Clarify how data will be accessed and support care
The first step to implementing ePROs is understanding how stakeholders will use data for clinical decisions and care delivery. This important first step of understanding how ePRO data will be accessed and used highlights key design, workflow, reporting, and/or resource needs that must accompany ePRO tools in order to make them actionable. The selection of PROMs will likely be an iterative process that involves identifying the PROMs that best align with goals, testing the use of ePROs in practice, and ongoing evaluation of impacts on care delivery (van der Wees et al, 2019). In this guideline, we focus on three strategies that seek to clarify a) how ePROs should inform patient care, b) what resources clinical teams might need to respond to ePRO data, and c) how ePRO data will be used more broadly for health system delivery.