Dr. Iltifat Husain’s physician take is at the end of this article
In order to quantify the quality of a patient’s recovery after surgery and anesthesia, iTeachU Ltd has created a mobile app, PostopQRS, that includes a series of questions that they state: objectively measure patient recovery, which are clustered into five different domains (physiological, emotive, nociceptive, activities of daily living, and cognitive) and one self-assessment domain.
In light of the fact that federal regulators and private insurers are looking for ways to measure quality of care, PostopQRS will likely fill a need for both clinicians and healthcare executives. The app, which takes about 5-6 minutes to complete and can be conducted by clinicians in person or over the phone, evaluates the effects of surgery from both the clinician’s and patient’s perspective. It’s available in English, French, Spanish, Portuguese, Chinese, and Japanese.
The goal of the PQRS app is to change the focus of postop care, according to its developers, moving away from perioperative hospital measurements to metrics that look at the daily outcomes of patients once they have left the facility. Those parameters include pain, nausea, physical and emotional recovery, and return of cognitive functioning. The app is used in conjunction with a pre-surgery PQRS assessment. Postoperatively, the program is designed to evaluate 4 time periods, as outlined on the PQRS web site:
- Within 10-30 minutes after recovering from anesthesia
- Within the first few hours after the surgical procedure
- During the first week after surgery
- Typically months after the surgery
During the patient evaluation, the patient is asked questions to assess their pain level on a visual scale, estimate their level of depression, choose a visual representation of their mood, asked if they are able to stand without assistance, asked to repeat a short series of numbers, and asked to assess the impact that the surgery has had on their ability to work.
Once the pre and postop data is collected, it can be exported “into a format that can be analysed using conventional statistical packages. Information on scoring recovery data is available on the members’ homepage.”
Dr. Iltifat Husain’s take:
These types of mobile assessments are going to become more commonplace as HHS continues the shift towards quality of care — even though their definition of quality is still very nebulous right now. A big focus of the PostopQRS is anesthesia recovery times. This post op app cites three studies on their website for evidence of their clinical tool working or not. Unfortunately — not a lot of research and further, no validation studies done yet. I’m assuming the researchers are working on validation studies as before this app is used by anyone they should make sure it’s a validated assessment score. However, it’s a great example of how pre and post op assessments will be done using mobile devices in the future.
PostopQRS byBy iTeachU Ltd