Neame, Matthew T, Reilly, David, Puthiyaveetil, Ajmal, McCann, Liza, Mahmood, Kamran, Almeida, Beverley, Pain, Clare E 
ORCID: 0000-0003-4965-3259, Furfie, Victoria and Cleary, Andrew G
(2022)
Successful integration of an automated patient-reported outcome measure within a hospital electronic patient record.
Rheumatology Advances in Practice, 6 (3).
rkac065-.
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Neame et al. Successful integration of automated PROM within EPR. Rheum Ad Practice 2022.pdf - Other Download (2MB) | Preview |
Abstract
<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>The objective of this evaluation was to assess the feasibility of implementing a fully integrated, automated, electronic patient-reported outcome measures (ePROM) system into a hospital electronic patient record (EPR; hospital-based clinical record). Additional objectives included evaluating the effect of the system on patient-reported outcome measures (PROM) completion rates and investigating the acceptability of the ePROM.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>The evaluation was conducted in a rheumatology clinic in a specialist children’s hospital in the UK. Paper-based childhood HAQ PROMs were already used in the clinic, and an EPR was the main hospital information system. The technical feasibility of introducing the ePROM technology was assessed using a case study approach; the effect of the system on PROM completion rates was investigated using a before–after design; and acceptability was assessed using semi-structured questionnaires and a focus group.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>An automated and integrated ePROM system was implemented successfully in April 2021. After implementation, ∼500 automated SMS text messaging invitations to complete ePROMs were sent to care-givers each month. PROM completion rates increased from 33 of 100 (33%) to 47 of 65 (72%) after the introduction of the ePROM system (χ2 = 11.51; P &lt; 0.05). The ePROM system was highly acceptable to patients and clinical staff. Some clinical staff expressed a concern that an electronic system might represent a barrier to care for families with more limited resources.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>High levels of automation and integration with existing technology systems seemed to be key contextual factors associated with the successful implementation and adoption of the ePROM intervention in a paediatric rheumatology clinic.</jats:p> </jats:sec>
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Medical informatics, paediatrics, patient-reported outcome measures, quality improvement, rheumatology |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 27 Mar 2023 10:12 |
| Last Modified: | 01 Apr 2023 00:53 |
| DOI: | 10.1093/rap/rkac065 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3169260 |
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