Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care (North Carolina)

Project Final Report (PDF, 310.15 KB) Disclaimer

Project Details - Ended

Project Categories

Summary:

Quality of surgical care has traditionally been evaluated based on inpatient outcomes, including complications and mortality. More recently, quality assessment and reimbursement are being based on postdischarge outcomes. Because of this, hospitals are working to identify actionable quality improvement strategies to reduce 30-day, risk-adjusted surgical outcomes, such as readmissions. Among surgical patients, readmissions are most common among elderly patients undergoing major abdominal surgery for cancer, such as cystectomy for bladder cancer. Complications leading to readmissions may be mitigated, if they are rapidly identified and addressed. Patient-centered outcomes (PCOs), including symptoms, functional status, and medication adherence, represent potential treatment targets following hospital discharge. Strategies incorporating PCOs and improved postdischarge care for radical cystectomy and other surgical oncology procedures have the potential to reduce postsurgical readmissions, with the potential for dramatic public health impact.

Using radical cystectomy as a model, this project will develop and pilot test an electronic, Internet-based, mobile health (mHealth) tool that will prospectively collect PCO data on key symptoms, functional status, and medication adherence, while providing timely feedback to patients and clinicians.

The specific aims of this project are as follows:

  • Identify high-priority PCOs in the postoperative cystectomy period through patient, caregiver, and provider in-person interviews
  • Develop and test the usability of an Internet-based mHealth tool that tracks PCOs and provides real-time feedback to patients and providers following cystectomy discharge
  • Conduct a pilot study to assess feasibility and acceptability of an Internet-based mHealth tool following cystectomy discharge

This proposed mHealth intervention will use an existing electronic platform called PROCore that can be accessed through multiple technologies, including laptops, mobile phones, tablets, and other computer-based systems. Monitoring postsurgical patients using this mHealth intervention may have a significant impact on postoperative outcomes following discharge by reducing readmissions and emergency room visits, increasing patient satisfaction, and decreasing mortality.

This project does not have any related annual summary.

Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care - Final Report

Citation:
Smith A. Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care - Final Report. (Prepared by the University of North Carolina Chapel Hill under Grant No. K08 HS024134). Rockville, MD: Agency for Healthcare Research and Quality, 2019. (PDF, 310.15 KB)

The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact Corey Mackison).
Principal Investigator: 
Document Type: 
This project does not have any related resource.
This project does not have any related survey.
This project does not have any related project spotlight.
This project does not have any related survey.
This project does not have any related story.
This project does not have any related emerging lesson.