PROMs and PREMs in routine perinatal care: mixed methods evaluation of their implementation into integrated obstetric care networks

Journal of Patient-Reported Outcomes

Table 4 Recommendations for PROM/PREM implementation across care networks

Aspect	Recommendations
PROM/PREM content	Individualize questionnaires: text field to elaborate on answers given
	Local adaptations to complement clinical workflow
	Ongoing PCB set governance based on implementation experiences in international collaboration
Training and support	Implementation support available in clinic
	Allocation of administrative staff
	PROM/PREM expert and clinical leader to drive implementation
	Learning directly from experiences in other regions
	Continuously inform CP and patient of primary purpose
Network collaboration	Case manager to discuss PROM/PREM for continuity across providers
	Infrastructure for data exchange across different providers/EHRs
	Connective leadership to focus innovations
IT and resources	PROM/PREM access integrated in EHR (CP and patient)
	Sustainable funding for network collaboration to develop/arrange data exchange across different providers
	External incentives (policy guidelines and protocols; time and accreditation for learning)

CP care professional, PCB set pregnancy and childbirth outcome set, PROM patient-reported outcome measures, PREM patient-reported experience measures, EHR electronic health record