Journal article 192 views 14 downloads
First steps in PROMs and PREMs collection in Wales as part of the prudent and value-based healthcare agenda
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Robert Palmer ,
Sally Lewis ,
Grace Carolan-Rees
Quality of Life Research, Volume: 30, Issue: 11, Pages: 3157 - 3170
Swansea University Author:
Sally Lewis
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DOI (Published version): 10.1007/s11136-020-02711-2
Abstract
PurposePatients are experts in their own health and should be treated as equal partners in their care. Patient-reported outcome measures (PROMs) are an effective way of gathering patient feedback and can facilitate effectiveness and cost-effectiveness analysis to improve decision making and service...
| Published in: | Quality of Life Research |
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| ISSN: | 0962-9343 1573-2649 |
| Published: |
Springer Science and Business Media LLC
2021
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa71011 |
| Abstract: |
PurposePatients are experts in their own health and should be treated as equal partners in their care. Patient-reported outcome measures (PROMs) are an effective way of gathering patient feedback and can facilitate effectiveness and cost-effectiveness analysis to improve decision making and service improvement. The PROMs, PREMs & Effectiveness Programme was initiated in 2016 and aimed to develop an electronic platform to facilitate collection of PROMs and Patient-reported experience measures (PREMs) from secondary care patients across Wales.MethodsWe worked with all Health Boards in Wales, the NHS Wales Informatics Service (NWIS), and Cedar (a healthcare technology research centre) to identify and meet technical requirements to develop a platform which is fit for purpose. Patient groups were included throughout the development to gather feedback and for extensive testing. Clinical teams helped identify the most appropriate tools, with licences, translations and electronic formatting issues being managed centrally.ResultsThe developed platform is integrated with patient administration systems minimising the need for manual input, with processes in place to allow automatic collection triggers according to nationally agreed schedules. We have over 30 nationally agreed PROMs ‘pathways’ with over 110,000 PROMs collected to date. Responses are fed back to clinicians via the electronic patient record and to each health board via feeds to the national data warehouse, making data easily accessible to different teams, maximising use and application.DiscussionThe national platform has provided a co-ordinated approach to PROMs collection in Wales, offering an effective means of communicating with patients outside the traditional clinic visit. |
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| Keywords: |
Shared decision making; Health-related quality-of-life; Value-based healthcare; Patient engagement; Patient-reported outcomes; PROMS |
| College: |
Faculty of Humanities and Social Sciences |
| Funders: |
The PROMs, PREMs and Effectiveness programme was funded by a grant from Welsh Government (Grant ETTF X.481.XTT). |
| Issue: |
11 |
| Start Page: |
3157 |
| End Page: |
3170 |