18 hours ago Correlates of patient portal enrollment and activation in primary care pediatrics. Sociodemographic disparities exist in patient portal enrollment/activation in primary care pediatrics. Attendance at a resident continuity practice site, living farther away from the practice, having more office encounters, and having more problem list items increased the odds of … >> Go To The Portal
Correlates of patient portal enrollment and activation in primary care pediatrics. Sociodemographic disparities exist in patient portal enrollment/activation in primary care pediatrics. Attendance at a resident continuity practice site, living farther away from the practice, having more office encounters, and having more problem list items increased the odds of …
54 rows · May 01, 2013 · Sociodemographic disparities exist in patient portal enrollment/activation in primary care ...
graphic, practice site, and clinical predictors of portal enrollment and activation among a pediatric primary care population. We hypothesized that portal enrollment and activation would be higher among guardians of younger children (eg, frequency of need to schedulevisits, obtain immunization records) who live further away from
May 01, 2013 · Patients with more office visits were more likely to both enroll in and activate the portal; ...
To identify the demographic, practice site, and clinical predictors of patient portal enrollment and activation among a pediatric primary care population.
What's New#N#We demonstrate sociodemographic disparities in patient portal enrollment/activation in primary care pediatrics.
We conducted a retrospective cross-sectional analysis of deidentified data from the primary care database of an academic children's hospital. This study was classified as exempt by the institutional review board of Nemours.
Data were available for 84,015 children from the primary care practices, with panel sizes ranging from 1661 to 16,774 unique patients. Overall, 31,765 patients (38%) enrolled in the MyNemours portal, of whom 8,409 (26%) ever activated the account. Enrollment and activation varied by practice ( P < .00001).
We found enrollment and use of the patient portal varied widely in the setting of pediatric primary care. Enrollment in the patient portal in some practices exceeded 50% of the patient panel; however, only 1 in 4 enrolled patients actually activated the account.
Patient portal activations increased from 1.8% to 30% in a 6-month time period. Highly successful interventions included development and implementation of a standard process for activation, staff education to ensure comfort and commitment, having families opt out instead of opt in, and completed activation of accounts before families leaving clinic.
Patient calls for advice between medical visits typically involve multiple handoffs between nurses, families, and providers resulting in delayed resolution and potential miscommunication with opportunity for error. Online patient portals offer patients’ families and providers more direct and efficient communication, with fewer handoffs and less potential for errors. However, even with financial incentives offered by the Federal Government to health care providers who meet specific criteria for “meaningful use” of such portals, portals are not widely used. 1
MyChart provides patients and families access to a summary of their medical record and a secure way to communicate with their health care providers. At our organization, MyChart enrollment occurs during direct patient contact, such as an office visit. A staff member initiates a patient’s MyChart account during an outpatient visit. Parents/legal guardians are set up as proxy users for children under 18 years. If patient’s age is > 13 years at the time of visit, the child is required to sign a form approving the addition of the parent as proxy. The staff member then gives the family a letter with a code to complete the process once they log into their account ( Fig. 1 ). Activation is completed once the parent enters the code and logs in. After that, the account is considered active.
As a QI project, the institutional review board granted a waiver of review. Various disciplines (Developmental-Behavioral Pediatrics, Psychology, and Psychiatry) had competing viewpoints regarding types of information families could see. There were initial concerns regarding wording of sensitive information and diagnoses and family access to visit notes and psychological testing results that might be misconstrued. These were resolved via staff education.