Many guides outline steps for implementing patient-reported outcome measures for patient care.
HealthMeasures Implementation Guides
Several guides and toolkits exist to facilitate implementation.
- The HealthMeasures team created guidance for using PROMIS measures including:
- Choosing a measure
- Guidance for Information Technology (IT) team
- Guidance for office staff
- Interpretation in clinic
- Quality improvement & research
- Additional resources
- Implementation Guides exist for a range of patients undergoing surgery including:
- Guidance for Using PROMIS Measures in Foot and Ankle Surgery
- Guidance for Using PROMIS Measures in Hand Surgery
- Guidance for Using PROMIS Measures in Orthopaedic Surgery
- Guidance for Using PROMIS Measures in Shoulder and Elbow Surgery
- Guidance for Using PROMIS Measures in Spine Surgery
- Guidance for Using PROMIS Measures in Sports Medicine Surgery
- Guidance for Using PROMIS Measures in Total Knee and Total Hip Replacement Surgery
These guides are based on a 2021 publication: Franklin PD, Bond CP, Rothrock NE, Cella D. Strategies for effective implementation of patient-reported outcome measures in arthroplasty practice. J Bone Joint Surg Am. 2021 Jun. doi: 10.2106/JBJS.20.02072. PMID: 34143757
PRO Implementation Planning Toolkit
The PRO Implementation Planning Toolkit is designed to prepare healthcare organizations to implement PROMIS measures in a single pilot clinic. It was developed by nine institutions through an NCATS grant. Learn more>>
The Toolkit includes:
- PRO Planning Guide
- List of decisions needed to create an implementation plan
- Resources to aid in decision-making
- Decision Log
- Tool for recording PRO planning decisions
- Implementation Plan Template
- Template to document clinic-specific implementation plan
Implementation Planning Guide in Mental Health Care
The integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework (Harvey & Kitson, 2016) was used to develop the Measurement-Based Care Implementation Planning Guide. The Guide identifies 13 implementation steps beginning with identifying the setting and participating staff to determining how to sustain the implementation. Although it was developed specifically for mental health care settings, the content is applicable to other specialties. The Guide is in a worksheet format to allow for documenting decisions, responsible parties, timelines, and action items. A copy of the Guide is available from the Yale Measurement-Based Care Collaborative and in a publication (Dollar et al., 2020).
Other Implementation Guides
- The Agency for Clinical Innovation in New South Wales, Australia, provides an online, 1-hour educational module, “Making it Happen” for clinicians and service managers. Access requires creating a free account and logging in. Content includes:
- Project and change management
- Project governance
- Key roles and responsibilities
- Implementation worksheet
- Learn more>>
- The International Society of Quality of Life Research (ISOQOL) published a User’s Guide (2015) and Companion Guide (2018) for implementing patient-reported outcomes in clinical practice.
- The HealthMeasures team created a 3-page guide What You Need to Know Before Requesting Patient-Reported Outcomes in Your Electronic Health Record.
Last updated on 5/5/2022