Patient reported outcome measures (PROM) have the potential to change how we measure quality in health care as well as promoting patient centered care. PROMs are any report of the status of a patient's health condition that comes directly from the patient, without interpretation of the patient's response by a clinician or anyone else. PROMs are used on an aggregated level to measure differences in quality between providers of health care. PROMs are also used on an individual level to address the patients' most bothersome needs. National consensus on development and implementation of PROM is needed.