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FOTO Rehab Outcomes Blog

Patient Reported Outcomes in Electronic Health Record Can Inform Clinical and Policy Decisions

Historically, data mining used medical claims data. The problem with medical claims data is that it doesn't tell the whole story. Claims data answers the question of what services were provided. When thinking about rehabilitation services claims data only tells have the story. The patient isn't included in the story. 

When using FOTO, it is easy to incorporate patient reported outcomes into clinical decision making. What will be powerful: combining electronic health record with patient reported outcomes and claims data. 

Below you will find a quick view of the abstract. 


Montreal Accord on Patient-Reported Outcomes Use Series- Paper 8: Patient Reported Outcomes (PRO) in Electronic Health Records Can Inform Clinical and Policy Decisions.




Given that the goal of healthcare systems is to improve and maintain the health of the populations they serve, the indicators of performance must include outcomes that are meaningful to patients. The growth of health technologies provides an unprecedented opportunity to integrate the patient voice into clinical care by linking electronic health records (EHR) to patient-reported outcome (PRO) data collection. However, PRO data must be relevant, meaningful, and actionable for those who will have to invest the time and effort to collect it.


In this paper, we highlight opportunities to integrate PRO data collection into EHRs. We consider how stakeholder perspectives should influence the selection of PROs and ways to enhance engagement in and commitment to PRO implementation. We propose a research and policy agenda to address unanswered questions and facilitate the widespread adoption of PRO data collection into EHRs.


Building a learning healthcare system that gathers PRO data in ways that can inform individual patient care, quality improvement, and comparative effectiveness research has the potential to accelerate the application of new evidence and knowledge to patient care.

2017 Apr 19. pii: S0895-4356(17)30407-9. doi: 10.1016/j.jclinepi.2017.04.011. [Epub ahead of print]