KERMIT: Performance indicators in electronic patient reported outcome measures: a modified Delphi.

Area of Science:

• Health Informatics
• Oncology
• Health Services Research

Background:

• Electronic patient reported outcome measures (ePROMs) are increasingly used in cancer care, showing benefits for survival and patient satisfaction.
• Successful ePROM implementation depends on multiple factors including patient, clinician, and organizational readiness.
• Clear metrics are needed to evaluate ePROM deployment, but key performance indicators (KPIs) for this purpose are not well-defined.

Purpose of the Study:

• To develop a framework of KPIs for assessing the implementation of ePROMs in routine cancer care.
• To identify and prioritize indicators relevant to patients, clinicians, and health services.

Main Methods:

• A modified Delphi methodology was employed to establish consensus on relevant KPIs.
• Potential KPIs were identified through literature searches and expert networks.
• Two rounds of expert rating and feedback were used to refine the KPI framework.

Main Results:

• An initial literature search identified 196 potential KPIs.
• 15 experts participated in the Delphi process, evaluating 48 KPIs.
• A consensus framework of 14 KPIs was established, covering acceptability, feasibility, and impact.

Conclusions:

• The developed KPI framework provides a structured approach to appraise ePROM implementation.
• This framework supports healthcare teams in evaluating and optimizing ePROM deployment in cancer care.
• The KPIs are relevant to patients, clinicians, and health services, facilitating comprehensive assessment.