PREMs and PROMs

Improving patient experience is not only a key dimension of the quadruple aim, it is a key part of the implementation of Health Care Homes (HCHs). It is important that HCHs have an understanding of their impact on patient-reported experience (PREM) and patient-reported outcomes (PROM) when partnering with those who have a chronic illness or long term conditions. A validated patient feedback tool that was developed to assess this impact across the Co-Creating Health project in the UK is the Patient Partnership in Care (PPiC) tool. The PPiC is both a PREM and PROM for people with chronic disease and provides HCHs with benchmarked feedback. In Co-Creating Health, the PPiC was not only used as an evaluation tool, it was also used in the training materials for clinicians. By undertaking the PPiC early in the implementation of CCH, clinicians were orientated to the importance of patient feedback and were able to set goals based on the results of their PPiC feedback. The PPiC is evidence-based. It is not only evaluative but also an important development tool or ‘vital sign’ to alert and assist HCHs and their terms to deliver more patient-centred care.

Background to the patient survey:

The PPiC was developed in the UK for Co-Creating Health and adapted in Australia for use by general practices. You can read more about the development of the tool in the research article attached. It has two parts; a Patient Reported Experience Measure (PREM) and a Patient-Reported Outcome Measure (PROM) designed for caring for persons with chronic conditions. PPiC has been implemented by many general practices in Australia which provide us with a measure of benchmarks that are included in the comprehensive reports. The tool can be administered in a number of ways, including electronic format (smart devices) and paper-based. Our experience, through practice accreditation, has shown that most practices prefer the paper-based version. This version is a simple exit-survey with minimum burden on practices, and it takes the patient 2-3 minutes on average to complete. Practices are unable to see the completed questionnaire as they are placed in a sealed envelope and returned to CFEP Surveys for processing. This process ensures patient anonymity and improves the honesty of responses. For more information about how to access the survey and costs, please feel free to contact us