case study: managing pediatric health information in a patient portal

by Willie Schulist 8 min read

Case study: managing pediatric health information in a …

26 hours ago Case study: managing pediatric health information in a patient portal. ... Case study: managing pediatric health information in a patient portal J AHIMA. 2014 Apr;85(4):46-7. Authors Penny D Sherek, Emmlee Gray. PMID: 24834555 No abstract available. MeSH terms Access to Information / legislation & jurisprudence* Adolescent ... >> Go To The Portal


How can patients download clinical reports from the patient portal?

Case study: managing pediatric health information in a patient portal. ... Case study: managing pediatric health information in a patient portal J AHIMA. 2014 Apr;85(4):46-7. Authors Penny D Sherek, Emmlee Gray. PMID: 24834555 No abstract available. MeSH terms Access to Information / legislation & jurisprudence* Adolescent ...

How to implement a patient portal in your practice?

Case Study: Managing Pediatric Health Information in a Patient Portal The healthcare industry has made, and will continue to make, immense advancements with technology and therefore impact the practice of medicine. Consumer-centric healthcare and the way in which providers communicate with patients go hand-in-hand with the use of technology.

How did bvchc proceed with creating a patient portal?

Apr 01, 2014 · Case study: managing pediatric health information in a patient portal. ... managing pediatric health information in a patient portal. Sherek PD, Gray E. Journal of AHIMA, 01 Apr 2014, 85(4): 46 ... Issues of patient consent: a study of paediatric high-dependency care. Rushforth K, McKinney PA. Br J Nurs, 14(9) ...

How do patients receive the clinical summary electronically?

Abstract. The patient portal, increasingly available to patients, allows secure electronic communication with physicians. Although physician attitude toward the portal plays a crucial role in patient adoption, little information regarding physician opinion of the portal is available, with almost no information gathered in the pediatric environment. Using mixed-methods, …

What is the goal of a patient portal?

The patient portal, an online service or website that connects the patient to the electronic health record (EHR), can support this goal via 2-way communication with healthcare providers, access to upcoming appointments and to laboratory information, billing, prescription refill requests, medication and problem lists, and health summaries such as vaccination dates.

What is the grant number for the National Institute of Allergy and Infectious Diseases?

This work was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under grant no. R01AI114903 (P.G.S.) and National Institutes of Health/National Center for Advancing Translational Sciences grant number UL1TR00188.

Why do medical assistants use patient portals?

Medical assistants promoted the patient portal as a way for patients to establish a direct line of communication with their provider. Patients registered with the portal can avoid using the BVCHC call center, which receives a large volume of calls.

What is BVCHC portal?

BVCHC found it helpful to designate point persons for portal enrollment, such as medical assistants, to engage patients one on one. Consequently, providers are not burdened with the enrollment process, but they can encourage patients to use the portal. Moreover, assigning a dedicated triage nurse to serve as the gatekeeper for messages coming through the portal has eased provider concerns about email volume and time required for patient communication.

What is BVCHC in Pawtucket?

BVCHC is a federally-qualified, Joint Commission-accredited health center located in Pawtucket and Central Falls, Rhode Island. Established in 1990, BVCHC provides a range of services, including pediatric, internal medicine, family medicine, midwifery and obstetrics/gynecology, dental, and behavioral health.

What is BVCHC in Rhode Island?

BVCHC serves as the home and support center for a network of health centers committed to advancing health IT in Rhode Island. Since the health center converted to electronic health records in 2007, BVCHC has supported several implementations by other practices and collaborates with the Rhode Island REC.

What is BVCHC kiosk?

BVCHC is purchasing computer terminal kiosks for use in the waiting rooms to help patients complete the registration process while still on-site so that they continue to be engaged after the patient portal is explained to them and subsequently begin using the secured messaging feature.

What is N#EHR?

Patient-Specific Education Resources.#N#EHR has an integrated patient education tool that allows clinical staff to search and select from more than 600 summaries on diagnoses and symptoms and more than 1,000 medications. Materials, which are available and English and Spanish, can be printed out and reviewed with patients at the time of the visit.

When did Dover Family Physicians adopt EHR?

Dover Family Physicians adopted an electronic health record (EHR) system in 2008 with a goal of improving the quality of patient care and especially strengthening preventive care services. The practice has focused on ways to use the EHR to engage patients and their family members in their health and healthcare through a patient portal implementation. The practice, located in Dover, Delaware, has four physicians and two physician assistants, and provides primary care to more than 800 patients weekly.

How to get the most value from an EHR?

To get the most value from an EHR, practices will need to invest time in training and preparation. Some customization of the system will likely be needed based on how the practice functions and the individual work styles of the various providers.

How long does it take for a nurse to respond to a patient?

The practice established standards for response times of within 4 hours for more urgent questions to 2 days for prescription refills

Introduction

  • A goal for most health systems is to engage patients in their own health care. The patient portal, an online service or website that connects the patient to the electronic health record (EHR), can support this goal via 2-way communication with healthcare providers, access to upcoming appointments and to laboratory information, billing, prescription refill requests, medication and …
See more on academic.oup.com

Materials and Methods

  • This study was approved by the institutional review board at the University of California, Los Angeles. We analyzed data from the EHR and patient portal for the 1-year time period August 1, 2017, to July 31, 2018, for children attending 1 of 16 primary care practices within the University of California, Los Angeles Health System. These included 6 pediatric, 6 medicine-pediatrics, and …
See more on academic.oup.com

Results

  • Across the health system, 39 871 pediatric patients attended these 16 practices (Table 1). Overall, 64% of pediatric patients were active users, 14% were nonactive users or had signed up for the portal but not used the portal within 12 months, and 23% were nonusers, not having signed up for the portal. Patients who were younger, male, covered by private insurance, white or other or unk…
See more on academic.oup.com

Discussion

  • This is one of the first studies to assess portal use among primary care pediatric patients by querying the EHR to determine utilization of various portal services rather than surveying parents. In this large health system, two-thirds of pediatric patients used the portal within 12 months, although portal use varied by patient characteristics. Most...
See more on academic.oup.com

Funding

  • This work was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under grant no. R01AI114903 (P.G.S.) and National Institutes of Health/National Center for Advancing Translational Sciences grant number UL1TR00188.
See more on academic.oup.com

Author Contributions

  • PS conceptualized the design of the study, drafted the manuscript, and led the review and revision of the manuscript. SV performed all data analyses, contributed substantially to the interpretation of the data, and revised the manuscript. RV, CA, DO, MS, NL, and CFL all provided substantial contributions to the conception, design, and interpretation of the work, and revised the manuscri…
See more on academic.oup.com

Acknowledgments

  • The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The funding organization was not involved in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the manuscript for …
See more on academic.oup.com