Value-based care is transforming our healthcare system by linking cost to health outcomes using the value equation. Patient Reported Outcomes (PROs) are an essential part, as demonstrated by the CMS innovation bundled payment models. Dr. Higgins has been collecting PROs and using the results in clinical practice for many years. His experience and case studies demonstrate the clinical value and uses in practice. But adopting PROs in clinical practice presents real challenges. Scott Bradley has lead product innovation teams and built technology to make PROs a part of everyday clinical practice. His experience in product design, design-thinking, User Experience (UX) design and technology implementation illustrates the challenges with patient engagement and methods to address and overcome them. This session will provide case studies and real world examples of patient reported outcomes, use cases for the outcomes measures and best practices for data collection.