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Designing an Electronic Patient Reported Outcomes Information Architecture Reinforced by the RE-AIM Implementation Framework

To improve patient care using patient-reported outcomes (PROs), we developed an electronic health record (EHR)-integrated PRO framework based on RE-AIM principles. Using Epic Systems, we implemented the MDASI-HN questionnaire in radiation oncology, achieving 13,156 submissions with 82% compliance over 12 months. Our implementation-evaluation model supports adaptive, scalable ePRO tools for key stakeholders (patients, staff, facilitators), enhances clinical decision-making by optimizing PRO visualizations and functions, and enables continuous evaluation to detect and address implementation barriers.

Learning Objectives

  • Identify and define key implementation outcomes and metrics to guide the development and evaluation of ePRO programs.

Speaker

  • Amy Moreno, MD (The University of Texas MD Anderson Cancer Center)

Testing a free, fast, and secure method for routing public transit from patient address to the point of care

Despite the importance of understanding transportation barriers, there is no tool integrated with the electronic health record providing timely and granular information about public transportation accessibility during clinical encounters or for research. Therefore, a framework for a public transit routing system comprised of free, publicly available data and software sources that are offline to protect patient data was created and implemented, mapping 440,000 routes from home address to University of Maryland Medical Center.

Learning Objectives

  • Learn how to experiment with OpenTripPlanner2 to route transit directions offline

Speaker

  • Sinan Aktay, B.S. (University of Maryland School of Medicine)

Improving Vaccine Confidence: Usability Testing of a Caregiver-Centric mHealth App

This study evaluates a beta version of a mHealth app designed to support vaccination confidence among caregivers regarding well-child checks in the first year of life. Feedback on the alpha version was gathered from rural and urban community advisory boards resulting in a beta version tested with English- and Spanish-speaking caregivers. Results indicate high app usefulness, trust, and accessible content. Key usability issues highlighted a need for improved navigation, content clarity, and functionality.

Learning Objectives

  • Assess the potential impact of mHealth app on pediatric preventative care, specifically relating to well-child checks in the first year of life.

Speaker

  • Elizabeth Reisher, MS (University of Nebraska Medical Center)

Refresh, Refresh, Refresh: Association of Repeated Access to the Patient Portal Awaiting Test Results with Patient Messaging

Many patients report heightened worry while awaiting test results in the patient portal. Identifying patients who exhibit behaviors associated with worry while waiting for results could allow health systems to proactively support patients and reduce message volumes. We used portal access logs to study “refresh” behavior, where patients repeatedly access the portal while awaiting new test results. We identified characteristics of patients who refresh for results and measured the association between refreshing and subsequent messaging.

Learning Objectives

  • Identify opportunities to operationalize patient portal access logs to gather real-time insight into patient worry.

Speaker

  • Bryan Steitz, PhD (Vanderbilt University Medical Center)

 


About CME/CNE Credit

The following information pertains to individual sessions included in the AMIA 2025 Clinical Informatics Conference On Demand product. A total of 16.75 CME/CNE credits may be earned if all sessions are completed.

Continuing Education Credit

Physicians

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Medical Informatics Association designates this online enduring material for 16.75 AMA PRA Category 1™ credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim credit no later than within two years of the release date or within one year of your purchase date, whichever is sooner.

ANNC Accreditation Statement

The American Medical Informatics Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

  • Nurse Planner (Content): Robin Austin, PhD, DNP, DC, RN, NI-BC, FAMIA, FAAN
  • Approved Contact Hours: 16.75 participant maximum CME/CNE

ACHIPsTM

AMIA Health Informatics Certified ProfessionalsTM (ACHIPsTM) can earn 1 professional development unit (PDU) per contact hour.

ACHIPsTM may use CME/CNE certificates or the ACHIPsTM  Recertification Log to report 2025 CIC sessions attended for ACHIPsTM Recertification.

Claim credit no later than within two years of the release date or within one year of your purchase date, whichever is sooner. 

FAQs

Content was recorded live at AMIA's Informatics Summit March 10-13, 2025 in Pittsburgh, PA and at AMIA’s Annual Symposium event November 9-13, 2024, in San Francisco, CA.

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Type: AMIA On Demand
Course Format(s): On Demand
Credits:
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Price: Member: $60, Nonmember: $85
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