Oktatás | Felsőoktatás » Robert E. Glasgow - Patient Reported Outcomes, The University of Utah Experience

Patient Reported Outcomes: The University of Utah Experience Robert E. Glasgow, MD, FACS Department of Surgery University of Utah Salt Lake City, Utah Disclosures • Nothing to disclose pertinent to this presentation. Q+ S V= C Quality Service Value Cost UNIVERSITY OF UTAH HEALTH, 2017 Q VIZIENT: AMC INPATIENT QUALITY & ACCOUNTABILITY Quality Quality that matters to: Health System UNIVERSITY OF UTAH HEALTH, 2017 Q ACS NSQIP HPB COLLABORATIVE Quality Quality that matters to: Provider UNIVERSITY OF UTAH HEALTH, 2017 Q PATIENT REPORTED OUTCOMES - PRO Gastric Bypass Quality Quality that matters to: Patient UNIVERSITY OF UTAH HEALTH, 2017 UNIVERSITY OF UTAH HEALTH, 2017 mEVAL • Electronic platform to capture PROs • PROMIS and Legacy measures • Computer Adaptive Testing (CAT), Short form • 1 min per module • 5-6 minute to complete per visit • Used in over 70% of all ambulatory clinics • Captures ~15,000 assessments each month

• Scores are imported into Epic for clinical use UNIVERSITY OF UTAH HEALTH, 2017 UNIVERSITY OF UTAH HEALTH, 2017 mEVAL System Wide Summary UNIVERSITY OF UTAH HEALTH, 2017 mEVAL System Wide Summary UNIVERSITY OF UTAH HEALTH, 2017 Surgery clinics using mEVAL • Vascular Surgery • PROMIS depression, PROMIS physical function, PROMIS pain interference, PROMIS social roles and satisfaction, FiND • Bariatric Surgery • PROMIS depression, PROMIS physical function, PROMIS pain interference, PROMIS social roles and satisfaction, GERD HRQL • Plastic Surgery • PROMIS depression, PROMIS physical function, PROMIS pain interference, PROMIS social roles and satisfaction, PROMIS anxiety, PROMIS global health • Others: Orthopedics, Neurosurgery UNIVERSITY OF UTAH HEALTH, 2017 mEVAL completion rates UNIVERSITY OF UTAH HEALTH, 2017 PROs in action: Monitoring treatment Gastric Bypass UNIVERSITY OF UTAH HEALTH, 2017 PROs in action: Triggering treatment

UNIVERSITY OF UTAH HEALTH, 2017 PROs in action: Triggering treatment UNIVERSITY OF UTAH HEALTH, 2017 PROs • PROs, the important measure of “patient” outcome • Implementing PROs is feasible • • Clinic level System level • Operationalizing PROs • • Monitoring treatment Initiate treatment • Future: Integrating PROs into existing quality framework UNIVERSITY OF UTAH HEALTH, 2017