Linking Patient Generated Health Data (PGHD) with Patient Reported Outcome Measures (PROMs) to reduce burden

Role this area should play in the mHealth space
Remote Patient Monitoring (RPM) has been slow to enter the mainstream market due, in part, to a lack of practical understanding of how Patient Generated Health Data (PGHD) can be applied to clinical workflows to improve outcomes without increasing staff burden.

One opportunity to demonstrate how RPM can improve outcomes while reducing clinical burden is through the automatic linking of PGHD with Patient Reported Outcome Measures (PROMs). PROMs are a key tool to help clinicians monitor and manage progress of patients outside the traditional clinical setting while containing the cost of providing that care.

Chronic care management and the increasing strains on health systems due to the recent pandemic has heightened interest in the promise of collecting and leveraging PGHD to monitor the health of patients outside the clinical setting.

Current challenges and limitations
Properly completing PROMs is labour intensive. While PGHD can provide a rich source of information, manually integrating this larger data set into PROMs can significantly increase the burden on the staff.

Proper integration of PGHD and PROMs is essential for the clinician to fully understand the context of the measurements performed by the patient. A uniform implementation helps to ensure a universal understanding of PGHD across organizations essential to deployment at global scale.

 

What benefit could this bring to adopters of this innovation?
Linking PGHD and PROMs provides a practical example of the potential of remote patient monitoring. Mainstream adoption of remote patient monitoring promises to benefit:
Governments and health ministries to meet their obligations to citizens in providing healthcare in a more cost-effective manner.
Healthcare providers to identify solutions that can be integrated into existing workflows and/or identify new care models to capitalize on interoperability.
Remote Care Services companies to reduce the cost of integrating and support of various information & communication technology systems essential to realizing lower operating costs.
Device and sensor companies to find a profitable balance between the realities of a commoditized hardware market yet furnish the meaningful observations that enable these information systems to deliver vital signs data captured from multiple sources.
Pharmaceutical companies to apply remote patient monitoring to help ensure adherence during drug trials to improve the accuracy of results to prove the efficacy of their products.
Insurers / Payers to enable them to provide the necessary healthcare at the lowest cost.
How does it contribute to major EU policy priorities? (e.g. EHDS, COVID-19, DTHC etc.)
Patient empowerment and engagement is a key part of all EU digital health initiatives., accordingly supporting patient engagement through integration of PROMs into formal health records is a key contribution.

Examples

IHE Patient Care Device (PCD)

IHE Patient Care Device (PCD)

Approach or solution Drawing upon popular industry health standards, an IHE profile provides uniform implementation guidance on the practical application of PGHD into the clinical workflow to improve patient outcomes while reducing the burden to staff. Education of the staff will be essential to its... ...

What is on the horizon?
The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded initiative to develop and validate patient reported outcomes (PROs) for clinical research and practice. P is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. It can be used with the general population and with individuals living with chronic conditions. To learn more, visit www.nihpromis.org.
Patient Reported Outcome Measures is a key opportunity to develop measurements that are meaningful and appropriate for the CMS Measures Management System Blueprint.

 

Keywords
Remote patient monitoring, personal generated health data, patient reported outcome measures, clinical burden, improved outcomes, practical application, standards, profiles, questionnaire, workflows, care models