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Due to the concentration of health care expenditures in a small percentage of the population, all health care stakeholders are interested in strategies to identify likely candidates for future high medical costs. Risk adjustment models often use demographic or diagnostic information to predict health care expenditures. Research suggests that patient-reported outcome (PRO) measures can enhance prediction of expenditures and improve risk adjustment.

QualityMetric's SF Expenditure Prediction™ Solution is a powerful enhancement to the interpretative value of the SF-36® and SF-12® Health Surveys, with benefits that include prediction of hospitalization, total medical expenditures, job loss and work productivity, future health, risk of depression, use of mental health care, and mortality. In a recent study (see below) the summary scores of the SF-12 Health Survey improved the prediction of expenditures over and above some of the traditional variables used for prediction, such as historical claims, diagnoses, and demographics.

The SF Expenditure Prediction Solution is a valuable asset to payers and providers of any size or level of analytic capability, with QualityMetric health outcomes measurement experts available to complement all aspects of study design, data scoring, analysis and interpretation, and presentation of findings.

Recommended Surveys

Generic
QualityMetric's SF-12, SF-12v2, and SF-8 Health Surveys are widely used for disease management purposes. Their reliability and validity in assessing the burden of disease has been demonstrated for more than 100 patient populations. Many studies document their ability to predict hospitalization, total medical expenditures, job loss and work productivity, future health, risk of depression, use of mental health care, and mortality.

Disease-specific
QualityMetric disease-specific surveys can be used alone to screen for and monitor impact on functional status and well-being, or paired with an SF™ Generic Health Survey to capture a more comprehensive picture of health status benefits resulting from treatment.

Modes of Administration
In addition to paper and pencil survey administration, many QualityMetric surveys are available for online, fax/scanning, PDA or IVR administration, offering accurate data capture and scoring, real-time patient reports, and aggregate-level data with interpretative guidelines.

Outcomes Insight Consulting Services

QualityMetric's Outcomes Insight™ Consulting Division has collaborated with health plans, disease management companies, employers and insurers, supporting care management through the scientifically valid measurement of patient-reported health status. From the development of a new or refinement of an existing disease-specific survey, to providing support in all aspects of study design and program evaluation, our consultants provide broad-based expertise involving the use and application of patient-reported outcomes survey.
For a list of services, click here.

Educational Programs & Manuals

Outcomes Education
QualityMetric offers an array of educational programs that can be customized to meet the needs of organizations exploring the value associated with PRO measurement in program effectiveness and population monitoring:

Manuals and User Guides
The breadth of QualityMetric's scientific measurement expertise is best evidenced in the manuals and user guides that accompany each of our survey products. They are also used independently for their research and interpretive value. Manuals include:

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QualityMetric News

A PRO Measurement Community

  • SF-36.org
  • Science, research, and academic discourse

  • amIhealthy.com
  • Consumer-focused for PRO survey administration

  • IQOLA.org
  • Global resource on the lingustic validation of PRO surveys