The use of an iPad to Collect Patient-Reported Functional Outcome Measures in Hand Surgery

Yaffe, Mark; Goyal, Nitin; Kokmeyer, Daniel; Merrell, Gregory A.

doi:10.1007/s11552-014-9731-x

Cited by 20 publications

(17 citation statements)

References 9 publications

(11 reference statements)

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“…PROMIS questionnaires were completed electronically on Apple iPads (Apple, Cupertino, CA, USA). Prior research in orthopaedic surgery has shown that these provide an efficient and preferable way to collect PROs over traditional pen‐and‐paper methods (Yaffe, Goyal, Kokmeyer, & Merrell, ). Our medical centre's PROMIS software automatically captures PROMIS‐related data (i.e., PROMIS domain scores, survey time to completion, reason for incomplete questionnaires [if applicable], time spent by provider viewing PROMIS scores on the electronic health record [EHR]) as part of our institution's large‐scale implementation and direct EHR incorporation of PROMIS) (Papuga et al, ).…”

Section: Methodsmentioning

confidence: 99%

Patient‐reported outcomes use during orthopaedic surgery clinic visits improves the patient experience

Bernstein

Fear

Mesfin

et al. 2019

Musculoskeletal Care

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Objectives: The Patient-Reported Outcomes Measurement Information System (PROMIS) is growing in popularity as healthcare shifts towards a value-based system. However, it remains unclear if PROMIS use improves the patient experience. The aim of the present study was to determine if PROMIS use as part of routine orthopaedic clinical care is associated with improved patient experience, as measured by the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) survey.Methods: All patient visits to an orthopaedic surgery clinic at a single academic medical centre between February 2015 and September 2016 were reviewed.Accounting for known patient factors that have an impact on clinic visit satisfaction, CGCAHPS scores were compared between patients who had PROMIS used as part of their routine care and those who had not had PROMIS used as part of their routine care. A p-value of <0.05 was considered significant.Results: A total of 8,607 patient visits fitted our inclusion criteria. Of these, surgeons elected not to use PROMIS in 8,422 patient encounters, leaving 185 patient visits in which PROMIS was actively used. When PROMIS was used, patients were significantly more likely to feel that the provider had spent enough time with them, to recommend this provider office to another patient and to rate the provider significantly higher on a scale from 0 to 10. Although not significant, a trend was found between use of PROMIS and whether a patient felt that a provider explained health information in way that the patient understood.Conclusions: PROMIS use in an orthopaedic clinic visit can have a positive impact on the patient experience, which is currently part of a number of alternative payment models.

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Section: Methodsmentioning

confidence: 99%

Patient‐reported outcomes use during orthopaedic surgery clinic visits improves the patient experience

Bernstein

Fear

Mesfin

et al. 2019

Musculoskeletal Care

View full text Add to dashboard Cite

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“…Electronic and web-based PROMs are appealing in the advancing technologic era. They offer several theoretical advantages, including a simple workflow for data collection,8, 14 a greater access to pertinent patient information, and the opportunity to incorporate that data into clinical care with real-time availability of data 6, 9, 11. Furthermore, it has been reported that electronically administered PROMs yield a 14-fold probability of obtaining a completed and thus a score-able survey 3 .…”

Section: Discussionmentioning

confidence: 99%

“…With the introduction of these PROMs, health care providers have been able to track changes over time to determine which interventions produce the best outcomes. With the advent of computer software created to track outcomes measurements, the use of electronically based surveys has become a more preferable questionnaire format than previous pen-and-paper surveys 5, 8, 14. Nevertheless, the ability to compile complete data at routine follow-up intervals can be difficult.…”

mentioning

confidence: 99%

E-mail reminders improve completion rates of patient-reported outcome measures

et al. 2017

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BackgroundPatient-reported outcome measures (PROMs) have become increasingly important in assessing clinical outcomes. However, acquisition of data at routine time intervals can be challenging. The ability of e-mail reminders to save follow-up intervals when office visits are missed is unknown.Materials and MethodsA retrospective review of a consecutive series of 186 shoulder surgical patients who underwent surgery between October 2, 2012, and July 2, 2013, was conducted. Simple Shoulder Test and 12-Item Short Form Health Survey scores were completed at preoperative visits using office-based tablet surveys. Patients were observed for completeness of PROMs at expected routine follow-up of 1 year and 2 years. When office visits were missed, e-mail reminders with links to online surveys were sent to patients without further incentives. Improvement in data acquisition achieved using e-mail reminders when patient follow-up was missed was assessed. The influence of the procedure performed was further analyzed to determine whether patients treated with different surgical procedures would be more compliant with PROM completion.ResultsUse of e-mail reminders significantly increased the number of patients for whom complete follow-up data were obtained. Compared with tablet surveys completed during office visits alone, the addition of e-mail reminders increased the collection of complete PROM data (both 1- and 2-year follow-up) by 25.8% (P < .001). Similar findings were observed for total shoulder arthroplasty and arthroscopic rotator cuff repair patients (increased by 25.7% and 34.4%, respectively; P < .001).ConclusionE-mail reminders serve as a mechanism to increase the completeness of follow-up data in the absence of in-office patient evaluation.

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“…Yaffe et al [15] found that the addition of an iPad is an efficient and preferable questionnaire format to obtain patient-reported outcomes in a hand and upper extremity surgery practice setting. The iPad was particularly advantageous for longer questionnaires and for use in patients under the age of 50.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

“…1 I find it difficult to use an iPad 15 completed it in the past and sometimes even to the extent of forgetting that they have ever completed the PCI. Given the background of some of the patients it is inevitable that some will always prefer the assistance to complete the PCI.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

How easy and confident do patients feel about using an iPad to complete the Patient Concerns Inventory without assistance in a busy head and neck oncology outpatient review clinic

2017

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Introduction This project aims to evaluate the ease and confidence of patients when using an iPad to complete an item prompt list (Patient Concerns Inventory) in a busy oncology outpatient clinic. Patients and methods 100 consecutive patients attending routine maxillofacial oncology review clinic completed a study specific 5 item self-report questionnaire after completion of the PCI. Results Of eligible patients attending 14 clinics from March 2016 onwards, one-third (31) preferred to complete the PCI on an iPad with a volunteer in a separate room, while two-thirds (69) preferred to complete the PCI by themselves on an iPad in the waiting room. Previous use of an iPad and patient age ([70) were factors indicating lower confidence and a preference towards needing help in a separate room. Although the majority of patients were able to complete the PCI in the waiting room themselves there is a proportion who for a variety of reasons would prefer to have assistance. Conclusion This study helps to inform resource allocation (assistance and clinic area) when adopt the PCI across the whole oncology outpatient setting. Further research is needed to identify cost efficient ways to promote the selfcompletion of the PCI in those patients less confident.

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The use of an iPad to Collect Patient-Reported Functional Outcome Measures in Hand Surgery

Cited by 20 publications

References 9 publications

Patient‐reported outcomes use during orthopaedic surgery clinic visits improves the patient experience

Patient‐reported outcomes use during orthopaedic surgery clinic visits improves the patient experience

E-mail reminders improve completion rates of patient-reported outcome measures

How easy and confident do patients feel about using an iPad to complete the Patient Concerns Inventory without assistance in a busy head and neck oncology outpatient review clinic

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