Solution

PromTime’s 360° architecture includes the calibration of real-life registries, a secure cloud care platform, statistical algorithms, targeted incentives, a learning community of clinicians, scientific governance, and data integrity audits.

Getting started on tracking outcomes is demanding. To address this challenge, we use an implementation Matrix with five key actions:

  1. Recording: measuring processes and outcomes through a scorecard and data platform
  2. Comparing: benchmarking teams through internal and external reports
  3. Rewarding: investing resources and creating outcome-based incentives
  4. Improving: organizing improvement cycles through collective learning
  5. Partnering: aligning internal forces and forging collaborations with external partners


The essential step is to
appoint a third party to implement a 360° architecture while ensuring data integrity through independent audits.

Source: adapted from EIT Health, Implementing Value-Based Health Care in Europe, Handbook for Pioneers (Director: Gregory Katz), 2020.
Measuring Health Gains

A treatment without complication does not necessarily imply a clinical benefit for the patient.

PromTime cross-references the data reported by clinicians (comorbidities, complications) with those reported by the patient (quality of life, functional recovery) for each care episode. 

The difference in the patient’s quality of life score before and after a care episode measures the health gains, i.e., the added value of a medical intervention adjusted to the patient profile.

Involving patients in health care evaluation

For a condition such as cataracts, patient-reported quality of life measures patient’s visual function in their daily activities, e.g., difficulties reading a newspaper, recognizing faces, or walking on uneven surfaces. 

Before surgery, patients answer nine standardized questions on a scale of 1 to 4. The same questions are asked again within three months after surgery. The difference between the pre and post-surgery scores measures the health gains or medical benefit of a procedure on the patient’s quality of life. 

PromTime’s holistic approach consists in

Calibrating questionnaires on patient quality of life through scientific validation;

Digitizing collections of real-world data without slowing activity;

Comparing results through case-mix adjustments to prevent adverse selection of patients;

Auditing the integrity of outcome data to ensure reliability and independence;

Encouraging health professionals for high-value care through targeted incentives;

Sharing outcomes with patients, practitioners, payers, and industrial partners.

Calibrating

We translate and calibrate PROM questionnaires using psychometric and statistic validation according to international guidelines.

Publishing these standardized instruments in the scientific literature is a prerequisite for patients and clinicians to benchmark their outcomes rigorously. 
Digitizing

PromTime digitizes data collection of patient- and clinician-reported outcomes.

Our digital platform measures and compares real-life outcomes in real-time through ergonomic dashboards dedicated to patient and clinician user experience.   

Comparing

PromTime develops algorithms that stratify patient profiles into homogeneous, statistically comparable groups.

These algorithms anticipate the expected health gains and help clinicians avoid inappropriate treatments.
Auditing

PromTime performs in-depth audits on data integrity in three dimensions

Encouraging

PromTime implements a Financial Incentive for Advanced Transparency (FIAT).

The aim is to encourage practitioners to share health gains with patients, professionals, payers, providers, and industrial partners

Sharing

PromTime facilitates transparency on health gains through remuneration-based incentives and reputational dynamics

  1. PromTime shares the average health gains of participating clinicians. This transparency generates visibility, attractiveness, and patient referrals for clinicians who seek to avoid inappropriate treatments.
  2. PromTime introduces the Financial Incentive for Advanced Transparency (FIAT) to encourage participating clinicians to disclose their average health gain score through open benchmarks accessible to the health system users.

 

Benchmarking provides a mirror, not judgment., This open comparison aims to encourage clinicians to reach out to peers with higher scores to improve practices through peer-to-peer dialogue. Transparency on health gains encourages a learning community that fosters collective dynamics and mutual assistance.

Making health gains transparent is a solid lever to transform health systems and enable

Mission

PromTime creates transparent ecosystems based on patient-reported health gains.

Team

PromTime brings together unique talents driven by a passion for outcomes

Experiment

The French Ministry of Health & the national payer choose PromTime to implement a value-driven health system

Publications

PromTime publishes scientific articles on Value-Based-Health Care