What is ROMS?
Intended for use by all rehabilitation professionals, ROMS is an Internet based software system to track, analyze, graphically trend and report patient progress and rehabilitation outcome measures. ROMS utilizes a comprehensive array of occupational, functional and symptom outcome measures, each with clinically meaningful benchmarks. Years of research and development have established sound reliability and validity of key ROMS measures. Through ROMS the user obtains graphical patient measure scores, and views key trends for each measure that illustrate patient progress.
For clinic performance analysis, in phase II, ROMS will generate aggregate patient outcome trends based on user-selected criteria including diagnosis, physician, insurer, client characteristics, and more. ROMS is designed to produce finished printed reports that capture patient and clinic progress and status.
After obtaining the patient input through paper pencil and/or observational testing, ROMS users then access the internet for test scores inputting. ROMS reports are then generated and immediately returned via e-mail. In addition to individual patient reports, beginning in 2004, the ROMS Service will also automatically generate quarterly reports of user-selected facility aggregate outcomes that demonstrate the facility’s effectiveness based upon diagnosis, referral source, insurer and/or other selected criteria. These reports are useful for both marketing clinical performance analysis.
Ultimately, through ongoing research and development, ROMS will promote best evidence based practice at the clinic and industry levels.
What ROMS Features:
General
Highlights
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Core measures have strong rehabilitation theory and statistical validation basis
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Combines occupational outcome with functional progress measurement
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Monitors client improvement relative to occupational and daily living demands & symptom coping
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Addresses physical, emotional and cognitive impairments across all injury/disability groups
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Easy to use graphical presentation facilitates determination & reporting of individual progress
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Aggregate statistics allow monitoring and analysis of clinical outcomes & performance
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Internet based data input minimizes professional & internal administrative time
General Benefits
Client Outcome Measurement
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Justifies continued funding by demonstrating patient occupational and functional gains
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Reduces time for initial, progress and discharge report preparation
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Facilitates client needs assessment, client involvement and treatment selection
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Facilitates rehabilitation through identification of client perceived barriers
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Guides decisions regarding likely benefit of extended or altered treatment
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Compares progress to pre-morbid and objective treatment end-point criteria
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Monitors client progress across diverse interventions/professionals
Facility
Aggregate Outcome Measurement
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Track and demonstrate success with quarterly aggregate reports
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Identify and compare facility’s outcomes across diagnoses, client characteristics and referral sources to monitor
facility’s performance
A Sense of ROMS Look and Feel
Simplify/Support the Assessment Application & Show Reasonable/Necessary Assessment By:
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Rehabilitation Survey of Problems & Coping (R-SOPAC) |
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Rehabilitation Activities of Daily Living Survey (R-ADLS) |
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Functional Status Measures (FSM) |
Evaluating Treatment Goals Through ROMS System
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Treatment Goal |
Ap
Applicable
ROMS Measurement Tool |
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Pain Reduction |
Rehabilitation Survey of Problems &
Coping
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Physical, Emotional &/or Cognitive Symptom Reduction |
R-SOPAC
(Varied
symptom intensity scales) |
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Pain Coping |
R-SOPAC (Pain symptom coping scale) |
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Physical, Emotional &/or Cognitive Coping Improvement |
R-SOPAC (Varied symptom coping scales) |
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Return to/improvement in normal living |
Rehabilitation Activities of Daily Living Survey
(R-ADLS):
Individual and aggregated daily activities scales |
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Return to/improvement in work activities |
Functional Status Measures
(FSM):
PDA linked work demands |
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Improved Life Roles |
Rehabilitation Checklist (RCL):
Individual life roles disability scales |
ROMS incorporates all of RREES’s measures, which can be reviewed in the Assessment Products section of www.rrees.com/mainprofessionals.html. The following are examples of the many ROMS graphs available.
Note that the screen shots below are from a prior non-internet based version of ROMS, but the internet version has similar functionality.
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| Outcome Measurement Scores Input Screen. |
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| Individual Client Progress Trend – R-SOPAC. |
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| R-SOPAC Domain Aggregates. |
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| Aggregate Trend – Functional Status Markers. |
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| Life Role Domains – Rehabilitation Checklist. |
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| Primary Domains: Activities of Daily Living. |
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| Domain Specific ADLs: R-ADLS. |