Lessons learned while integrating patient-reported outcomes in a psychiatric hospital

Area of Science:

• Psychiatry
• Health Informatics
• Clinical Research

Background:

• Smart-device monitoring systems may oversimplify the integration of patient-reported outcomes (PROs).
• Effective implementation of PROs requires significant stakeholder involvement and ongoing effort.

Purpose of the Study:

• To describe the iterative design, implementation, and updating processes of a large-scale inpatient psychiatric quality improvement and research platform.
• To highlight methods for data structuring and utilization for treatment program evaluation and clinical decision-making.

Main Methods:

• Development of a real-time feedback platform for clinicians and patients.
• Iterative refinement based on 10 years of implementation experience.
• Focus on stakeholder buy-in and data utilization strategies.

Main Results:

• Establishing and maintaining clinician and administrator buy-in for PROs utilization is challenging.
• Data structuring methods facilitate analysis of treatment effectiveness and identification of adverse outcomes.
• The platform provides real-time feedback to enhance clinical practice.

Conclusions:

• Effective PROs integration is complex, requiring a multidisciplinary approach.
• Future work includes integrating biological data and between-visit PROs monitoring.
• The goal is to enhance well-being and reduce hospital admissions for high-risk patients.