Introduction
We created a series of workflow diagrams that were shared with the care team throughout the study. Further details of these workflow can be found in our publication:
Davis S, Antonio M, Smith M et al. (2022). Paving the way for electronic patient-centered measurement in team-based primary care: Integrated knowledge translation approach. JMIR Form Res 18;6(3): e33584 doi: 10.2196/33584. Images and text are excerpts from our published paper and can be reproduced under the Creative Commons Attribution 4.0 licence
Care Workflow
The collective results of Stage 1 of the study were used to inform Stage 2. Following the team-mapping session, co-designing efforts produced an initial care workflow for incorporating PREM and PROMs into routine care, before, during and in-between a patient’s clinic visits, using a patient portal. Five key activities were identified: (i) deploying PCM; (ii) collecting online patient data; (iii) tracking completion; (iv) reviewing data; and (v) documentation. Workflow changes were then designed to incorporate these activities and a concluding workflow diagram was developed (Figure 2).
Care Processes
Based on workflow discussions with care providers and patient partners, a care processes diagram was produced (Figure 3) to identify the opportunities for care-team members to integrate PCM (e.g., asynchronous screening or follow-up or during an encounter).
Patient Workflow
A patient workflow, based on patient feedback, was created to incorporate real and potential actions related to PCM (Figure 4). A video was also created to illustrate study results relating uses and integration of PGD into clinical care from the patient perspective https://bit.ly/3nOhUsc.
Quality Improvement
While quality improvement activities were never completed, discussions were held to explore opportunities within workflow and care processes to carry-it out. The resultant quality improvement process workflow is displayed in Figure 5. PCM-related QI activities for the care team are based on the plan-do-study-act cycle and documentation processes that can be informed by PCM.
