Feasibility Study of Three-Phase Implementation of International Consortium for Health Outcomes Measurement Depression and Anxiety Standard Set in an Outpatient Consultation-Liaison Psychiatry Practice. Psychosomatics 2020;61(1):8-18
Date
10/28/2019Pubmed ID
31648776DOI
10.1016/j.psym.2019.08.006Scopus ID
2-s2.0-85073831622 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
OBJECTIVE: We describe a three-phase implementation of the International Consortium for Health Outcomes Measurement Depression and Anxiety Standard Set in a Consultation-Liaison Psychiatry practice.
METHODS: During the preintervention phase, we reviewed patient-reported outcome tools and engaged stakeholders and leadership. During phase 1, the standard set was converted into an electronic previsit intake assessment that was implemented in a physician champion's practice. Patients completed the intake on a tablet, and computer adaptive testing was used to reduce response burden. Physician-facing data display facilitated use during subsequent in-person visits. An electronic version of the follow-up standard set was used during follow-up visits. During phase 2, a second physician tested scalability and the intervention was disseminated department wide in phase 3.
RESULTS: During phase 1, 186 intakes and 67 follow-up electronic patient-reported outcome sets were completed. Average patient age was 54 years, and 44% were male. On average, patients ranked the tool 4.4 out of 5 and spent 22 minutes completing the intake. Time-driven activity-based costing found the new process to be cost-effective. During phase 2, 386 patients completed electronic patient-reported outcome sets, with 315 follow-up visits. Patients ranked the tool as 4.0 out of 5 and spent 26 minutes completing the questions. During phase 3, 2166 patients completed intake electronic patient-reported outcome sets and 1249 follow-up visits. Patients ranked the tool 4.3 out of 5 and spent 26 minutes on it. Scores and completion time did not differ greatly between phases.
CONCLUSIONS: Integration of the International Consortium for Health Outcomes Measurement Depression and Anxiety Standard Set is feasible. Future research comparing International Consortium for Health Outcomes Measurement set with other approaches and in different settings is needed.
Author List
Niazi SK, Spaulding A, Vargas E, Chauhan M, Nordan L, Vizzini M, Puspitasari AJ, Uitti RJ, Rummans TAuthor
Ajeng Puspitasari PhD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Alcoholism
Ambulatory Care
Anxiety
Computers, Handheld
Data Collection
Depression
Electronic Health Records
Feasibility Studies
Female
Humans
Male
Mass Screening
Middle Aged
Obsessive-Compulsive Disorder
Patient Health Questionnaire
Patient Reported Outcome Measures
Phobia, Social
Psychiatry
Psychosomatic Medicine
Quality Improvement
Stakeholder Participation
