Overview

The OOC’s flagship service is the Outcomes Management and Evaluation (OME) system, which is used across the institution to systematically collect patient-reported outcome measures (PROMs) in a highly structured and consistent manner. OME is a cost-effective, scientifically valid, scalable electronic system for collecting PROMs and clinical information surrounding an episode of care:

  • Cost-effective: makes use of commodity hardware, built into existing workflow
  • Scientifically valid: 95%+ baseline enrollment and 70%+ 1-year follow-up helps prevent bias, and usage of validated PROMs ensures results can be consistent with the scientific literature
  • Scalable: ability to handle high patient volumes across a wide range of interventions, and operate seamlessly within Cleveland Clinic locations regardless of geographic dispersion as well as with outside institutions for multicenter collaboration

Initially launched in 2015 an “Episode of Care” supplement to the OOC’s former OrthoMiDaS system, OME has since supplanted OrthoMiDaS to establish itself as the de-facto data collection mechanism for orthopaedic surgery. The data collected through this system feeds the OME Cohort, a powerful prospective cohort that supports standard of care, quality initiatives, and three primary points of research focus:

  1. Determine patient and clinical factors that predict patient-reported pain and function prior to orthopaedic surgery
  2. Determine predictors of patient-reported and clinical outcomes one year after orthopaedic surgery
  3. Compare 1- and 2-year patient-reported outcomes of orthopaedic surgery

Current Enrollment

As of August 2019, OME is active at 16 Cleveland Clinic hospitals and ASCs and covers over 95% of elective orthopaedic surgery cases performed on the knee, hip, and shoulder, ranging from arthroscopy to arthroplasty. OME is also used in select spine, hand, wrist, foot, and ankle surgeries, as well as for patients receiving non-surgical orthobiologic treatment and patients undergoing MRI scans for sports injuries. Over 45,000 episodes of care representing over 40,000 patients have been collected to date with average baseline PROM completion rates of over 95% and 1-year follow-up PROM completion rates of over 70%. Additional orthopaedic and non-orthopaedic procedures are being added to the OME portfolio regularly.