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Related Experiment Videos

Systemwide Implementation of Patient-Reported Outcomes in Routine Clinical Care at a Children's Hospital.

Wendy E Gerhardt1, Constance A Mara2, Ian Kudel3

  • 1is Director, Quality Outcomes and Evidence, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center (CCHMC).

Joint Commission Journal on Quality and Patient Safety
|August 4, 2018
PubMed
Summary

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A standardized patient-reported outcomes (PROs) program provides a framework for consistent PRO use across clinics. This implementation guides effective PRO integration for improved patient-centered care.

Area of Science:

  • Health Services Research
  • Clinical Informatics
  • Patient-Centered Care

Background:

  • Limited guidance exists for developing systemwide patient-reported outcomes (PROs) programs across diverse clinical settings.
  • A standardized PRO implementation program at Cincinnati Children's Hospital Medical Center offers a scalable model.
  • This program addresses the need for consistent PRO integration in clinical practice.

Purpose of the Study:

  • To outline the essential components for establishing a standardized, systemwide patient-reported outcomes (PROs) program.
  • To demonstrate the practical application and value of PROs in promoting patient-centered care.
  • To provide a framework for the successful implementation and spread of PRO initiatives.

Main Methods:

  • Key components include identifying clinical leadership, selecting appropriate PRO instruments, and defining threshold scores for intervention.

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  • Establishing clear clinical interventions triggered by PRO scores is crucial.
  • Provider training and ongoing monitoring of PRO use are essential for successful implementation.

    • Main Results:

    • The program achieved a 75% overall combined completion rate for 68 unique PRO instruments.
    • Individual instrument completion rates aimed for 80%.
    • Case studies highlighted the value of PROs and their components in fostering patient-centered care.

    Conclusions:

    • Ongoing data collection is vital for program refinement and demonstrating value.
    • Future research will focus on PROs' influence on patient-centered care coproduction and patient outcomes.
    • The program serves as a foundation for collaborative research to enhance PRO implementation strategies.