NYSDA Publications

AHRQ Issues Update on Digital Health Care Efforts

The Agency for Healthcare Research and Quality (AHRQ) has issued an update on its efforts in digital health care transformation.  AHRQ notes that it is committed to help build a research base that can inform digital system design to improve health care quality, safety, and equity without putting excessive burdens on members of the health care team.  You can read the AHRQ update on its efforts in digital health care transformation below.

Using Patient-Reported Outcomes to Improve Care

AHRQ-Funded Digital Healthcare Research Findings

Patient-reported outcomes (PROs) provide the critical patient perspective for many aspects of healthcare, but are not routinely collected and integrated into patient care.  Recent AHRQ-funded work focused on understanding ways to effectively use this critical information to improve patient care and treatment.

 

 

User-Friendly Apps to Advance the Use of Standardized Patient-Reported Outcomes

One barrier to integrating electronic PROs into routine care is the lack of standardized information exchange between apps that collect PROs and providers’ electronic health record (EHR) systems.  To address this issue, Drs. Deliya Wesley and Raj M. Ratwani, and team at MedStar Health Research Institute investigated the functionality and usability of user-friendly apps to collect diverse PRO measures in a standardized manner.  The research team pilot-tested two apps—the PROMIS Reporting and Insight System from Minnesota (PRISM) app (the winner of AHRQ’s 2018 Step Up App Challenge) and an existing PRO data collection app that was modified by incorporating Fast Healthcare Interoperability Resources technical specifications.

They found that PROs collected through these user-friendly apps can successfully be integrated into different EHR systems using interoperable standards.  This research adds to the evidence base that standardized integration of PROs into EHRs can lead to an increase of PRO use for clinical care, patient self-management, and health services research.

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Time for Surgery? Using Patient-Reported Outcomes for Shared Decision Making for Osteoarthritis Patients

Total knee replacement (TKR) for severe knee osteoarthritis (OA) is a common procedure to lessen pain and improve function.  However, about 15-20 percent of patients who have TKR are dissatisfied with the outcome, adding to growing concerns around the appropriateness of TKR in some patients.  Drs. Kevin Bozic and Joel Tsevat, and team at University of Texas-Austin want to better identify patients who are most likely to experience improved health outcomes with this treatment.

They are evaluating the effectiveness of a PRO-informed, shared decision making (SDM) tool that estimates the probability of a successful clinical outcome regarding operative versus non-operative treatment for patients with OA of the knee.  By putting patients at the center of their care and enabling them to participate in informed medical decision making, the research aims to strengthen the evidence for and promote the scaling of a PRO-guided SDM tool for OA treatment nationally.

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Improving Health Systems

User-Friendly Apps to Advance the Use of Standardized Patient-Reported Outcomes

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Strengthening Patient Engagement

Time for Surgery?
Using Patient-Reported Outcomes for Shared Decision Making for Osteoarthritis Patients

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Impact Report

Learn More About AHRQ-Funded Research in Our Recent Report

Access the Full Report | Read the Executive Summary

 

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