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Touchscreen questionnaire patient data collection in rheumatology practice: Development of a highly successful system using process redesign.
MedLine Citation:
PMID:  22162301     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: While questionnaires have been developed to capture patient reported outcomes (PRO) in rheumatology practice, these instruments are not widely used. We developed a touchscreen interface designed to provide reliable and efficient data collection. Using the touchscreen to obtain PROs, we compared two different workflow models separately implemented in two rheumatology clinics. METHODS: The Plan-Do-Study-Act methodology was used in two cycles of workflow redesign. Cycle 1 relied on off-the-shelf questionnaire builder software and Cycle 2 relied on a custom programmed software solution. RESULTS: During Cycle 1, clinic 1 (private practice model, resource replete, simple flow) demonstrated a high completion rate at the start, averaging between 74% and 92% for the first 12 weeks. Clinic 2 (academic model, resource deficient, complex flow) did not achieve a consistent completion rate above 60%. The revised Cycle 2 implementation protocol incorporated a 15 minute "nurse visit", an instant messaging system, and a streamlined authentication process, all of which contributed to substantial improvement in touchscreen questionnaire completion rates of ∼80% that were sustained without the need for any additional clinic staff support. CONCLUSION: Process redesign techniques and touchscreen technology were used to develop a highly successful, efficient, and effective process for the routine collection of patient reported outcomes (PROs) in a busy, complex, and resource depleted academic practice and in typical private practice. The successful implementation required both a touchscreen questionnaire, human behavioral redesign, and other technical solutions. © 2011 by the American College of Rheumatology.
Authors:
Eric D Newman; Virginia Lerch; J B Jones; Walter Stewart
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-12
Journal Detail:
Title:  Arthritis care & research     Volume:  -     ISSN:  2151-4658     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 by the American College of Rheumatology.
Affiliation:
Department of Rheumatology, Geisinger Health System, Danville, PA 17822-1341. enewman@geisinger.edu.
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