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Using an ePRO tool to help meet quality metric reporting standards: Screening for tobacco usage and falls risk.


Background: ASCO has implemented the Quality Oncology Practice Initiative (QOPI), a certification program established to evaluate oncology practice performance. Also, a growing number of accreditation (JCAHO) and merit-based organizations (MIPS) maintain falls risk assessment standards. Practices often lack the necessary resources to comply with required metric reporting standards. The study purpose was to document the effectiveness of using an electronic Patient Reported Outcome (ePRO) system to facilitate compliance with a core QOPI standard, documentation of smoking status by second office visit, and with JCAHO and MIPS falls risk assessment. Methods: This study used a retrospective, observational design with ePRO collected via the Patient Care Monitor (PCM), a web-based ePRO system linked to electronic medical record data. All study data were collected as part of routine clinical care at a community oncology practice during an 11-month interval (1/2019–11/2019). Patients at an initial clinic visit completed a tobacco usage survey and a brief falls risk survey on the PCM platform via a handheld e-tablet. Results: Overall, 6,613 unique patients completed the PCM survey (mean age 59; 33% male/67% female; 55.4% White, 38% Black). Cancer type was known for a subset of patients (22% breast, 9% hematologic, 4% lung, 5% colorectal, 3% prostate, 11% other types). Across the collected PRO measures, there was an over 98% completion rate with only 1-2% missing data. A relatively significant proportion (51%) indicated they had never used tobacco products and 15% indicated that they were current users. Among patients who ever used tobacco products, 34% indicated they smoked cigarettes, 4% smoked cigars, and 3% used electronic cigarettes. Over a fifth of patients (22%) indicated they had at least one fall over six months; 10% indicated having experienced one fall; 6% indicated two falls; 6% indicated 3 falls or more. 17% indicated they use an ambulatory aid and 12% reported a recent fall within the past 3 months. Conclusions: This study demonstrates that using an ePRO system is an effective way to screen for tobacco usage and falls risk and can be used to: 1) monitor health-related behaviors to enhance physician-patient communication; 2) provide an audit trail for QOPI, JCAHO, MIPS and other quality metric reporting. Automated collection of PRO data allows the healthcare team to focus their clinical time on patients showing increased risk. Overall, an ePRO system contributes to creating a culture of excellence at community oncology practices.

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Journal of Clinical Oncology
Pages: e19191


Published in print: May 20, 2020
Published online: May 25, 2020


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Joanne S. Buzaglo
Cancer Support Community, Research and Training Institute, Philadelphia, PA;
Edward Stepanski
Concerto HealthAI, Boston, MA;
Mary Joiner
Concerto HealthAI, Boston, MA;
Deb Taylor
Concerto HealthAI, Boston, MA;
Alexander Musallam
Concerto HealthAI, Memphis, TN;
Sylvia S. Richey
The West Clinic, Memphis, TN;
Lee S. Schwartzberg
West Cancer Center, Memphis, TN;
Ari M. Vanderwalde
The University of Tennessee Health Science Center, West Cancer Center, Germantown, TN;
Veronica B. Decker
University of Central Florida, Orlando, FL;
Cancer Support Community, Research and Training Institute, Philadelphia, PA; Concerto HealthAI, Boston, MA; Concerto HealthAI, Memphis, TN; The West Clinic, Memphis, TN; West Cancer Center, Memphis, TN; The University of Tennessee Health Science Center, West Cancer Center, Germantown, TN; University of Central Florida, Orlando, FL


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Joanne S. Buzaglo, Edward Stepanski, Mary Joiner, Deb Taylor, Alexander Musallam, Sylvia S. Richey, Lee S. Schwartzberg, Ari M. Vanderwalde, Veronica B. Decker
Journal of Clinical Oncology 2020 38:15_suppl, e19191-e19191

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