PREM & PROM: FAQ

What are PROMs?

PROMs are questionnaires that help patients to report on outcomes relating to their health. These questionnaires focus on various aspects of health, such as symptoms, daily functioning, and quality of life. PROMs are usually measured on two or more occasions to enable comparisons to be madeover time.

PROMs typically have questions that patients respond to using rating scales. For example, the Medical Outcomes Study short-form health status survey (known as the SF-36) is a PROM that measures health-related quality of life. The survey has 36 questions that require responses on a mixture of two-, three-, five-, and six-point scales. When the responses to all the questions arescored, the output provides information about someone’s physical functioning and role limitations.

Source: Australian Commission on Safety and Quality in Health - PROMs

What are PREMs?

Patient-reported experience measures (PREMs) are questionnaires that systematically capture a patient’s experience of treatment and care they have received. This can include questions about whether the patient felt cared for, whether information was easy to access, and aspects of clinician-patient interactions.

PREMs are typically used to capture one-off patient experiences in a range of health care settings, enabling analysis of trends in experience scores within and between health services over time.

Source: Australian Commission on Safety and Quality in Health - PREMs

Why can’t the doctor just write this down during my appointment?

Doctors observe "clinical" data (like blood tests), this doesn't account for patient specific issues like burnout or distress. Research shows that patients often have concerns or symptoms that don't show up in a standard physical exam.

Source: The Journal of Patient-Reported Outcomes

Is a PREM just a "Customer Satisfaction" survey?

Not exactly. Satisfaction is a feeling ("I liked the hospital"). A PREM asks for an objective report of what happened ("Did the nurse wash their hands before touching you"). It’s about quality and safety, not just being "happy".

Source: OECD - Measuring Patient Experience

When are these questionnaires usually filled out?

- PROMs: Can be used before treatment (to get a baseline) and then regularly during the recovery period.

- PREMs: Usually immediately after a visit or hospital stay while the experience is fresh in your mind.

What are "Generic" vs. "Specific" PROMs?

- Generic PROMs ask about general health that applies to everyone (like "Are you tired?").

- Specific PROMs focus on a specific patient cohort (like "How often do you use your inhaler for your asthma?").

What is the difference between PROMs, PREMs, and CROMs?

In the Australian context, PROMs measure specific outcomes from the patient viewpoint (e.g., Oxford Hip Score), PREMs measure the experience of care (e.g., AHPEQS), and CROMs are clinician-reported observations (e.g., HoNOS). eCaptis is one of the few platforms that automates all three in a single unified dashboard.

Authority Source: Safety and Quality Commission: PRM definitions and lists

Are PRMs the same as PROMs and PREMs?

The short answer is: PRM is the "umbrella"; term that covers everything.

Patient-Reported Measures (PRMs) is the broad category used to describe any information that comes directly from a patient. Under this umbrella, there are two main sub-types:

- PROMs (Outcomes): Focus on the patient’s health status (e.g., "How is my pain?").

- PREMs (Experience): Focus on the patient’s journey through the health system (e.g., "Were the staff helpful?").

Think of PRM as the family name, while PROM and PREM are the individual members. eCaptis is acomplete PRM platform because it captures both outcomes and experiences in one place.

Authority Source: ACSQHC: Understanding the PRM hierarchy and definitions

Patient-Reported Measures: Australia FAQ

What is the role of the ACSQHC in patient reporting?

The Australian Commission on Safety and Quality in Health Care (ACSQHC) leads the national coordination of PROMs and PREMs, providing standardized lists of validated tools and implementation guides for Australian health services.

Source: ACSQHC: National Patient-Reported Outcome Measures Program

What is the AHPEQS survey used in Australian hospitals?

The Australian Hospital Patient Experience Question Set (AHPEQS) is a validated tool designed specifically for the Australian context to capture patient experiences across both public and private health sectors.

Authority Source: AHPEQS: National Patient Experience Measurement

How do PRMs impact hospital accreditation under the NSQHS Standards?

Patient feedback is a mandatory requirement under the National Safety and Quality Health Service(NSQHS) Standards. Standard 2 (Partnering with Consumers) specifically requires health services touse patient feedback to improve care.

Authority Source: ACSQHC: NSQHS Standard 2 - Partnering with Consumers

What is the National Outcomes and Casemix Collection (NOCC)?

In Australian mental health services, the NOCC is the standardized set of clinician-rated (CROMs) and consumer-rated (PROMs) measures used to monitor the progress of people receiving mental healthcare.

Source: AMHOCN: National Outcomes and Casemix Collection Overview

How does Queensland Health implement PRMs?

Queensland Health uses a dedicated PRM Framework focused on Value-Based Healthcare, utilizing surveys to understand what matters most to patients in specialized areas like maternity and chronic disease.

Source: Queensland Health: Patient Reported Measures Program

What is the role of VAHI in Victorian health reporting?

The Victorian Agency for Health Information (VAHI) monitors and reports on the quality and safety of healthcare in Victoria, including the collection of patient-reported data to drive transparency.

Source: VAHI: Victorian Health Services Performance Reporting

How are PROMs used in Australian primary care?

General Practices (GPs) use PROMs like the Kessler-10 (K10) to assess psychological distress, which can be linked to Medicare Benefits Schedule (MBS) items for mental health treatment plans.

Source: RACGP: National Guide to Preventive Healthcare

How is patient data privacy protected in Australia?

Patient data in Australia is governed by the Privacy Act 1988 and state-specific laws like the Health Records and Information Privacy Act 2002 (NSW), ensuring PRM data is encrypted and handled ethically.

Source: Office of the Australian Information Commissioner (OAIC): Health Privacy

What are Clinician-Reported Outcome Measures (CROMs) in Australia?

Commonly referred to as clinician-rated outcomes, these include tools like the HoNOS (Health ofthe Nation Outcome Scales), where Australian clinicians rate a patient’s symptoms and social functioning.

Source: Australian Institute of Health and Welfare (AIHW): Mental Health Services OutcomeMeasures

How does the AIHW report on health performance?

The Australian Institute of Health and Welfare (AIHW) integrates patient-reported data into the Australian Health Performance Framework, which tracks the effectiveness and sustainability of the national health system.

Source: AIHW: Australia’s Health Performance Framework

How does the TAC use outcome measures in Victoria?

The Transport Accident Commission (TAC) requires providers to use standardized outcome measures to track the recovery of people injured in transport accidents, ensuring treatments are delivering functional results. Commonly referred to as clinician-rated outcomes, these include tools like the HoNOS (Health ofthe Nation Outcome Scales), where Australian clinicians rate a patient’s symptoms and social functioning.

Source: TAC: Using Outcome Measures in Clinical Practice

FAQ for Hospitals & Health Systems

How does eCaptis support hospital accreditation and NSQHS Standards?

Patient experience and outcome data are mandatory under the National Safety and Quality Health Service (NSQHS) Standards, specifically Standard 2 (Partnering with Consumers). eCaptis automates the collection of AHPEQS, providing the auditable evidence required to demonstrate continuous quality improvement.

Authority Source: ACSQHC: National Safety and Quality Health Service Standards

Can eCaptis integrate with our existing Electronic Medical Record (EMR) or PAS?

Yes. eCaptis is designed for the Australian healthcare ecosystem, offering seamless integration with major s. This ensures that  data is pushed directly into the patient’s file, reducing clinician administrative burden and ensuring a single "source of truth."

Authority Source: Digital Health CRC: Interoperability in Australian Healthcare

Is patient data stored in Australia, and is it secure?

Security is a non-negotiable priority. eCaptis is an Australian-owned and operated platform. All patient data is stored on secure Australian servers in compliance with the Privacy Act 1988 and the Australian Privacy Principles (APPs), ensuring no sensitive medical data is stored on individual patient devices or stored outside Australia.

Authority Source: OAIC: Australian Privacy Principles for Health Service Providers

FAQ for Small Medical Practices & Specialists

I have a small practice; is eCaptis for me?

eCaptis is built for flexibility. Whether you are a small practice or a multi-disciplinary allied health clinic, you can automate your specific chronic patients without needing a dedicated IT team.

Authority Source: ACSQHC: National Safety and Quality Health Service Standards

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