Related Experiment Video
Updated: May 13, 2025
06:05
The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.2K
Designing an Electronic Patient Reported Outcomes Information Infrastructure Supported by the RE-AIM Implementation
Amy C Moreno1, Angela Peek2, Toshiko S Stein2
1Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Medrxiv : the Preprint Server for Health Sciences
|April 16, 2025
Summary
This study developed an electronic patient-reported outcomes (ePROs) system integrated with electronic health records (EHRs) using RE-AIM principles. The system achieved high compliance, enhancing clinical decision-making and patient care.
Area of Science:
- Health Informatics
- Clinical Research
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) offer vital data for interventions and quality of life improvements.
- Implementing electronic PROs (ePROs) faces technical, behavioral, and evaluation hurdles.
- A structured framework is needed for effective EHR-integrated ePRO systems.
Purpose of the Study:
- To construct a robust electronic health record (EHR)-integrated ePRO information infrastructure.
- To found the infrastructure on RE-AIM (Reach-Effectiveness-Adoption-Implementation-Maintenance) principles.
- To optimize for clinical utility and implementation evaluation.
Main Methods:
- Utilized Epic Systems EHR platform to develop the MD Anderson Symptom Index-Head and Neck Module (MDASI-HN).
- Established RE-AIM metrics to design patient, provider, and facilitator information tools.
- Implemented a dynamic clinical implementation-evaluation cycle for continuous adaptation.
Main Results:
- Collected 13,156 patient-submitted ePROs from 3,497 unique Head and Neck patients (Jan 2021-Jul 2024).
- Achieved an 82% 12-month sustained ePRO compliance rate.
- Demonstrated formative evaluation's essential role in optimizing compliance and data usage.
Conclusions:
- Developed a comprehensive, EHR-based ePRO information infrastructure using RE-AIM principles.
- The framework offers integrated clinical data for enhanced decision-making and potential scalability.
- Formative evaluation is crucial for optimizing ePRO systems for clinical utility and implementation.
Related Concept Videos
01:30Methods of Documentation VII: EMR
776
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
776
01:30Health Information Technology and Healthcare Information System
756
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
756
01:11Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
01:21Methods of Documentation III: PIE
1.2K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.2K
01:27Nursing Clinical Information System
713
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
713
01:26Methods of Documentation II: POMR
857
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
857