Integrating PROMIS measures into an interventional spine workflow: a quality improvement study

Area of Science:

• Spine Surgery
• Health Informatics
• Quality Improvement

Background:

• Integrating Patient-Reported Outcomes Measurement Information System (PROMIS) data collection into clinical workflows is crucial for evaluating treatment effectiveness.
• Challenges exist in achieving high completion rates for PROMIS surveys within busy interventional spine practices.

Purpose of the Study:

• To enhance the integration of PROMIS data collection within an interventional spine workflow.
• To assess the feasibility of PROMIS data collection through pre- and post-intervention completion rates.

Main Methods:

• A retrospective quality improvement study was conducted in an academic health system.
• PROMIS Pain Interference, Pain Intensity, and Physical Function surveys were administered via EHR-embedded workflows.
• A structured intervention included nursing checkpoints, staff education, EHR prompts, and performance dashboards to improve baseline survey completion.

Main Results:

• Baseline PROMIS survey completion improved from 31.82% to 100% post-intervention.
• Longitudinal engagement and completeness rates were 56% and 33%, respectively.
• Clinic workflow efficiency was maintained, with 83% of visits within the standard 30-minute time slot.

Conclusions:

• PROMIS data collection is feasible in interventional spine care with targeted quality improvement interventions.
• Improved baseline survey capture increases the pool of patients for longitudinal outcome measurement.
• Hybrid strategies combining automated EHR deployment and clinical oversight facilitate reliable PROMIS integration.