Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report

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.

Source: Journal of the American Medical Informatics Association - July 9, 2015 Category: Information Technology Authors: Harle, C. A., Listhaus, A., Covarrubias, C. M., Schmidt, S. O., Mackey, S., Carek, P. J., Fillingim, R. B., Hurley, R. W. Tags: Case Report Source Type: research