Medical College of Wisconsin
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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

07/15/2015

Pubmed ID

26159464

Pubmed Central ID

PMC5009936

DOI

10.1093/jamia/ocv085

Scopus ID

2-s2.0-84959563290 (requires institutional sign-in at Scopus site)   52 Citations

Abstract

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 RW

Author

Robert W. Hurley MD, PhD Adjunct Professor of Anesthesiology and CTSI in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Chronic Pain
Electronic Health Records
Family Practice
Humans
Organizational Case Studies
Patient Outcome Assessment