Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report. J Am Med Inform Assoc 2016 Jan;23(1):74-9
Date
07/15/2015Pubmed ID
26159464Pubmed Central ID
PMC5009936DOI
10.1093/jamia/ocv085Scopus ID
2-s2.0-84959563290 (requires institutional sign-in at Scopus site) 52 CitationsAbstract
In this case report, the authors describe the implementation of a system for collecting patient-reported outcomes and integrating results in an electronic health record. The objective was to identify lessons learned in overcoming barriers to collecting and integrating patient-reported outcomes in an electronic health record. The authors analyzed qualitative data in 42 documents collected from system development meetings, written feedback from users, and clinical observations with practice staff, providers, and patients. Guided by the Unified Theory on the Adoption and Use of Information Technology, 5 emergent themes were identified. Two barriers emerged: (i) uncertain clinical benefit and (ii) time, work flow, and effort constraints. Three facilitators emerged: (iii) process automation, (iv) usable system interfaces, and (v) collecting patient-reported outcomes for the right patient at the right time. For electronic health record-integrated patient-reported outcomes to succeed as useful clinical tools, system designers must ensure the clinical relevance of the information being collected while minimizing provider, staff, and patient burden.
Author List
Harle CA, Listhaus A, Covarrubias CM, Schmidt SO, Mackey S, Carek PJ, Fillingim RB, Hurley RWAuthor
Robert W. Hurley MD, PhD Adjunct Professor of Anesthesiology and CTSI in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Chronic PainElectronic Health Records
Family Practice
Humans
Organizational Case Studies
Patient Outcome Assessment