 The PROMIS consortium has developed three tools to help institutions successfully integrate patient reported outcomes, PROS, into their electronic health record systems. The first tool, the PIO planning guide, summarizes the empirical knowledge and guidance about PIO implementation in routine clinical care. The second tool, the decision log, allows decision tracking. Finally, the third tool, the implementation plan template, simplifies the creation of a shareable implementation plan. These tools were piloted at seven different institutions and the results showed that highly structured planning tools, informed by a socio-technical perspective, enabled the construction of clear, clinic-specific plans. Additionally, the project identified seven important lessons that, while common to technology implementation, are especially critical in PIO implementation.