Clinical Outcomes

OUTCOMES DASHBOARD (CMS + CNS-READY)

Dashboard Domains

A. Clinical Outcomes

• PROMIS Pain Interference

• PROMIS Physical Function

• Pain Catastrophizing Scale

• Fear-Avoidance Beliefs Questionnaire

B. Functional Mobility

• Sit-to-stand test

• Gait tolerance

• Range of motion benchmarks

• ADL return metrics

C. Utilization & Cost

• MSK-related ED visits

• Imaging frequency

• Pain-related prescriptions

• Total cost of care (pre/post)

D. Nervous System Regulation

• HRV baseline → weekly trend

• Sleep quality metrics

• Resting heart rate

• Stress reactivity index

E. Environment Dose Metrics (OMOHC-Specific)

• Hours in green/blue space

• Movement performed outdoors

• Sensory exposure indices

• Patient-reported restorative impact

F. Equity & Access

• Attendance adherence

• Transportation burden

• Missed workdays

• Self-reported accessibility

Dashboard Outputs

• CMS reporting view

• Payer-facing ROI summary

• Clinical team view (weekly)

• Patient-facing progress report

• ↓ Systolic BP (average 8–12 mmHg reduction over 12 weeks)

• ↓ Resting heart rate

• ↓ Anxiety severity (GAD-7)

• ↓ Stress load (HRV SDNN improvements)

• ↑ Sleep efficiency and recovery biomarkers

Experience & Access Outcomes (CMS Required)

• Patient Activation Measure (PAM) ↑

• Patient-Reported Outcomes (PROMIS Anxiety/Stress) improved

• Timely Access to Care through blended outdoor + telehealth model

• Care Coordination Score ↑

Equity & Environmental Outcomes (VBOHC-specific)

• ↑ Nature-dose minutes/week

• ↑ Green/blue-space exposure

• ↓ Allostatic load index (environment-first stress scoring)

• ↑ Community-level health equity indicators

Cost & Utilization Outcomes (CMS Value Benchmarks)

• ↓ ED visits related to anxiety + hypertensive symptoms

• ↓ Medication escalation

• ↑ Longitudinal adherence & engagement

• ↓ Total cost of care (TCOC) in anxiety–cardiac cohorts