What is the patient promise?

"The Patient Promise" can refer to different concepts, most commonly the Patient-Reported Outcomes Measurement Information System (PROMIS), a set of tools measuring health status. It can also refer to a pledge by healthcare providers to practice healthy lifestyles themselves, fostering patient partnership, or specific commitments hospitals make to treat patients with respect, privacy, and clear communication, like Vanderbilt Health's "Patient & Family Promise".

What does "Promis" stand for?

PROMIS® stands for Patient Reported Outcomes Measurement Information System, which is a system of highly reliable, precise measures of patient–reported health status for physical, mental, and social well–being. PROMIS® tools measure what patients are able to do and how they feel by asking a number of questions.

Is PROMIS still used today?

PROMIS measures are developed using rigorous methodology and are being used to expand into new areas of self-reported health. The validity of PROMIS continues to be supported in the qualitative and quantitative evidence being published in the scientific literature.

What is PROMIS software used for?

PROMIS® (Patient-Reported Outcomes Measurement Information System) is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. It can be used with the general population and with individuals living with chronic conditions.

What are the PROMIS 10 measures?

The PROMIS 10 consists of ten (10) items that measure physical health, physical functioning, general mental health, emotional distress, satisfaction with social activities and relationships, ability to carry out usual social activities and roles, pain, fatigue and overall quality of life.

Our Patient Promise

What is a normal PROMIS score?

For any given PROMIS domain, a score of 50 represents the average of a reference population. This reference score allows clinicians to compare outcomes following orthopaedic intervention.

What are the 5 D's of healthcare quality?

The overall objective of health care is to improve the health of patients, and the health of patients is assessed through outcome measures. A historical classification of outcomes consists of the 5 Ds: death, disease, disability (functional status), discomfort (quality of life), and dissatisfaction.

Is PROMIS free to use?

For those wishing to implement PROMIS, numerous short forms covering a wide range of domains are available free of charge from the healthmeasures.org website. Furthermore, custom short forms can be created which match the clinical features and symptom severity in the target population.

What is the PROMIS pain assessment?

The PROMIS Pain Interference item banks assess self-reported consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities.

What is PROMIS oncology distress screening?

PROMIS Oncology Distress Screening uses the NIH's Patient-Reported Outcomes Measurement Information System (PROMIS) (PROMIS) tools to efficiently and accurately measure a cancer patient's emotional, physical, and social well-being, identifying needs like anxiety, depression, fatigue, and pain so clinicians can provide timely support, especially in telehealth settings. These standardized, reliable digital questionnaires adapt to the patient's answers, making screening more precise and integrating directly into electronic health records (EHRs) for automated alerts and referrals. 

What is the age range for the PROMIS?

These PROMIS Pediatric Profile instrument is intended for pediatric self-report (ages 8-17). The PROMIS Parent Proxy Profile is intended for parents serving as proxy reporters for their child (youth ages 5-17).

What is a patient-reported outcome?

A Patient-Reported Outcome (PRO) is direct feedback from a patient about their health, symptoms, or quality of life, collected without clinician interpretation, using tools like surveys or diaries to capture their experience with a condition or treatment's impact on daily living, functioning, and overall well-being, crucial for understanding care effectiveness. 

What is the health outcome scale?

The Health of the Nation Outcome Scales (HoNOS) is a clinician rated instrument comprising 12 simple scales measuring behaviour, impairment, symptoms and social functioning for those in the 18 - 64 years old age group. Rate items in order from 1 to 12. Use all available information in making your rating.

How is PROMIS anxiety scored?

Scoring and Interpretation

Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 7 to 35 with higher scores indicating greater severity of anxiety.

What are the three types of outcome measures?

Outcome measures that we use in clinical practice are divided into four categories:

• Self-report measures.
• Performance-based measures.
• Observer-reported measures.
• Clinician-reported measures.

How many PROMIS measures are there?

PROMIS includes over 300 measures of physical, mental, and social health for use with the general population and with individuals living with chronic conditions.

Which pain scale is most accurate?

The NRS is a valid and reliable tool for pain assessment. Although the NRS has various forms, the most commonly used one is the 11-point NRS [29]. This 11-point numerical scale ranges from 0 to 10, where 0 represents no pain, and 10 represents the worst pain imaginable.

What are the 7 components of pain assessment?

Pain has seven dimensions, or core aspects: physical, sensory, behavioral, sociocultural, cognitive, affective, and spiritual. To perform a comprehensive pain assessment, you must understand what each dimension encompasses and be able to evaluate all dimensions accurately.

What do PROMIS scores mean?

A PROMIS score is a standardized score from the Patient-Reported Outcomes Measurement Information System, a set of reliable tools measuring physical, mental, and social health by asking patients how they feel and what they can do, with scores often converted to a T-score (mean 50, SD 10) for easy comparison: above 50 means better than average for that concept (e.g., less fatigue, better function), while below 50 means below average, helping clinicians track progress and design better care plans.
 

What does PROMIS mean?

"PROMIS" most commonly refers to the Patient-Reported Outcomes Measurement Information System, a National Institutes of Health (NIH) system of standardized questions to measure patients' physical, mental, and social health, helping doctors understand how treatments affect daily life beyond lab tests. Less commonly, "promis" (without the capital letters) is the French past participle of "promettre," meaning "promised" or "destined for," as in "un enfant promis à un bel avenir" (a child destined for a bright future). 

How to score the PROMIS questionnaire?

At the core of PROMIS scoring is the T-score metric. This scoring method uses a standardized metric where 50 represents the average score of a reference population, and each 10-point change corresponds to one standard deviation from that average.

What is the T-score for PROMIS depression?

A PROMIS Depression T-score uses a scale where 50 is the average (mean) for the general population, with each 10 points representing one standard deviation (SD) above or below average, so 60 is one SD worse, and 40 is one SD better, with higher scores indicating greater depression severity, often mapped to clinical levels like mild (55-60), moderate (60-70), and severe (70+) to guide interpretation and treatment goals. 

What are the 3 C's of high quality care?

Perspective: Consistency, Continuity, and Coordination—The 3Cs of Seamless Patient Care. Amid our efforts to improve health care quality, we can easily lose sight of the most basic questions. Consider evidence-based clinical guidelines, protocols, and pathways.

What are the 7 pillars of quality?

7 key quality management principles—customer focus, leadership, engagement of people, process approach, improvement, evidence-based decision making and relationship management.

What are the 5 A's of health?

The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit. (You may wish to develop your own vital signs sticker, based on the sample below).