Implementation of routine Patient Rated Outcome Measures PROMs

Implementation of routine Patient Rated Outcome Measures (PROMs) collection in an outpatient department

Pulvertaft Hand Centre at Royal Derby Hospital Multidisciplinary team surgeons, nurses and therapists 50, 000 patient appointments a year – trauma and acquired conditions Why collect PROMs? Know our patient numbers, length of wait, number of operations…. BUT no hard data that shows we improve patients health

What is a Patient Rated Outcome Measure (PROM? ) PROMs assess the quality of care delivered to patients from the patient perspective. Calculate the health gains after treatment using pre- and posttreatment surveys. Baseline Receive treatment 3 months 6 months

AIM: To capture Patient Rated Outcomes on all new adult trauma and elective patients attending the Pulvertaft Hand Centre https: //proms. uhdb. nhs. uk/

Practical implementation of PROM collection in a COVID world Automated system Patients Staff team Launched system: 18 th May 2020 Team : myself & 1 apprentice Amplitude support team Used for patients seen face to face and remotely

Patient booked a new appointment on Lorenzo for trauma clinic Sent a link by e mail Collect e mail address at reception * Patient details automatically sent to Amplitude Patient booked on Lorenzo as a new patient on an elective clinic * Sent a link by e mail Diagnosis: Conservative or surgical management Follow up questionnaires 6 M, 12 M … Instructions in appointment letter * Interface blocks anyone under 16, prisoners and updates if patient dies.

70 Changes in PEM for hand trauma - matched 60 50 Score 40 30 20 10 0 BL 3 M 6 M

Where next? Important to know our outcomes: patient quality and research Improve e mail address uptake Improve diagnosis/treatment capture Working with Amplitude to deliver priority projects

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