The article by Nick Black, a professor of health services research at the London School of Hygiene and Tropical Medicine, discusses the potential of patient reported outcome measures (PROMs) to transform healthcare. PROMs are tools that help patients and clinicians make better decisions and enable comparisons of provider performance to improve services. The article highlights the importance of linking doctors' use of PROMs with data collection and aggregation to assess and compare provider performance, thereby enhancing healthcare quality. PROMs are categorized into disease-specific and generic types, with the former tailored to specific conditions and the latter focusing on general aspects like self-care and mobility. While PROMs have been primarily used in research and clinical management, they are now being adopted for provider performance assessments. The article notes that widespread implementation of PROMs is still limited, particularly outside of England, Sweden, and parts of the United States. Key benefits of PROMs include improved clinical decision-making, enhanced patient-centered care, and better evaluation of provider performance. However, challenges such as minimizing data collection costs, achieving high patient participation, attributing outcomes to care quality, and avoiding misuse of PROMs data must be addressed. The article suggests combining clinical management and provider comparison initiatives, encouraging new data collection technologies, identifying priority diseases and treatments, tackling methodological issues, and developing value-based care. Overall, the routine use of PROMs has the potential to drive significant changes in healthcare organization and delivery, but further research and implementation efforts are needed to fully realize these benefits.The article by Nick Black, a professor of health services research at the London School of Hygiene and Tropical Medicine, discusses the potential of patient reported outcome measures (PROMs) to transform healthcare. PROMs are tools that help patients and clinicians make better decisions and enable comparisons of provider performance to improve services. The article highlights the importance of linking doctors' use of PROMs with data collection and aggregation to assess and compare provider performance, thereby enhancing healthcare quality. PROMs are categorized into disease-specific and generic types, with the former tailored to specific conditions and the latter focusing on general aspects like self-care and mobility. While PROMs have been primarily used in research and clinical management, they are now being adopted for provider performance assessments. The article notes that widespread implementation of PROMs is still limited, particularly outside of England, Sweden, and parts of the United States. Key benefits of PROMs include improved clinical decision-making, enhanced patient-centered care, and better evaluation of provider performance. However, challenges such as minimizing data collection costs, achieving high patient participation, attributing outcomes to care quality, and avoiding misuse of PROMs data must be addressed. The article suggests combining clinical management and provider comparison initiatives, encouraging new data collection technologies, identifying priority diseases and treatments, tackling methodological issues, and developing value-based care. Overall, the routine use of PROMs has the potential to drive significant changes in healthcare organization and delivery, but further research and implementation efforts are needed to fully realize these benefits.