PROMIS

PROMIS – the Patient Records and Outcome Management Information System – is the only province-wide integrated registry and clinical information system for kidney disease and transplant patients.

Featured Work

PROMIS Enhancements Support Transplant First Project

The Transplant First Project (Phase 2) had a goal to implement and sustain enhanced pre-transplant clinical processes along with available tools and resources across BC’s kidney care clinics, regional transplant clinics and provincial transplant centres. This is to ensure every kidney care clinic patient who is a potential kidney transplant candidate is identified, assessed and supported along the path toward transplantation as the treatment of choice.

2022 saw several important enhancements to PROMIS, driven by the Transplant First project, including the new Transplant Readiness Report, and a new and improved Kidney Transplant Referral Status Report.

The Kidney Transplant Readiness Report is a new report that provides an easy identification process for patients who are eligible and ready to begin the pretransplant process. Similar to the eGFR priority report, but with additional columns, this new report provides easy identification of patients who are currently followed up in a centre, along with their status in the pretransplant process.

The Kidney Transplant Referral Status report was moved from PROMIS Classic to the newer PROMIS 4 with significant improvements to help teams track how individual patients are moving along the pre-transplant process. The new and improved interactive report provides detailed patient level information with a consolidated view that is a single and shared source of truth which:

• Tracks testing and consultations/ referrals, including status, dates, and who is responsible • Includes tracking of information shared with patient and family doctor/GP • Is accessible by all renal teams (kidney care clinics, regional transplant clinics, provincial transplant centres)

Not being able to see where an individual referral is, or what might be outstanding, has been a challenge in the past. And while the changes above were driven by Transplant First for tracking preemptive transplant referrals, it has quickly become apparent that they hold value for dialysis programs as well, with just a few refinements to the existing functionality.

Other Highlights

• PROMIS Classic’s phased migration to the newer PROMIS 4 continued with the modules named Hemodialysis

Follow-up, Document History, Acuity

Assessment, and Hospitalization all moving to the newer version in 2022 • Expansion of the Emergency

Management module to include support for home therapy and predialysis patients

Web info & resources:

BCRenal.caHealth Professionals Professional Resources PROMIS When the project team started identifying the changes they’d like to see in PROMIS to support their work, I knew this would address a pain point I’d heard expressed before. A system change wasn’t enough though; it was the combination of workflow standardization and commitment to a shared source of truth that was the secret sauce. And it’s great that other modalities are finding that it addresses a need for them as well.

Karin Jackson Director of Operations, PROMIS