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KERMIT: Performance indicators in electronic patient reported outcome measures: a modified Delphi
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Mark Baxter ,
Sally Lewis ,
Peter S. Hall ,
Katie Spencer
Journal of Patient-Reported Outcomes, Volume: 9, Issue: 1
Swansea University Author:
Sally Lewis
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DOI (Published version): 10.1186/s41687-025-00898-x
Abstract
IntroductionThe use of electronic patient reported outcome measures (ePROMs) is increasing in routine cancer care, with benefit demonstrated in improving patient survival, satisfaction and response time. ePROMs represent a complex intervention, with successful implementation reliant upon a range of...
| Published in: | Journal of Patient-Reported Outcomes |
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| ISSN: | 2509-8020 |
| Published: |
Springer Science and Business Media LLC
2025
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa71004 |
| Abstract: |
IntroductionThe use of electronic patient reported outcome measures (ePROMs) is increasing in routine cancer care, with benefit demonstrated in improving patient survival, satisfaction and response time. ePROMs represent a complex intervention, with successful implementation reliant upon a range of questionnaires, platform, patient and clinician characteristics alongside the wider organisational readiness and environment. Key performance indicators (KPIs) assess the performance of a system. A KPI framework would offer value in assessing ePROM implementation projects, however the outcomes and indicators of importance are not clear.MethodA modified Delphi methodology was used to define a framework of KPIs for assessing the deployment of ePROMs in routine cancer care. Potential KPIs were identified through literature searches, de-duplicated and allocated to a matrix of domains. Delphi participants were identified through a literature review and study team networks. KPIs were presented to participants for prioritisation using an online platform. A final set of KPIs was identified through two rounds of consensus with participants rating each KPI for relevance.ResultsThe literature search generated a list of 196 potential KPIs of which 48 were considered by 15 experts in the Delphi process. Consensus was reached to include 12 KPIs in the first round and a further 2 KPIs in the second round. Participant’s open text responses were analysed, suggesting a number of areas of debate regarding which KPIs are most pertinent.DiscussionThis work provides a framework of 14 KPIs, covering those of relevance to patients, clinicians and health services and recognising the acceptability, feasibility and impact of ePROMs. This framework offers a means to appraise the implementation of ePROMs, supporting teams as they implement ePROMs in routine cancer care and other healthcare settings. |
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| Keywords: |
ePROMS; PROMS; Electronic; KPIs; Key performance indicators; Delphi study |
| College: |
Faculty of Humanities and Social Sciences |
| Funders: |
This study received no funding. |
| Issue: |
1 |