TY - JOUR
T1 - Implementation of Patient Reported Outcomes in Outpatient Palliative Care
T2 - From Paper to Computer
AU - Hui, David
AU - Mastroleo, Gustavo Scannapieco
AU - Rozman De Morales, Aline
AU - Peek, Angela
AU - Reddy, Akhila
AU - Zhukovsky, Donna S.
AU - Joy, Manju
AU - Ali, Sara
AU - Bruera, Eduardo
N1 - Funding Information:
D.H. was supported in part by grants from the National Cancer Institute ( R01CA214960 ; R01CA225701 ; R01CA231471 ). The authors have nothing to disclose.
Publisher Copyright:
© 2023 American Academy of Hospice and Palliative Medicine
PY - 2023/8
Y1 - 2023/8
N2 - Background: This quality improvement project aimed to transition completion of Edmonton Symptom Assessment System (ESAS) at our supportive care clinic from paper to electronic format. Measures: Proportion of patients who completed electronic ESAS (eESAS). Intervention: Starting July 2018, patients could complete eESAS 24h before check-in (eESAS-before), eESAS after check-in (eESAS-after) or on paper (pESAS). Outcomes: A total of 6631 cancer patients had 25,767 clinic visits between July 13, 2018 and November 5, 2021. The ESAS completion rate was 100%. eESAS uptake gradually increased over time, first reaching ≥75% eESAS completion in 5/2019 (eESAS-after 61.9%; eESAS-before 14.0%; pESAS 24.1%). We observed a sharp uptake in eESAS-before since adoption of telehealth during the pandemic (May 2020) and the ≥75% eESAS target was consistently achieved from November 2020 onwards (eESAS-after 0.6%; eESAS-before 76.7%; pESAS 22.7%). In an anonymous survey, we identified several modifiable barriers to implementing eESAS. Conclusions: Transition to eESAS was a gradual process and was catalyzed by the pandemic.
AB - Background: This quality improvement project aimed to transition completion of Edmonton Symptom Assessment System (ESAS) at our supportive care clinic from paper to electronic format. Measures: Proportion of patients who completed electronic ESAS (eESAS). Intervention: Starting July 2018, patients could complete eESAS 24h before check-in (eESAS-before), eESAS after check-in (eESAS-after) or on paper (pESAS). Outcomes: A total of 6631 cancer patients had 25,767 clinic visits between July 13, 2018 and November 5, 2021. The ESAS completion rate was 100%. eESAS uptake gradually increased over time, first reaching ≥75% eESAS completion in 5/2019 (eESAS-after 61.9%; eESAS-before 14.0%; pESAS 24.1%). We observed a sharp uptake in eESAS-before since adoption of telehealth during the pandemic (May 2020) and the ≥75% eESAS target was consistently achieved from November 2020 onwards (eESAS-after 0.6%; eESAS-before 76.7%; pESAS 22.7%). In an anonymous survey, we identified several modifiable barriers to implementing eESAS. Conclusions: Transition to eESAS was a gradual process and was catalyzed by the pandemic.
KW - Electronic medical records
KW - implementation science
KW - neoplasms
KW - palliative care
KW - patient reported outcome measures
KW - symptom assessment
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U2 - 10.1016/j.jpainsymman.2023.04.012
DO - 10.1016/j.jpainsymman.2023.04.012
M3 - Article
C2 - 37080480
AN - SCOPUS:85159118864
SN - 0885-3924
VL - 66
SP - e197-e203
JO - Journal of pain and symptom management
JF - Journal of pain and symptom management
IS - 2
ER -