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

  • VBOHC Outcomes Dashboard (CMS-Aligned)

    Use this on your website as a mock-interactive dashboard showing what metrics OMOHC tracks. These categories support value-based payment, CMMI pilots, 1115 waivers, and neurology-behavioral integration.

    I. Clinical Outcomes

    Neurological Function

    • Reduction in migraine days per month

    • Changes in tremor severity (Parkinson’s)

    • Balance/gait improvement scores

    • Cognitive function stabilization rates

    • Post-stroke functional gains (mobility, ADLs)

    • Neuropathy pain reduction (VAS/NPRS)

    Behavioral Health

    • PHQ-9, GAD-7, and Pain Catastrophizing Scale improvements

    • Sleep quality improvements

    • Reduction in autonomic dysregulation markers (HRV)

    Metabolic & Inflammatory Markers

    • HbA1c changes (for diabetic neuropathy)

    • CRP/inflammatory load trends

    • Sleep/circadian stability metrics

    II. Environmental & Epigenetic Signals

    Outdoor Health Metrics (VBOHC proprietary)

    • Green/Blue-space exposure time

    • Autonomic recovery during outdoor sessions

    • Environmental stress-load reduction (ESLR score)

    • Nature-based neuroplasticity activation index

    Epigenetic/Physiologic Proxies

    (Proxy variables appropriate for CMS use)

    • HRV variability improvements

    • Cortisol slope normalization

    • Activity and movement rhythm stability

    III. Patient-Centered Outcomes

    • Quality-of-life (EQ-5D, PROMIS)

    • Independence/mobility status

    • Emotional regulation and self-efficacy

    • Caregiver burden reduction

    IV. Utilization & Cost Outcomes

    • Reduction in ER visits for neurological crises

    • Decrease in medication overuse

    • Fewer unplanned admissions

    • Lower imaging and specialty utilization

    • Avoided high-cost procedures

    • Total cost of care reduction over 12 months

    V. Equity Outcomes

    • Access to nature-based interventions (NBI) for rural + underserved populations

    • Care navigation success rates

    • Family/caregiver support measures

    • Environmental justice alignment (distance-to-nature burden reductions)

    VI. Satisfaction & Experience

    • Net Promoter Score

    • Patient-reported experience with nature-based care

    • Engagement + retention rates

    • Care coordination satisfaction

Join Brain Health & Neuro-Regeneration Pilot