Pragmatically Using Electronic Patient Reported Measures to Drive Proactive Rehabilitation Care: Our Future?
Andrea L. Cheville, MD
Director of Cancer Rehabilitation and Lymphedema Services
Rehabilitation is at a critical juncture with a pressing need to demonstrate value in the era of health care cost containment. While rehabilitation interventions preserve function and even reduce disability when used in a proactive manner, the need to leverage these services efficiently in the face of an aging and heavily disease burdened population is a matter of great importance. Technology offers vast opportunities to promote a precision medicine approach to rehabilitation service prescription and interventions.
Electronic health care records are nearly ubiquitous in our current environment. Finding ways to use these tools to facilitate appropriate and timely care is the greatest opportunity for our field to show its value in the health care continuum. In 2018 the Mayo Clinic in Rochester, MN was awarded a grant from the Biden Cancer moonshot initiative towards addressing cancer treatment-related symptom management and disability. As a part of the UM1 grant: Improving Management of Symptoms Across Cancer Treatment (IMPACT) consortium, an Enhanced, EHR-facilitated Cancer Symptom Control (E2C2) pragmatic clinical trial will test the population- level implementation of validated approaches to detect and effectively manage cancer treatment-related sleep disturbance, pain, anxiety, depression, and energy deficit/fatigue among patients with all types and stages of cancer. The trial is important because it will rigorously test a means of deploying finite resources to yield maximal patient benefit in lessened symptom burden and functional loss, as well as enhanced survival and quality of life.
This plenary session will describe the model development of systematically integrating function-oriented care into the management of a progressive disease in order to reduce healthcare costs while simultaneously improving the independence and quality of life of patients with cancer and will provide an aspirational vision of the relevance of this work to the greater field of rehabilitation medicine.
- Identify a collaborative model for proactive rehabilitation service integration for chronic disease management.
- Recognize the components of electronic health records that enable risk stratification and prompt triage to rehabilitation proactively.
- Identify electronic patient-reported outcomes measures that can be leveraged to facilitate this model in practice.
About Dr. Cheville