Table 4.

Lessons learned during the PRO implementation planning process. Seven themes emerged that highlighted the fundamental importance of human and organizational factors in implementation planning.

1.Recognize that planning is both a stepwise and an iterative process. 2.Choose an effective and enthusiastic clinician champion to maximize success. 3.Choose PRO measures that are consistent with intended use. 4.Expect to identify, embrace, and overcome barriers throughout the process. 5.Prepare to tailor workflow to minimize disruption. 6.Allow sufficient time in the planning process to make and discuss decisions. 7.Continuously engage institutional leaders.