Promtime - PromOphta - Comparing patients’ health gains in real life

Objective

Improve patient outcomes for ophthalmic teams comparing cataract surgeries

Background

Method

Deployment of cataract-specific PROM instrument calibrated for digital use to French-speaking users (Catquest-9SF).
Evaluation of health gain of patients based on their PROM scores before and after surgery
Analysis of results according to statistically homogeneous case-mix severity
Digitization of clinical data collection via PromLive platform, interoperable with teams' business software

Results

0 %

of surgeons changed their practices

0 %

changed their relationship with their patients

0 %

changed their indications

+ 0 %

increase in average patient health gains

patients included

health gains audited

Scientific Advisory Board

The scientific advisory board of the PromOphta registry is supported by the VBHC Consortium, a non-profit organization headed by Marie-Josée Augé-Caumon and Dr. Jean-Pierre Thierry

Pr. Béatrice Cochener, president of the Collège National d’Ophtalmologie
Dr. François Lignereux, Institut Ophtalmologique Sourdille Atlantique
Dr. Vincent Dédès Syndicat National des Ophtalmologistes de France
Pr. Michel Weber, Ophthalmology Department, CHU de Nantes
Pr. Dominique Monnet, Ophtalmology Department, hôpital Cochin, APHP, Vice Président of the SAFIR
Dr. Pascal Rozot Ophtalmologiste, president of the Société de l’Association Française des Implants et chirurgie Réfractive (SAFIR)

The French national payer has allocated €0.9 million to PromCat experiment

to launch a pioneering ecosystem that incentivizes practioners on high-value care for cataract surgery journal officiel on July 30, 2020 and updated in the Journal Officiel de la République Française on November 10, 2023).

A few figures

Our objectives by 2025

health professionals mobilized

patients involved

surgeries evaluated

of health gains shared

0 %

Health gains

Health gain measures the impact of a surgery on patients' visual quality of life in daily activities.

The goal is to compare health gains from 18,700 cataract surgeries for 11,000 patients by 2025.

The objective is to demonstrate that value of care increases when patient outcomes are measured and shared.

Health gains measure the clinical benefit of cataract surgery for patients. It is the difference between the patient’s visual abilities in everyday activities before and after surgery.

Innovation

Through this experiment, PromTime introduces two pioneering innovations

Transparency model

The average health gains of medical teams are shared with patients, surgeons, independent professionals, payers, providers, and industrial partners.

A fee for sharing health gains

A Financial Incentive for Advanced Transparency (FIAT) encourages practitioners to generate and share patient health gains (€30 per case).

This experiment aims to demonstrate that transparency on health gains contributes to reducing the number of inappropriate surgeries, i.e., those associated with low visual benefits for patients.

The objective is to improve the health system efficiency by optimizing the number of cataract surgeries, which grew by nearly .

Mission

PromTime compares patients’ health gains in real life

Solution

PromTime's 360° architecture includes calibration, digitization, algorithms, incentives, audits & scientific governance

Team

PromTime is a team of talents driven by a passion for results

Publications

PromTime publishes scientific papers on PROM instruments and Value-Based Healthcare