Abstract
O30 - Patient-reported outcome collection standardization and optimization in an academic orthopedic clinic
Advances in Patient-Reported Outcomes, Vol.1(1), 100018
03/2025
DOI: 10.1016/j.apro.2025.100018
Abstract
Objective: To evaluate the impact of quality improvements designed to increase capture rates of patient reported-outcome measures (PROMs) at our institution.
Methods: A multidisciplinary team was created to improve PROM administration and utilization in an orthopedic department within an academic medical center. Staff reviewed clinic workflows to identify opportunities for improvement, and PROMs were individually evaluated for utility, redundancy, and response burden. PROMIS Global Health, a general measure of mental, physical, and social health, was the first standard PROM available through our electronic medical record (EMR) to be administered across all specialties, and disease specific PROMs followed. Correspondingly, PROM score displays integrated within our EMR were created, which allowed for real-time review of scores for clinicians and patients.
Beginning in February 2022, an educational series was provided to clinical staff to improve knowledge on the importance of collecting PROMs for patient-centered care. Collection rates (number completed/number assigned) for PROMs administered between March 2019 to March 2023 were collected from the EMR. Collection rates before versus after the education program were evaluated using interrupted time series regression to evaluate the impact of this quality improvement program. Because start dates for changes in PROMs administered varied, additional analyses evaluated collection rates according to use. This included separate, subgroup evaluations of collection rates from service specific, department wide, and PROMIS GH PROMs.
Results: Overall collection rates rose from 51.2% in March 2019 to 85.7% in March 2023. Prior to implementation of the education series, collection rates experienced a small, upward trend of 0.3%±0.1% (p=0.026) increase per month. Immediately following the education series there was an 18±4.2% increase in collection rates (p<0.001). Similar results were found for subgroup analyses of PROMIS GH and service specific PROMS. However, no significant changes in collection rates were noted for department-wide forms (all p>0.05). Quality improvement efforts resulted in a decrease in response burden from over 100 questions to less than 50 on average.
Conclusions: In summary, providing education on the importance of PROM for patient-centered care and guidance on workflow is an effective means to improve PROM collection rates.
Details
- Title: Subtitle
- O30 - Patient-reported outcome collection standardization and optimization in an academic orthopedic clinic
- Creators
- Morgan Gulley - University of IowaMatthew Watson - University of IowaCatherine Olinger - University of IowaAndrew Pugely - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Advances in Patient-Reported Outcomes, Vol.1(1), 100018
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.apro.2025.100018
- ISSN
- 3050-6964
- Language
- English
- Date published
- 03/2025
- Academic Unit
- Orthopedics and Rehabilitation; Neurosurgery
- Record Identifier
- 9984833491302771
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