An app called PRISM has won the Agency for Healthcare Research and Quality’s Step Up App Challenge, a multi-phase competition to address the need for greater use of standardized patient-reported outcomes (PRO) data in clinical care and research.
The goal of the challenge was to develop a user-friendly app capable of collecting standardized PRO data in various ambulatory settings, including primary and specialty care.
PRO data include any information on the status of a patient’s health condition that comes directly from the patient, without interpretation of the patient’s response by a clinician or other medical expert. These data can yield insights into health status, function, symptom burden, adherence, health behaviors and quality of life.
The award-winning PRISM app was developed by a multidisciplinary team comprising experts from the University of Minnesota’s Carlson School of Management and the Institute for Health Informatics, Fairview Health System/HealthEast Kidney Stone Institute and PerkHealth, a Minnesota-based startup mobile app development company.
PRISM is an acronym for PROMIS Reporting Insight System from Minnesota. PROMIS is yet another acronym (Patient-Reported Outcomes Measurement Information System) that defines a set of person-centered measures that evaluates and monitors physical, mental and social health in adults and children.
PRO data are not routinely collected and used in practice. One reason, AHRQ noted, is that standards have not previously existed for collecting and integrating PRO data into health IT systems, thereby limiting the ability for clinicians to use the data or easily share these data across health systems for research or other purposes, including quality improvement.
PRISM guides patients through questions about their health status. It is possible for the responses to be integrated with the patient’s medical record so that a clinician can address the patient’s needs and concerns during the clinical visit. The app also gives patients real-time feedback on how their data compare to the overall population, as well as personalized recommendations on improving their health.
With support from AHRQ, PRISM will now be pilot-tested in nine practice settings affiliated with MedStar Health in Washington, D.C., Maryland and Virginia. The results will be available later this year.
“Validated patient-reported outcome instruments, like the PROMIS measures, capture the subjective patient experience. Yet adoption gaps remain as they can be unnecessarily arduous to implement, collect and analyze data,” said Andrew Portis, M.D. of Fairview Health System/HealthEast Kidney Stone Institute, in a prepared statement. “Building on the success that Fairview Health System/HealthEast Kidney Stone Institute has had utilizing paper-based PROMIS measures to predict and improve successful kidney stone passage, we built the PRISM app, an easy-to-use, secure, rewarding and interoperable way to ‘reflect the voice of the patient.’”
