patient to complete a survey. Generally patients will independently use the Patient Web App, a progressive web app, to answer their surveys. Alternatively, QR codes can be presented via the Provider Portal, the clinician-facing interface. This is typically managed in a clinical environment. Each QR code is specific to a patient and their survey touchpoint so that clinicians or healthcare staff can display the QR code on a tablet for the specific patient to complete their surveys. 

  • Reminders will automatically be sent to patients if a milestone (containing surveys) is not complete. The timing of the reminders is as follows:

    Pre-operative surveys: Reminders are sent to the patient every 14 days until completed or until the day of the procedure.  

    Post-operative surveys: Reminders are sent to the patient beginning of Post-Op day 300 and subsequently every 14 days until Post-Op day 390.

  • Reminders will be automatically sent to providers if a milestone (containing surveys) is not complete. The timing of the reminders is as follows:

    Pre-operative surveys:  A reminder will be sent to the provider 7 days prior to the day of the procedure 

    Post-operative surveys: Reminders are sent to the provider on Post-Op day 330, 360, and 390.

  • Yes, we can host a series of touchpoints that contain clinician-facing surveys. This would allow for historical data to be inputted and be stored alongside present day data.   Please contact us if you are interested in uploading historical data.  

  • Currently, we are able to support Spanish translations. If you need to use additional languages, please contact us. 

  • We can submit your data to CMS in the appropriate format in accordance with the submission deadline for each reporting period or we can provide you with the formatted data files for you to submit to CMS independently.

Escalation

  • We have an alerting system that will trigger an event based on a specific response from a survey.  For the THA/TKA PRO-PM, this event will only activate if a patient has not met the SCB threshold as set forth by CMS.  This only happens after completion of the Post-op survey.  At that point the SCB will be automatically calculated and you will receive an alert from Post-Op day 300 if the patient has not met the threshold.  Once an event is triggered, the following activities will take place:

    1. Send an alert to the provider team

    2. Automatically schedule a repeat survey for Post-op day 390.  This allows the provider team time to intervene and respond to a patient who is not improving.   

    3. Patients who initially are not meeting the SCB and get re-surveyed will have their best survey results included in the final submission to CMS.  Offering the provider team an opportunity to improve the quality of care the patient receives.   

Technical

  • Yes, alongside HIPAA, The Clinician is also compliant with ISO 27001, ISO 9001 standards and GDPR (2023/24) regulations.  Our platform is SOC2 Type 2 compliance certified.   

  • The Clinician is committed to protecting the privacy of every individual who uses our services. We comply with all relevant state, national, and international laws and regulations. This includes the U.S. Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any applicable regional privacy laws. Unless permitted or required by law, your patients’ information will not be shared without consent. On occasion, we may use de-identified information to help us improve our patient reported measures and digital care pathway programs.

  • The system is hosted on AWS virtual servers which are located in the United States (North Carolina). 

  • Yes, we use cloud-based data storage, hosted on AWS.  

  • Currently , we do not offer this functionality  Please contact us for more details.  

  • Yes, we follow HL7/FHIR interoperability standards which allows the seamless exchange of health data. This means we can integrate with EMRs (e.g. Allscripts, Epic, Cerner), PAS/ADT, Integration Engines, etc. We can also manage data exports into data warehouses, connections to an Active Directory, and ITSM software. For all integration work, please contact our team.    

Timeline

  • For the CMS THA/TKA PRO-PM program, we have  pre-built the pathway which significantly reduces the implementation time to 120 minutes.

Have any questions?

Contact us and we will be in touch to share more information.