Digital health technology is a key enabler for us to achieve a value-based approach to healthcare.
Value-based healthcare demands a data-informed approach to decision making at all levels, whether that is to support shared decision making in the consultation, for quality improvement in a service, for resource allocation or research.
One of the main datasets to capture is patient reported outcomes, commonly known as PROMs. These structured and often codified questionnaires are important status reports about the symptom burden and quality of life of an individual on a given day. They can be an important tool to support care and therefore must be embedded technically across our healthcare information system to be accessed by patients and their clinicians.
There are three important areas in-which the Welsh Value in Health Centre are working to improve the digital health of our healthcare system: data standards, data accessibility and data visualisation.
Our work with data is focussed on:
Value-based healthcare demands consistent collection of PROMs data to support seamless aggregation, comparison and benchmarking of data. To achieve this, the Welsh Value in Health Centre have developed the PROMs Standard Operating Model or PSOM for short.
PSOM is a robust framework that defines the data standards for collecting PROMs, the process standards for the collection points across a care pathway and connectivity standards for transmitting the data across systems. Once implemented by Health Boards and PROM Providers, it will allow us to successfully collect patient reported outcomes through Wales’s evolving digital health landscape, and in turn, generate the right insights to improve patient outcomes.
Clinicians could view all completed PROMs for a patient, irrespective of which Health Board or Trust collected them, and view them longitudinally in an electronic patient record, supporting more structured conversations with patients, specific to their outcomes and supporting better shared decision making.