Use our readymade template to create your KOOS-12 screening tool for knee injury and osteoarthritis
Create your care assessments
| KOOS-12 score | Knee injury and Osteoarthritis Severity | Proposed treatment |
|---|---|---|
| 0-20 | None - Minimal | May not need treatment |
| 21-40 | Mild | Physical therapy |
| 41-60 | Moderate | Consider medication |
| 61-80 | Severe | Surgery may be considered |
| 81-100 | Extreme | Surgery is likely |
- Prebuilt template with KOOS-12 scoring to assess the presence of knee injury and osteoarthritis and measure its severity
- 12-item questionnaire that scores each of the 12 criteria as “0” (not at all) to “4” (extreme/always/totally)
- Real-time calculation of KOOS-12 Score and knee injury and osteoarthritis severity based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of knee injury and osteoarthritis
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. How often do you experience knee pain? | Daily |
| 2. Walking on a flat surface | Severe |
| 3. Going up or down stairs | Severe |
| 4. Sitting or lying | Moderate |
| 5. Rising from sitting | Mild |
| 6. Standing | Mild |
| 7. Getting in/out of a car | Moderate |
| 8. Twisting/pivoting on your injured knee | Severe |
| 9. How often are you aware of your knee problem? | Constantly |
| 10. Have you modified your life style to avoid potentially damaging activities to your knee? | Severely |
| 11. How much are you troubled with lack of confidence in your knee? | Severely |
| 12. In general, how much difficulty do you have with your knee? | Severe |
| KOOS-12 Pain Score | 75 |
| KOOS-12 Function Score | 62 |
| KOOS-12 QOL Score | 81 |
| KOOS-12 Score | 73 |
- Pre-populate patient details such as patient id, name, email etc in the KOOS-12 assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their KOOS-12 assessment form prior to their visit
- Allow patients to save their progress and complete their KOOS-12 assessment form at a later time without losing any responses
- Set up an email template for your KOOS-12 assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their KOOS-12 score, diagnosis, next steps when they submit their KOOS-12 assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. How often do you experience knee pain? | Daily | 3 | 73 |
| 3 | John W | 2. Walking on a flat surface | Severe | 3 | 73 |
| 4 | John W | 3. Going up or down stairs | Severe | 3 | 73 |
| 5 | John W | 4. Sitting or lying | Moderate | 2 | 73 |
| 6 | John W | 5. Rising from sitting | Mild | 1 | 73 |
| 7 | John W | 6. Standing | Mild | 1 | 73 |
| 8 | John W | 7. Getting in/out of a car | Moderate | 2 | 73 |
| 9 | John W | 8. Twisting/pivoting on your injured knee | Severe | 3 | 73 |
| 10 | John W | 9. How often are you aware of your knee problem? | Constantly | 4 | 73 |
| 11 | John W | 10. Have you modified your life style to avoid potentially damaging activities to your knee? | Severely | 3 | 73 |
| 12 | John W | 11. How much are you troubled with lack of confidence in your knee? | Severely | 3 | 73 |
| 13 | John W | 12. In general, how much difficulty do you have with your knee? | Severe | 3 | 73 |
- Export patient responses including the calculated KOOS-12 score and knee injury and osteoarthritis severity to Google Sheets for easy record-keeping
- Export individual points for 12 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their knee injury and osteoarthritis symptoms
- Receive a copy of the response and the calculated KOOS-12 score by email whenever a patient submits their KOOS-12 assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. How often do you experience knee pain?: | Daily |
| 2. Walking on a flat surface: | Severe |
| 3. Going up or down stairs: | Severe |
| 4. Sitting or lying: | Moderate |
| 5. Rising from sitting: | Mild |
| 6. Standing: | Mild |
| 7. Getting in/out of a car: | Moderate |
| 8. Twisting/pivoting on your injured knee: | Severe |
| 9. How often are you aware of your knee problem?: | Constantly |
| 10. Have you modified your life style to avoid potentially damaging activities to your knee?: | Severely |
| 11. How much are you troubled with lack of confidence in your knee?: | Severely |
| 12. In general, how much difficulty do you have with your knee?: | Severe |
| KOOS-12 Pain Score: | 75 |
| KOOS-12 Function Score: | 62 |
| KOOS-12 QOL Score: | 81 |
| KOOS-12 Score: | 73 |
| KOOS-12 Score: | 73 |
- Create a HIPAA compliant KOOS-12 assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting KOOS-12 form responses to Google Sheets and sending them on email
- Prepopulate patient details in KOOS-12 assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
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— Sol Evans
October 31, 2023
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— Chris Henesy
February 16, 2024
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July 12, 2023
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November 27, 2023
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July 10, 2023
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