# Development and evaluation of patient-reported outcome score visualization to improve their utilization  (PROVIZ)

> **NIH AHRQ R21** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2020 · $143,700

## Abstract

ABSTRACT: Development and evaluation of patient-reported outcome score visualization to improve
their utilization (PROVIZ)
Understanding how health information technology (IT) can facilitate the use of patient-reported outcome
measures (PROs) to improve clinical management, health outcomes, and patient engagement is of high
importance (NOT-HS-16-015). Assessing the patient’s experience of illness and wellness is key to informing
their goals of care and clinical management. When building PROs into the electronic health record (EHR),
health systems, researchers, and clinicians must investigate the optimal methods and impact of collecting and
sharing PRO and patient contextual data with clinicians and patients in order to have positive effects on clinical
care, quality of life, and outcomes in a practical way.
Even with PROs integrated into our EHR, we found that clinicians do not always know how to interpret and use
the data to inform patients and clinical management. Therefore, the goal of this study is to develop and test
PRO visual presentations for the EHR through research based on engineering and human-computer
interaction principles to inform optimal data visualization and presentation. These data visualizations will be
evaluated formally, focusing on outcomes of the usefulness, acceptability, and understanding of the scores by
clinicians and patients. This developmental, mixed-methods study will include three components: 1) qualitative
interviews with both clinicians treating patients with hip and knee pain or osteoarthritis and the patients
themselves to understand their current perception of PROs and preferences for data presentation, and 2)
subsequent development of data visualization prototypes that attempt to meet clinician and patient
preferences, followed by 3) formal evaluation and iteration of the novel visualizations with those stakeholders.
Our specific aims are to evaluate patient and clinician preferences, understanding, usability, and acceptability
of modes of PRO score presentation in the ambulatory setting.
This transdisciplinary study builds on our 10 years’ experience with collecting PROs and our two years’
experience with a clinical informatics project to implement PROs into the EHR. Our team includes expertise
from computer science, health services research, and orthopedic surgery. Improving visualization of PRO
scores is the next step in ensuring that PROs inform clinical management conversations between patients and
providers. In addition to improving clinical care, this will bolster the importance of PRO assessment completion
for patients, thereby enhancing future comparative effectiveness research that incorporates PRO data into
analysis plans. Future studies will use high-quality PRO data with clinical and patient contextual information to
investigate compelling questions in the field, such as risk stratification to aid treatment decision-making with
patients from orthopedic surgery and rheumatology settings. This st...

## Key facts

- **NIH application ID:** 10004643
- **Project number:** 5R21HS027228-02
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** Enrico Bertini
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2020
- **Award amount:** $143,700
- **Award type:** 5
- **Project period:** 2019-09-30 → 2021-09-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10004643

## Citation

> US National Institutes of Health, RePORTER application 10004643, Development and evaluation of patient-reported outcome score visualization to improve their utilization  (PROVIZ) (5R21HS027228-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10004643. Licensed CC0.

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