2015 APHA Annual Meeting & Expo

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

333978
Use of interactive voice response technology to assess patient-reported health status in patients with cardiovascular conditions in the VA


Tuesday, November 3, 2015 : 5:10 p.m. - 5:30 p.m.

Marina McCreight, MPH, Department of Veterans Affairs, Eastern Colorado Health Care System, Denver, CO, Aurora, CO
Anne Lambert-Kerzner, PhD, MSPH, Department of Health Systems, Management, and Policy, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO
Dennis Plomondon, Eastern Colorado Health Care System, Denver, CO
Gregory Noonan, VA CART Program, Eastern Colorado Health Care System, Denver, CO
Michael Ho, MD, PhD, Cardiology, Eastern Colorado Health Care System, Denver, CO
John Rumsfeld, MD, PhD, Cardiology, Eastern Colorado Health Care System, Denver, CO
Steven Bradley, MD, Cardiology, Eastern Colorado Health Care System, Denver, CO
Audio (mp3) recording Recorded Presentation (mp4)
Background: Patient-reported health status, including symptom burden, functional status, and health related quality of life, is a significant metric of patient health. Currently, assessments of health status in routine care are non-standardized and not captured from the patient’s perspective, thus limiting opportunities to inform optimal care delivery for ideal patient health. 

Objective/Purpose: We developed a system to capture standardized measures of patient-reported health status within the VA Clinical Assessment, Reporting, and Tracking (CART) Program; a national clinical quality program for all procedures performed in VA cardiac catheterization laboratories.

Methods:  The CART Program facilitates preprocedural assessment with standardized documentation and data capture using an application embedded within the electronic health record. We developed an interactive voice response (IVR) phone system to administer disease-specific patient-reported health status surveys to patients undergoing elective procedures performed in VA cardiac catheterization laboratories. In addition, the system will be triggered to automatically call the patient at 1- and 6-months after the procedure to inform longitudinal health status outcomes.

Results: This IVR patient-reported health status survey system will automatically enter resulting health status data into CART pre-procedural assessment to inform the provider about the indication and anticipated utility of an invasive procedure for symptom reduction.  Longitudinal health status outcomes will support the identification of high quality care delivery that optimizes patient health.

Discussion/Conclusions: The standardized capture of patient-reported health status using an IVR tool has the potential to better inform the indications for invasive procedures and inform granular longitudinal patient health outcomes important for optimal patient health.

 

Learning Areas:

Communication and informatics

Learning Objectives:
Describe a system to capture standardized measures of patient-reported health status within the VA Clinical Assessment, Reporting, and Tracking (CART) Program, a national clinical quality program for all procedures performed in VA cardiac catheterization laboratories.

Keyword(s): Information Technology, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a member of a health services outcomes research group focusing on cardiovascular health outcomes. My scientific interests inlcude qualitative research methods, implementation evaluation, and process improvement.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4421.0: Patient Center Care Part II: A Role for Information Technology