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VIReC Using Data and Information Systems in Partnered Research

Development of a Patient Reported Measures Display and Implementation across VA Salt Lake City

by Jorie Butler, PhD ; Shardool Patel, PharmD
Seminar date: 6/20/2019

Description: Discussion regarding patient reported outcomes (PROs) is increasing; however, the role of PROs in point-of-care decision making is still unclear. Measures within the Patient-Reported Outcomes Measurement Information System (PROMIS) offer validated measurement tools in several domains relevant to a Veteran population such as mental, physical and social health. Availability of PROs during point-of-care encounters can support informed decision making and potentially guide course of action in many clinical scenarios. Using an example of pain management, PROMIS measures for pain intensity, pain interference and physical functioning can bolster decision making regarding response to opioid therapy. Structured collection and chronologic display of such measures can be used across clinical settings and disciplines to determine subsequent care plans and improve care coordination. In this cyber-seminar, we present our strategy for incorporating PROs into point-of-care decision making reports and highlight our methods to evaluate development, implementation and dissemination across clinical settings and disciplines. Objectives: • Discuss the role of informatics tools in supporting PROs collection, entry and chronologic display for point-of-care decision making • Demonstrate a prototype pain management dashboard incorporating PROs for determining opioid response to therapy • Discuss evaluation and measurement strategies and preliminary results for emerging reports to support the Whole Health Flagship at VA Salt Lake City • Present evaluation strategies to support display development for additional Whole Health programming at VA Salt Lake City

DOWNLOAD: PDF handout | Audio only (mp3) | transcript

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