Methodological Issues In The Selection, Administration And Use Of Patient-Reported Outcomes In Performance Measurement In Health Care Settings Final manuscript, Sept.28, 2012 David Cella, Ph.D., Elizabeth A. Hahn, M.A., Sally E. Jensen, Ph.D., Zeeshan Butt, Ph.D., Cindy J. Nowinski, M.D., Ph.D., Nan Rothrock, Ph.D. Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University 710 N. Lake Shore Drive Abbott Hall, Suite 729 Chicago, IL 60611 Phone: 312-503-1725 Email:
[email protected] The authors thank Kathleen Swantek, MLIS, for assistance with reference management, and we thank the following for their helpful comments on the content of this paper: Karen Adams, Ph.D., MT; Ethan Basch, MD, MSc; Victor Chang, MD; Stephan Fihn, MD, MPH; Floyd Jackson Fowler, Ph.D.; Lewis Kazis, Sc.D.; Kathleen Lohr, Ph.D.; Jennifer Moore; Eugene Nelson, DSc, MPH; Kenneth Ottenbacher, Ph.D., OTR; Karen Pace, Ph.D., MSN; and Mary Tinetti, MD. Methodological PRO issues 1 I. Introduction The increasing integration of health care delivery systems provides an opportunity to manage the entire patient-focused episode of care1 and to assess the impact of care on patient outcomes, including patient-reported outcomes. The National Quality Forum (NQF) commissioned this paper as part of an initiative to find patient-reported outcomes that might be considered along with the tools by which data on them are collected as a new dimension in the types of performance measures NQF endorses. This paper reviews issues to consider when evaluating patient-reported outcomes (PROs)2 as candidate performance measures in health care settings.