Patient-Reported Outcomes Measurement Information System Integration Into Rheumatology Clinical Practice
Study Details
Study Description
Brief Summary
This study will examine the impact of providing patient-reported outcomes measurement information system (PROMIS) scores to patients before appointments with their healthcare provider.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: PRO Integration into Clinical Practice PRO scores will be shared with patients and healthcare providers (HCPs) via an emailed report card |
Behavioral: PRO Integration into Clinical Practice
HCPs will document their discussion and recommendations/referrals in MiChart (Epic EMR)
|
| No Intervention: Usual Care Patients and HCPs will not receive an emailed PROMIS score report. PROMIS scores, however, will be available in the EMR as usual. |
Outcome Measures
Primary Outcome Measures
- Percent of appointments at which Patient-Reported Outcomes Measurement Information System (PROMIS) scores are documented in the electronic medical record (EMR) note by the participating health care provider (HCP) [Up to 3 months]
Documentation in EMR notes will be categorized as either 'yes' or 'no' and identified through EMR data pulls.
Secondary Outcome Measures
- Percent of appointments at which referrals/recommendations related to PROMIS scores are documented in the EMR note by the participating HCP [Up to 3 months]
Documentation in EMR notes will be either 'yes' or 'no' and identified through EMR data pulls.
- Quality of patient-provider communication [Up to 2 weeks]
Patient-provider communication is measured using the Interpersonal Processes of Care (IPC) Survey (29 items), which measures 7 subscales: hurried communication, elicited concerns/responded, explained results/medications, patient-centered decision making, compassion, discrimination, and disrespectful office staff (score for each subscale ranges from 1-5; a higher score indicates better IPC)
- Change in score of the most bothersome PROMIS domain [Baseline, 3 months]
Change in the z score of the most bothersome PROMIS domain at baseline .
Eligibility Criteria
Criteria
Inclusion Criteria for patients:
-
New and established patients seeking care at Michigan Medicine rheumatology clinics
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Patients should have access to the patient portal in MiChart patient portal
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Patients should have access to the internet at home to be able to complete the PROMIS PRO measures and study surveys online
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Patients should have completed PROMIS pain, physical function, and sleep disturbance measures at least one day before their baseline appointment
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At least one of the PROMIS PRO scores should be in the concerning zone (pain intensity ≥ 5, physical function ≤ 40, or sleep disturbance ≥ 60).
Exclusion Criteria:
-
Non-English speakers
-
under 18 years of age
Inclusion Criteria for providers:
- Rheumatology health care providers, including clinicians and advanced practice providers at Michigan Medicine who are currently treating rheumatology patients
Exclusion Criteria:
- Those not meeting the inclusion criteria
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | The University of Michigan | Ann Arbor | Michigan | United States | 48109 |
Sponsors and Collaborators
- University of Michigan
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Investigators
- Principal Investigator: Dinesh Khanna, MD, MSc, University of Michigan
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HUM00149448
- K24AR063120