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Objective

Improve patient outcomes for ophthalmic teams comparing cataract surgeries

Background
  • Nearly one million
    cataract surgeries performed per year
  • +40% increase
    in the last seven years at constant budget
  • 1 billion € spent
    on cataracts annually by Health Insurance
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

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).

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 .

 

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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.

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