Background: Patient-reported outcome measures (PROMs) are clinical tools that capture patients’ goals of care and systematically assess patient-reported health literacy, physical, mental and social well-being. COMPASS-CP© is a patient-centered electronic care plan application using PROMs at the point of care to create individualized care plans. 

Objectives:  We evaluated clinician satisfaction with the COMPASS-CP© application, and described the social and functional determinants of health interfering with recovery from stroke 14 days after hospital discharge.
Methods: 56 clinicians (nurses, NPs or PAs) from 20 hospitals in North Carolina were surveyed to assess user satisfaction. We analyzed responses from 871 stroke and TIA patients PROMs.

Results: Clinicians (N=44; 79%) completed the survey. Users agreed (66%) that they were satisfied with the application and 58% reported it made their job easier. Clinicians (75%) reported the application identified important factors impacting the patient’s recovery that they may have otherwise missed. Patients (N=871) completed COMPASS-CP© assessments and results are summarized in Table 1.  The patient sample has a mean age of 67 (13.7 SD); 68% stroke, 32% TIA; 49% female; 18% African American; 62% Rankin <3;  20% rated their health as “poor” or “fair”. 

Conclusions: The COMPASS-CP© application meets an immediate need to incorporate PROMs into clinical workflow; to identify social and functional determinants of health; and develop patient-centered care plans for stroke patients; and has high user-satisfaction.

COMPASS-CP FOR STROKE: A DIGITAL TOOL TO CAPTURE SOCIAL AND FUNCTIONAL DETERMINANTS OF SELF-MANAGEMENT AND HEALTH, AND DEVELOP CARE PLANS