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Roshan Bastani, PhD, Beth Glenn, PhD, Russ Glasgow, PhD CPCRN Spring Virtual Meeting

My Own Health Report (MOHR) Project (Previously PRO Project) Goal: Integrate Patient Reported Behavioral Health Domains into Routine Primary Care Practice. Roshan Bastani, PhD, Beth Glenn, PhD, Russ Glasgow, PhD CPCRN Spring Virtual Meeting April 15, 2013.

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Roshan Bastani, PhD, Beth Glenn, PhD, Russ Glasgow, PhD CPCRN Spring Virtual Meeting

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  1. My Own Health Report (MOHR) Project (Previously PRO Project) Goal: Integrate Patient Reported Behavioral Health Domains into Routine Primary Care Practice Roshan Bastani, PhD, Beth Glenn, PhD, Russ Glasgow, PhD CPCRN Spring Virtual Meeting April 15, 2013

  2. Patient-Reported Behavioral Health Domains

  3. BackgroundRound 1 of Funding to UCLA

  4. Round 2 of Funding: Nine Sites Funded (5 PBRN; 4 FQHC)Name change: My Own Health Report (MOHR)Pragmatic Trial • Cluster randomized trial of 9 pairs of clinics (5 PBRN; 4 FQHC) • Study was designed to maximize flexibility and adoption (e.g., clinics with different levels of HIT use, experience with QI) • Standard delivery of automated assessment tool, feedback, goal setting materials, and suggestions for follow-up • Delivery of these components is customized to each setting • Study goal: sustainable, routine implementation of MOHR assessment and intervention VT 1 PBRN VA 3 PBRNs CA 1 PBRN 1 FQHC NC 1 FQHC TX 2 FQHCs

  5. Pragmatic Features

  6. Design of Pragmatic Trial Early Implementation Sites (4 FQHC, 5 PBRN) Intervention (Provider & Patient Feedback Reports + F. U) Patient Experiences Survey (n = 300) Optional: 2nd MOHR Assessment (only for those who completed MOHR) MOHR Assessment (all non-acute adult visits for 3-4 months, n = ~300) Delayed Implementation Sites (4 FQHC, 5 PBRN) Intervention (Provider & Patient Feedback Reports + F. U) Arrow = between group comparison Patient Experiences Survey (n = 300) Implementation of MOHR Tool Months 0 1 2 3 4 5 6 7 8 9 10 11 12

  7. MOHR Online Assessment Tool: Developed by Alex Krist (VCU)(Transfer of “co-ordinating center” from UCLA to VCU)

  8. Screenshots from MOHR Online Assessment Tool

  9. Health Risk Assessment

  10. Soliciting Patient Priorities

  11. Soliciting Patient Priorities

  12. Patient Health Summary Report

  13. Access to Patient Summaries

  14. Online Tracking of Implementation Progress

  15. Design of Pragmatic Trial Early Implementation Sites (4 FQHC, 5 PBRN) Intervention (Provider & Patient Feedback Reports + F. U) Patient Experiences Survey (n = 300) Optional: 2nd MOHR Assessment (only for those who completed MOHR) MOHR Assessment (all non-acute adult visits for 3-4 months, n = ~300) Delayed Implementation Sites (4 FQHC, 5 PBRN) Intervention (Provider & Patient Feedback Reports + F. U) Arrow = between group comparison Patient Experiences Survey (n = 300) Implementation of MOHR Tool Months 0 1 2 3 4 5 6 7 8 9 10 11 12

  16. Patient Experience Survey (PES) 20 item survey to be administered 2-8 weeks post-visit Eligibility for PES: all patients reporting for non-acute care visits during implementation period for both clinics within each pair (regardless of MOHR use) The PES assesses patient perceptions regarding: • Assessment of the specific health behavior and psychological domains related to recent clinic visit • Collaborative goal-setting within each domain • Clinic/provider follow-up for each domain • Quality of clinic/provider communication • Patient-centeredness of care provided by their clinic

  17. Context & Cost Assessments

  18. Study Outcomes Summary • Between group comparison • Patient Experiences Survey • Within group implementation outcomes: • REACH: % eligible patients completing the health assessment • Follow-up health assessment: only for patients who complete online and provide email address • Contextual assessment • Cost assessment

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