Follow the CARE Guidelines
Integrated Mechanical Care (IMC) requires all outcomes-accountable™ clinicians to create case reports for clinical episodes, encounters, and outcomes that are outliers. The Company maintains a database of these case reports. The database and cases are subject to semantic labeling and advanced Big Data analytics. The goal is to continuously improve clinical and orthopedic knowledge, practice, and outcomes (e.g., in relation to self-care, healthcare, and public health strategies).
IMC’s case reports adhere to the CARE Guidelines developed by Global Advances in Health and Medicine. The Care Guidelines provide a structural framework for reporting, to support transparency and accuracy in the content and publication of noteworthy information from patient encounters.
Assure Transparency and Accuracy
Adhering to these, IMC ensures its case reports include:
- A Title that includes the words “case report” and makes clear the area of focus (e.g., musculoskeletal care, orthopedic care, MRI, CT scan, EMG, NCV, economic outcomes, clinical outcomes, humanistic outcomes);
- Key Words that, in two to five words, identify major themes of the case report;
- An Abstract that introduces what’s unique about the case, what it adds to scientific, technical, and medical understanding; why it’s an important addition to the medical literature, what concerned the patient, which clinical findings were most noteworthy, and what “take-away” lessons the case offers.
- An Introduction that summarizes in one to two paragraphs why the case is unique, with reference to relevant medical literature.
- Patient Information that is de-identified and HIPAA compliant in relation to sociodemographic and other patient specific content; but that addresses noteworthy patient symptoms and concerns; the patient’s medical, family, and psychosocial history, including relevant genetic information (which should also appear in the timeline below); and relevant past interventions and their respective outcomes,
- Clinical Findings that describe what was discovered through the physical examination (PE) and related processes.
- A Timeline that illustrates the patient’s history, longitudinally and visually, through left-to-right linear representation or related methods of communication.
- A Diagnostic Assessment that describes the diagnostic methods (e.g., McKenzie® Mechanical Diagnosis and Therapy (MDT), physical examination, laboratory testing, imaging, surveys); any diagnostic challenges (e.g., access, financial, cultural); diagnostic reasoning, including other diagnoses considered; and prognostic characteristics (staging), as applicable.
- A Therapeutic Intervention that characterizes the treatment or treatments of choice (e.g., pharmacological, surgical, preventive); how the treatment was administered (e.g., dosage, strength, duration); and any course modifications, including rationale.
- Follow-Up and Outcomes that describe additional diagnostic work or related testing; patient compliance and adherence; apparent therapeutic tolerance and how that was assessed; adverse and unanticipated events; and the clinical encounter’s or episode’s economic, clinical, and humanistic results as documented through clinician assessments and patient-reporting (when appropriate).
- A Discussion that highlights strengths and limitations in the approach to the case, relevant medical literature, the rationale for conclusions (e.g., a causality assessment), and the key “take-away” lessons from this case report.
- A Patient Perspective that shares the patient’s perspective on their clinical episode, encounter, diagnosis, treatment, and outcomes; as well as the implications for individuals, organizations, and society.
- An Informed Consent attestation that confirms the patient was advised in advance of the potential use of de-identified clinical and circumstantial case information for the advancements of scientific, technical, and medical (STM) knowledge and practice.