As one facet of UHF’s work to increase patient engagement and the patient voice in health care, the Quality Institute advanced the use of Patient-Reported Outcome Measures, or PROMs, with an 18-month learning collaborative. Participants in the series of in-person sessions and webinars included three New York-area health care providers, each of whom received UHF grant support, along with a faculty of nationally recognized experts and UHF Quality Institute staff. Descriptions and links to presentations from these sessions appear below.

Project Activities

Using PROMs in Primary Care: Making the Case and Experience from the Field, a presentation by Neil Wagle, MD, at the initial meeting of the learning collaborative. Dr. Wagle is associate chief quality officer at Partners HealthCare, leading the system’s efforts on ambulatory quality within the Division of Quality, Safety, and Value and the Center for Population Management, and is an expert on Partners’ patient-reported outcomes measurement program.

Patient-Reported Outcomes: Moving PROs into Practice, a webinar presentation (slides and audio) by Kurt Kroenke, MD, MACP, on pragmatic approaches to choosing the instrument that is right for each practice’s clinical priorities, patient population, and resources. Dr. Kroenke is professor of medicine at Indiana University School of Medicine and a research scientist at the Regenstrief Institute and the Indianapolis VA HSR&D Center for Health Information and Communication, focusing on physical and psychological symptoms in medical patients, including pain, depression, anxiety, and somatization. Listen to the audio.

Bridging the Gap: Moving from Planning to Routinization, a webinar presentation (slides and audio) by Lucy Savitz, PhD, MBA, on testing and assessing quality improvement processes. Dr. Savitz is assistant vice president for delivery system science at Intermountain Healthcare, and research professor of clinical epidemiology at the University of Utah School of Medicine, directing the University’s CTSA Patient-Centered Research Methods Core. Listen to the audio.

Bronx Behavioral Health Integration Project and Patient-Reported Outcomes, a webinar presentation (slides and audio) by Henry Chung, MD, sharing lessons for workflow and quality monitoring from his work on behavioral health screening and follow up in the primary care setting using the PHQ-9 questionnaire. Dr. Chung is vice president and chief medical officer of Montefiore Care Management Organization and associate professor of clinical psychiatry at the Albert Einstein College of Medicine; he is also medical director of the Montefiore Accountable Care Organization, a pioneer ACO. Listen to the audio.

How Primary Care Can Move Towards a Patient-Centered and Outcomes-Focused Approach to Care Management, a presentation by Gene Nelson, MD, showing how using a variety of outcomes and experience measures together can advance understanding of what patients value and where they fall within a "compass" of outcomes, experience, and cost.

What’s So Great About PROMIS? In a presentation at the initial meeting of the PROPC-NY learning collaborative, Dr. Dave Mitten of the University of Rochester Medical Center Health Lab gave an overview of the Patient Reported Outcome Measurement Information System. See presentation.

Developing Person-Driven Outcome Measures. Presentation for the PROPC-NY learning collaborative by Erin Giovannetti, senior research scientist of NCQA. See presentation

Patient Experience in a Value Compass Approach. Presentation for the PROPC-NY learning collaborative by Glyn Elwyn of the Dartmouth Institute for Health Policy & Clinical Practice. See presentation

Accelerating Improvement & Spread in a Sustainable Way. Presentation for the PROPC-NY learning collaborative by Bruce Spurlock, president & CEO of Cynosure Health. See presentation.