Implementing Patient Reported Outcome Measures in a Student-Faculty Clinic
Patient reported outcome measures (PROMs) capture patient perspectives of care, unfiltered by healthcare providers. By quantifying how care impacts each patient’s mental, physical, and social wellbeing, PROMs can serve as a powerful indicator of healthcare quality. While PROMs have been implemented in a number of hospital settings, their use in student-faculty clinics has not been reported. This manuscript thus describes the implementation of a novel set of PROMs questionnaires at the Crimson Care Collaborative (CCC) at Harvard Medical School (HMS). Based on our experiences and a thorough review of other PROMs implementations, we determined three main requirements for a successful launch: a specific approach tailored to each unique clinic setting, strong clinician buy-in, and widespread patient acceptance. Once implemented in our clinic, we discovered that PROMs benefitted medical education by increasing awareness of the social determinants of health, and encouraging students to broach difficult conversations. We expect that the continuous use of PROMs at CCC will inspire future quality improvement projects, and believe that our implementation experience can serve as a guide for other student-faculty clinics.
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