9. Scale up to new goals

Build on knowledge, experience, and resources from the initial PROM implementation to pursue further goals:

Within the current setting: E.g. addition of further PROMs and/or additional assessment time points, extend to other patient groups, or improve how PRO data are used.
In other settings: implementation of PRO assessment in additional units/clinics.
Across the organisation: roll out of PRO assessment throughout all relevant settings (e.g., all clinics in a hospital).

Although it is recommended to follow the same structured implementation steps again, a successful project can ease future implementations:

Use the implementation as a real‑world example to convince and motivate others.
Share concise results internally (e.g. meetings, newsletters) and externally (e.g. conferences, publications).
Communicate with a few key facts and visuals (flowcharts, charts) and brief plain‑language explanations.

Antunes, Harding, Higginson, & EUROIMPACT, 2014; E. Basch et al., 2012; Ethan Basch, Rogak, & Dueck, 2016; Nordhausen et al., 2022; Skivington et al., 2021; Snyder et al., 2012; Wintner et al., 2016; ISOQOL, 2015