Study of Clinical Outcomes Recording and Evaluation
Science and medicine cannot stand still, we are committed to improving our care and treatment programmes in orthopaedics and sports medicine, through continuously measuring, monitoring and evolving. We have developed a clinical outcomes measurement tool to evaluate our patient's treatment, so that when we say we can get you better, we really know we can.
This system is known as SCORES - the Study of Clinical Outcomes Recording and Evaluation System. For it to be truly beneficial for future patients, the involvement and cooperation of our existing patients is crucial to help us collect, record, and analyse the clinical outcomes (results) of our work, and to measure the quality of the service we offer.
To gather information for SCORES, we ask each patient to answer some short questionnaires about their condition and general health, both now and how it changes over time. There is no obligation to take part in these questionnaires, however we encourage all our patients to partake so that we can review our clinical work and treatment guidelines, helping us improve the quality of care we provide in the future.
Although we may publish our results or share information with our health partners, this involves only aggregated, anonymous data and it is not personally identifiable. To read our data protection policy click here.
If you have any queries or comments about SCORES, please contact our Outcomes Team.
Please choose a category below for more information:
What are clinical outcomes?
Clinical outcomes are defined as a “change in health likely to be due to a medical/clinical intervention or series of interventions”. They can be measured by examining the impact treatment has on things that people care about ─ such as how much pain they are feeling, and their ability to carry out activities.
The change is measured by collecting information from patients before and after treatment. This information is put into context by also collecting details about a patient’s general health, his/her age and gender, and their level of physical activity.
Why is collecting clinical outcomes important?
Unless we systematically measure clinical outcomes, we cannot be sure what effect our treatments have. SCORES allows us to audit and evaluate the treatment we give and to determine the standard of care we provide. It helps us identify any problems or undue complications; we can then take action to prevent these happening again. In the long term, evaluating the outcomes of treatment provides evidence of its benefits, risks and results. Patients and clinicians can use this information to determine which treatment would be best for their condition.Do clinical outcomes have to be collected?
It is not a legal requirement to collect clinical outcomes but we believe it is an important part of ensuring the highest standards of treatment and it is part of our commitment to providing excellent care.
Which patients are included in SCORES?
SCORES is still being expanded, but eventually all patients receiving treatment from clinicians who are part of the Fortius Clinic will be invited to participate.
What are patients asked to do?
Patients are invited to complete different questionnaires ─ both before and after treatment. How often and exactly when they are completed after treatment will depend on the type of condition you are being treated for. We ask our patients to complete questionnaires themselves without including our own assessment of them as this often provides a more accurate picture of how they really feel. After all, whether you are happy with the outcome of your treatment is more important than whether we are!
Is taking part compulsory?
No, certainly not. We don’t insist patients complete the questionnaires, although we do encourage all our patients to do so. The greater the number of patients completing questionnaires, the more accurate and insightful the results and findings will be. This will then benefit future patients.
How are the questionnaires completed?
The questionnaires can be completed online. Patients receive an email from us before their first appointment with a link to the SCORES patient portal.
If this is not convenient, the initial questionnaire can be completed in the clinic before your first appointment. Patients who would prefer to complete the questionnaire in the clinic are asked to arrive at least 15 minutes before their scheduled appointment time. If you need help completing the questionnaire, please ask the clinic staff – they will be pleased to help in any way they can.
We use three types of questionnaire, each measuring different elements of your health. Some questionnaires are also referred to as ‘PROMS’ (Patient Reported Outcome Measures) or ‘scores’.
Condition specific scores
These scores measure factors directly related to the problem you have, such as a knee or shoulder condition. They are used throughout the world and have been developed specifically to detect and measure changes in musculoskeletal conditions. Although you may feel that not all the questions apply to you, it is important that you still answer them if you can.
Patients are invited to complete this type of score questionnaire before their first appointment and at various stages after treatment. Sometimes patients may be asked to complete a different score questionnaire once a diagnosis has been made.
Patient history questionnaire
This form gathers information about your condition as well as your general health and activity levels. It helps us to evaluate the effect of your treatment in more depth, for example by showing that the outcome is better if surgery is done at a specific time after an injury, or when patients are in good health. We appreciate that you may be asked these questions again during your consultation – this is because the surgeon likes to hear about these matters directly from you; however, systematically collecting this information as part of SCORES means it can be analysed more easily. Patients will only be asked to complete this form at the start of treatment.
The EQ-5D is a very short, simple online measure of general health developed by an international health outcomes organisation. It allows us to measure any changes in a patient’s general health and wellbeing.
What happens to the information that patients provide?
We analyse the data to audit and evaluate the care we give. It gives us a greater understanding of the benefits and risks of the treatments we provide, giving us an opportunity to improve and develop these as required.
Although we may publish our results or share information with our health partners, this will involve aggregated, anonymous data only and it will not be personally identifiable. Amplitude, the company which runs the SCORES software, also runs some national orthopaedic registries and, with a patient’s permission, their data may be passed to them.
How secure is my personal data?
The information is securely stored by Amplitude, the company running the SCORES software. Their data centre is ISO 270001 certified which means that the information they store is secure.
Although we require personal information such as your name and date of birth, this is only so that we are able to link the questionnaires answered to the treatment that is given.
Under no circumstances will any personally identifiable data will be passed to any other parties without your permission.