Integrating Patient Reported Measures (PRMs) into clinical ......• PRMs Project Officers will work...
Transcript of Integrating Patient Reported Measures (PRMs) into clinical ......• PRMs Project Officers will work...
Integrating Patient Reported Measures
(PRMs) into clinical practice
Gill Hartas | Patient Reported Measures/Health Outcomes
Using Patient Reported Outcomes to Impact Change Friday 9th November 2018
The ACI acknowledges the traditional owners of the land that we work on
We pay our respects to Elders past and present and extend that respect to
other Aboriginal peoples present here today.
Introduction animation
What’s happening across the state for the LBVC
Clinical Initiative Areas?
• Management of Osteoarthritis
• Osteoporotic Refracture Prevention
• Diabetes High Risk Foot Services
• Inpatient Management of Diabetes Mellitus
• Management of Chronic Heart Failure
• Management of Chronic Obstructive
Pulmonary Disease
• Renal Supportive Care (End Stage Kidney
Disease
• Adverse Events: Falls in Hospitals
• Hip Fracture
• Early access to colonoscopy
• Breast cancer treatment: hypo-fractionation
• Management of bronchiolitis
Measures
• PROMIS-29
• HOOS or KOOS
• Oxford Hip or Knee
• Integrated Patient Outcome Scale (IPOS Renal)
• COPD (CAT)
• DASS-21
• Falls Efficacy Scale
• Cardiff Wound Impact Schedule Questionnaire
• Diabetes Distress Scale (DDS)
• St George Respiratory Questionnaire
• Kansas City Cardiomyopathy Questionnaire
(KCCQ)
• Inpatient PREMs, Outpatient PREMs &
Bronchiolitis PREMs
PROMs Patient Journey
John Farnham
2 Strong Hearts Street
The Last Time County
NSW 2000
This will be the last time
1 is the loneliest number
Example PREM Reports
What do PROMs mean to patients and clinicians?
Consumer:
“I was able to sit and reflect on
things that had been happening
in my life… It gave me the words
and started the conversation with
my doctor about things I wanted
to talk about”
Clinician:
“I thought that I knew my patient,
I thought I had a good rapport,
but when they filled in the PRMs
I realised that I didn’t know about
some key areas”
Clinician:
“ If only I had these results all the
time for all my patients, I would
be able to see what they were
really coming in for and address
that first”
Consumer:
“ I liked the fact that I could sit
down and do the questions in my
own time and then my physio
would talk to me about them and
what it meant for me”
Current state
Current state: Patient Reported
Outcome Measures (PROMs)
• REDCap (Research Electronic Data
Capture)
• Multiple logins and systems
• Manual scheduling
• Only can see service data
• Limited reporting functionality
• No local administration
Current state: Patient Reported
Experience Measures (PREMs)
• External provider
• No local administration
• Costs associated with tablet hire &
programming
• Reports not easily customized to
meet site needs
• Relies on ACI for administration
• Only for PRMs (multiple tablets to
carry around)
Process so far
Current IT System
• Formative evaluation
• User Acceptance Testing
• Agreement on core measures for use
across Integrated Care and Leading
Better Value Healthcare initiatives
• Capability development
• Input into the functional and business
requirements of new IT system
Future IT System
• Lengthy procurement process
including demo of 2 x vendors
• Partnership between ACI, eHealth and
the NSW Ministry of Health
• Implementation Planning Study (IPS)
workshops
• Finalisation of functional and business
requirements
• Change and adoption strategy
• Data linkage and evaluation
IT solution build
• Stand alone system
• Existing Integrated Care & LBVC sites
Phase 1
• Integration with PAS & Cerner eMR
• Roll out across all LBVC sites
Phase 2• Integration with
GP software (Best Practice & Medical Director)
Phase 3
Implementation Planning Study
Workshops
people participated in the Implementation
Planning Study (IPS) Workshops14110Workshops
Clinicians Consumers LBVC Leads
General Practice / Primary Health Network reps
Attended by:
PRMs Resources to support implementation
Website Newsletter Online eLearning
modules
Community of
Interest
https://www.aci.health.nsw.gov.au/make-it-happen/prms/resources/newsletter
What’s
next?
Online consumer eLearning module
www.aci.health.nsw.gov.au/make-it-happen/prms/resources/online-training
*New videos*
Support positions
• Funding for PRMs Project Officers across NSW to support the
implementation of the PRM IT system and use of PRMs more broadly.
• PRMs Project Officers will work closely with the ACI to ensure that PRMs
are continued to be embedded into routine clinical practice and service
improvement efforts.
• The positions will help to increase the capability of their district
Patient Reported Measures
Questions
Level 4, 67 Albert Avenue
Chatswood NSW 2067
PO Box 699
Chatswood NSW 2057
T + 61 2 9464 4666
F + 61 2 9464 4728
www.aci.health.nsw.gov.au
Gill Hartas
Project Officer
Patient Reported Measures
www.aci.health.nsw.gov.au/make-it-happen/prms