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!”
Past President of the National Association of Orthopaedic Nurses USA (NAON)
“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.
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
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. Avoid penalties for not meeting SCB 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
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
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
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
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
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HOOS-Jr, KOOS-Jr, SILS2, Oswestry Index Question, and VR-12.
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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.
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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.
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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.
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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.
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Currently, we are able to support Spanish translations. If you need to use additional languages, please contact us.
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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
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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,you can perform the following activities:
Send an alert to the provider team
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.
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
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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.
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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.
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The system is hosted on AWS virtual servers which are located in the United States (North Carolina).
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Yes, we use cloud-based data storage, hosted on AWS.
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Currently , we do not offer this functionality Please contact us for more details.
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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
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For the CMS THA/TKA PRO-PM program, we have pre-built the pathway which significantly reduces the implementation time to 120 minutes.