Using Quality Improvement and Implementation Science to Identify Strategies That Foster Electronic Patient-Reported Outcome Submissions.
Supplemental Digital Content is Available in the Text. Background: Six cancer centers conducted a pragmatic type-II hybrid effectiveness-implementation study of eSyM, an electronic patient-reported outcomes (ePRO)-based symptom management program. Centers collected key performance indicators and rec...
| Publicado en: | Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 47; no. 3; pp. 1 - 13 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul-Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187346082&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187346082 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10622551 IM0 jtl: Journal for Healthcare Quality: Promoting Excellence in Healthcare issn: 10622551 maglogo: N pubinfo: dt: Jul-Sep2025 vid: 47 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 187346082 187346082 187346082 10.1097/JHQ.0000000000000478 187346082 ppf: 1 ppct: 12 formats: tig: atl: Using Quality Improvement and Implementation Science to Identify Strategies That Foster Electronic Patient-Reported Outcome Submissions. aug: au: Doolin, James W. Dias, Samira L. Cronin, Christine Dizon, Don S. Hazard-Jenkins, Hannah W. Bian, Jessica J. Wong, Sandra L. Schrag, Deborah Paudel, Roshan Osarogiagbon, Raymond U. Hassett, Michael J. sug: subj: Patient-Reported Outcomes Methods Quality Improvement Implementation Science Electronic Health Records Human United States Prospective Studies Cancer Care Facilities Questionnaires Membership COVID-19 Software ab: Supplemental Digital Content is Available in the Text. Background: Six cancer centers conducted a pragmatic type-II hybrid effectiveness-implementation study of eSyM, an electronic patient-reported outcomes (ePRO)-based symptom management program. Centers collected key performance indicators and recorded implementation strategies. To inform efforts to deploy ePROs as part of routine care, we sought to identify strategies associated with periods of special cause variation in weekly ePRO submission rates. Methods: ePRO utilization rates and implementation strategies were collected from August 2019 to April 2022. Statistical process control (SPC) methodology was used to identify periods of non-random variation, known as special cause variation, for all six centers. Investigators identified implementation strategies that were temporally associated with periods of special cause variation across centers. Results: For 714 weeks of ePRO reporting, the mean weekly response rate was 22.3% with wide variability by site. SPC charts detected multiple special cause variations at all sites. Direct patient outreach strategies to educate about and encourage use of ePROs were most associated with positive special cause variation. Conclusions: These findings highlight the positive effect of direct patient outreach on ePRO responsiveness and identify opportunities for improving symptom management. Quality improvement techniques, such as SPC charting, could help facilitate implementation of complex interventions and tailor them to the needs of specific populations and health systems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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