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Patient portals in pediatrics raise several privacy issues, especially as patients age into adolescence and young adulthood. Patient portals are an important regulatory requirement, with industry professionals touting their ability to better engage the patient and help all participating parties manage patient health.
Gaining proxy access, something a guardian can usually do in the doctor’s office or through extensive online verification, is critical for pediatric patient portals until the child begins managing it on her own.
Once you are in your patient portal, you can click the links to perform basic tasks. You can also communicate with your provider's office in the message center. If you have a child under age 18 years, you may be given access to your child's patient portal, too. Providers can also get in touch with you through the portal.
Although most pediatric hospitals and clinics shift patient portal control from parents to patients once a child reaches adolescence, providers still have a responsibility to encourage open communication between both parties.
If your child is not up to date on their regular physicals, you will be required to schedule a well visit or a sport's physical.
Absolutely! We see new patients if they are less than 18 years old.
First, speak with your provider about which specialist they recommend for your child. Then, make an appointment with the specialist's office. Once you have a date and time set for an appointment with the specialist, please use our patient portal or call the office with that information and we will issue the referral, if appropriate.
If your child’s care needs to be moved to another practice, you may request to have your medical records transferred. We will provide you with a Record Release form which must be completed. The records will be prepared for you to personally pick up. There is a fee to copy and handle the records. These fees fluctuate per Maryland State Law. If the need arises, please ask the office assistant for the current fee for copying medical records.
Only after seeing the patient can a trained medical professional know which tests, if any , are necessary. In order to properly and accurately diagnose and treat any patient, they must be seen and examined to 1) confirm the problem and 2) exclude (or treat) other possible diagnoses. Diagnosis over the telephone or without first seeing the patient is at best imprecise and at worst, dangerous.
With a parent/legal guardian's written permission (proxy consent to treat minors form), any person can bring your child to the office for a sick visit. We strongly recommend a parent/legal guardian accompany your child to the office for any well child checkups, vaccinations, or procedures (or at least be available by telephone) so that you are available to answer any questions that may come up during that visit. Children 18 years old and older may sign for themselves and therefore do not need to be accompanied by a parent/guardian.
In non-life-threatening situations, please call the office. One of our medical staff can advise whether your child needs an office appointment (usually), an ER visit, or if home treatment alone is adequate.
As cumbersome as guardian authentication and proxy access may be, patient portals become even more complicated when patients reach adolescence. At this point, most pediatric providers begin to shift portal management to the child and retract some guardian privileges.
According to David West, MD, medical director of Nemours Health Informatics, this process is necessary because the health data stored in a pediatric patient portal doesn’t actually belong to the custodian of the portal.
Proxy access is at the core of portal adoption because it legally allows guardians to access and manage a child’s patient portal. Gaining proxy access, something a guardian can usually do in the doctor’s office or through extensive online verification, is critical for pediatric patient portals until the child begins managing it on her own.
Patient portals in pediatrics raise several privacy issues, especially as patients age into adolescence and young adulthood. Patient portals are an important regulatory requirement, with industry professionals touting their ability to better engage the patient and help all participating parties manage patient health.
Because healthcare organizations must verify that an individual is in fact a pediatric patient’s legal guardian, patient portal recruitment is complicated.
According to West, providers can encourage more regular portal use by emphasizing the tool as a communication method. Providers who consistently respond to messages and requests in a reasonable time frame are better able to keep patients coming back to the portal.
Healthcare organizations typically make this shift when patients reach the each of consent. While laws surrounding the age vary state by state, age 12 or 13 is the usual threshold. When patients reach the age of consent, they gain full control of the patient portal, while their legal guardians are transferred to a limited view of the portal.