Abstract
Background
Patient-reported outcomes (PROs) quantify, from patients' perspectives, their symptoms,
function, and quality of life. Our aim was to determine the feasibility of integrating
PRO capture into routine clinical practice at a large heart failure (HF) clinic.
Methods
We examined the practicality of PRO completion at the time of clinic visit, the time
required to complete the selected instruments, the completion rate, and the feasibility
of immediate PRO scoring and integration of the results into the electronic health
record (EHR). We deployed a computer program to capture PROs (Kansas City Cardiomyopathy
Questionnaire, Patient-Reported Outcomes Measurement Information System) on a portable
computer platform at the time of a clinic visit. An automated algorithm identified
patients scheduled for appointments at the HF clinic at registration, provided a portable
tablet computer with which to complete the appropriate PRO instruments and then scored
and immediately integrated the results in the patient's EHR.
Results
In a 12-month period, 862 unique patients completed 1,320 PRO assessments. The mean
age of this cohort was 60.1 ± 16.3 years and 66% were male. The average time for PRO
assessment was 6.7 minutes and the completion rate among eligible patients was 58%,
with 91% of started assessments completed in full.
Conclusions
These preliminary data support the feasibility of serial PRO assessment with real-time
integration into the EHR in a large outpatient population of patients with HF. We
identified critical steps that should enhance adoption of this approach by clinicians
and render PRO results meaningful and actionable in routine clinical care.
Key Words
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Article info
Publication history
Published online: October 02, 2017
Accepted:
September 26,
2017
Received in revised form:
September 25,
2017
Received:
May 18,
2017
Footnotes
Funding: Support for this work was provided by the American Heart Association through a Strategically Focused Heart Failure Research Networks Award.
Identification
Copyright
Published by Elsevier Inc.
