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Feasibility Testing of Health Information Technology: Enabled Patient-Reported Outcome Measurement in the Home Health
Joshua Nyirenda1, Cynthia Sun, Shanen Wright
1Joshua Nyirenda, PhD, MPA, is Director of Science, Quality Insights, Richmond, Virginia. Cynthia Sun, MSN, is a Lead Project Coordinator, Quality Insights, Charleston, West Virginia. Shanen Wright, BA, is Director of Innovation, Quality Insights, Charleston, West Virginia. Gary Rezek, BS, is a Senior Health Research Analyst, Quality Insights, Charleston, West Virginia.
Integrating health information technology (HIT) enabled Patient-Reported Outcome Measures (PROMs) into home healthcare is feasible and suitable for clinical workflows. This technology enhances patient care and communication without negatively impacting goals of care.
Area of Science:
- Health Informatics
- Home Healthcare
- Patient-Reported Outcome Measures
Background:
- Patient-Reported Outcome Measures (PROMs) are crucial for enhancing patient outcomes, communication, and shared decision-making in home healthcare.
- Health Information Technology (HIT) offers platforms for efficient PROM data collection.
Purpose of the Study:
- To evaluate the feasibility and suitability of integrating HIT-enabled PROMs into home healthcare workflows.
- To assess the integration of PROM data with Electronic Health Records (EHRs).
Main Methods:
- A 4-month pilot study involving two home healthcare agencies.
- Utilized tablets with a validated Patient-Reported Outcomes Measurement Information System (PROMIS) app for data collection.
- Employed surveys, interviews, and observations for feasibility analysis, supplemented by statistical and qualitative analysis.
Main Results:
- HIT-enabled PROMs are suitable for home healthcare workflows, not hindering care goals.
- Tablets were user-friendly for both clinicians and patients.
- Successful integration of PROM data with EHRs is vital for quality improvement and depends on EHR platform control.
Conclusions:
- HIT-enabled PROMs can be effectively implemented in home healthcare settings.
- User-friendly technology and seamless EHR integration are key to maximizing the utility of PROMs for improved patient outcomes.
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Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Literacy
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Purpose of Health Records II
Concepts of Health and Illness
Dimensions of Health and Illness

