Tenets for Implementing Electronic Patient-Reported Outcomes for Remote Symptom Monitoring During Cancer Treatment

Area of Science:

• Oncology
• Health Informatics
• Quality Improvement

Background:

• Systemic cancer treatment frequently causes symptoms.
• Early detection of severe symptoms is crucial for preventing complications and improving patient outcomes.
• The Centers for Medicare & Medicaid Services will mandate patient-reported outcome (PRO) monitoring in the Enhancing Oncology Model.

Purpose of the Study:

• To provide guidance on designing and implementing electronic patient-reported outcome (ePRO) remote symptom monitoring programs.
• To leverage prior ePRO program experiences and research to assist healthcare practices.

Main Methods:

• A quality improvement approach to change management was employed.
• Key areas for implementation include software, outcomes, personnel, leadership, workflow, equity, and patient engagement.
• Continuous monitoring and adaptation are essential for addressing barriers.

Main Results:

• Successful ePRO implementation necessitates a focus on change management across multiple domains.
• Specific strategies can enhance patient participation and program effectiveness.
• Initial challenges in personnel acceptance and patient engagement are common but surmountable.

Conclusions:

• Remote symptom monitoring using ePROs is vital for quality cancer care and population health management.
• Successful implementation demands organizational commitment and a structured approach using established principles.
• Adopting these tenets ensures effective integration of ePROs into clinical practice.