Advancing digital patient-centered measurement methods for team-based care

Marcy G Antonio; Selena Davis; Mindy Smith; Paul Burgener; Morgan Price; Danielle C Lavallee; Sarah Fletcher; Francis Lau

doi:10.1177/20552076221145420

Advancing digital patient-centered measurement methods for team-based care

Digit Health. 2022 Dec 25:8:20552076221145420. doi: 10.1177/20552076221145420. eCollection 2022 Jan-Dec.

Authors

Marcy G Antonio¹, Selena Davis², Mindy Smith^{3

4}, Paul Burgener⁵, Morgan Price⁶, Danielle C Lavallee^{7

8}, Sarah Fletcher⁶, Francis Lau²

Affiliations

¹ School of Information, University of Michigan, Ann Arbor, MI, USA.
² School of Health Information Science, University of Victoria, Victoria, Canada.
³ College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.
⁴ Patient Advisory Committee of the Kootenay-Boundary Collaborative Services Committee, Cranbrook, Canada.
⁵ Patient Voices Network, Vancouver, Canada.
⁶ Department of Family Practice, Innovation and Support Unit, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
⁷ BC SUPPORT Unit, Michael Smith Health Research BC, Vancouver, Canada.
⁸ School of Population and Public Health, University of British Columbia, Vancouver, Canada.

Abstract

Objectives: To conceptualize new methods for integrating patient-centered measurement into team-based care.

Methods: A standalone portal was introduced into a rural clinic to support conceptualization of new methods for integration of patient-centered measurement in team-based care. The portal housed mental health-related online resources, three patient-reported measures and a self-action plan. Six providers and four patients used the portal for four months. Our data collection techniques included clinic discussions, one-on-one interviews, workflow diagrams and data generated through the portal. Analysis was supported through coding interview transcripts, looking across multiple sources of research data and research team discussions.

Results: Our research team conceptualized five team-based patient-centered measurement methods through this study. Patient-centered measurement Team Mapping offfers a technique to provide greater clarity of care-team roles and responsibilities in data collected through patient-centered measurement. Longitudinal Care Alignment can guide the care-team on incorporating patient-centered measurement into ongoing provider-patient interactions. Digital Tool Exploration can be used to evaluate a team's readiness toward digital tool adoption, and the impact of these tools. Team-based quality improvement serves as a framework for engaging teams in patient-centered quality improvement. Shared learning is a method that promotes patientprovider interactions that validate patient's perspectives of their care.

Conclusion: The portal illuminated new methods for the integration of patient-centered measurement in team-based care. The first three proposed patient-centered measurement methods provides ways to assess how a clinic can incorporate patient-centered measurement methods into team-based care. The latter two methods focus on the aim of patient-generated data in which patient's values and perspectives are represented and quality of patient-centered care can be evaluated. Further testing is needed to assess the utility of these patient-centered measurement methods across different clinical settings and domains.

Keywords: Patient-centered care; health care; patient generated health data; patient participation; patient portals; patient-reported outcome measures; quality assurance; shared decision-making.