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

Christopher A. Harle, Alyson Listhaus, Constanza M. Covarrubias, Siegfried O.F. Schmidt, Sean Mackey, Peter J. Carek, Roger B. Fillingim, Robert W. Hurley

Research output: Contribution to journalArticle

14 Scopus 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.

Original languageEnglish (US)
Pages (from-to)74-79
Number of pages6
JournalJournal of the American Medical Informatics Association
Volume23
Issue number1
DOIs
StatePublished - 2016

Keywords

  • Clinical informatics
  • Electronic health record
  • Patient outcome assessment
  • Patient-reported outcomes
  • Primary care
  • Work flow

ASJC Scopus subject areas

  • Health Informatics

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    Harle, C. A., Listhaus, A., Covarrubias, C. M., Schmidt, S. O. F., Mackey, S., Carek, P. J., Fillingim, R. B., & Hurley, R. W. (2016). Overcoming barriers to implementing patient-reported outcomes in an electronic health record: A case report. Journal of the American Medical Informatics Association, 23(1), 74-79. https://doi.org/10.1093/jamia/ocv085