BMJ publish RNOH paper about patient data capture

Patient data reported outcome measures PROMS

A scientific paper authored by a team from the RNOH has been published by the Open Source British Medical Journal. This paper demonstrates for the first time in the UK, on a large scale, how NHS hospitals can capture a patient’s health status using tablet devices in a real clinical outpatient setting on more than 2500 patients.

Patient Reported Outcome Measures (PROMs) assess the quality of care delivered to NHS patients from the patient perspective and have been collected by all providers of NHS-funded care since April 2009 for common procedures such as hip or knee replacement. They measure a patient’s health status or health-related quality of life at a single point in time, and are collected through short, self-completed questionnaires. This health status information is collected before and after a procedure and provides an indication of the outcomes or quality of care delivered to NHS patients.

The study demonstrates the successful implementation of technology into a service improvement programme. One of the paper’s reviewers, Nick Black, Professor of Health Services Research at the London School of Hygiene and Tropical Medicine commented "[the study is] a very welcome demonstration of the feasibility of implementing PROMs data capture using electronic technology. Although there has been much talk of such a development (and successful examples in Sweden), this is the first large scale demonstration in England.”

Andy Goldberg, Consultant Orthopaedic Surgeon at the Royal National Orthopaedic Hospital and Senior Lecturer for the Division of Surgery at UCL, stated: “The airline industry moved to 100% electronic ticketing in 2008, with an estimated 10-fold reduction in costs. A key requirement of the NHS Outcomes Framework is the use of PROMS as a quality measure in the NHS. However PROMS data can be terribly misleading unless it is qualified by matched clinician captured diagnosis and treatment information. This is what we achieved and lends the way for a step change in quality outcomes in the NHS”

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