Are patient portals the future of patient information access?
May 11, 2018 · In the Netherlands, in 2017, more than 25% of hospitals provided patients with access to a patient portal, whereas this was under 10% in 2015 . Comprehensive information can provide a framework for upcoming patient portal implementations, or other eHealth applications, in …
How many consumers access patient data through patient portal in 2016?
Feb 10, 2015 · The US government defines a patient portal as “a secure online website that gives patients convenient 24-hour access to personal health information from anywhere with an Internet connection” . The data are managed by the health care organization, and even the most rudimentary portals enable patients to access information like recent doctor ...
What features does the bedside portal include?
CHICAGO – May 4, 2020 – As medical systems consolidate and move forward with value-based payment models, many are focused on increasing patient matching capabilities that can improve care and reduce costs. In the May edition of the Journal of AHIMA, Lisa A. Eramo, MA, with input from an AHIMA member, writes about five trends in patient matching for 2020.
How does the healthcare industry manage patient data?
To do so, patients must be able to access and share their health information. 1–3 Under the Health Insurance Portability and Accountability Act (HIPAA), patients have a right to see and obtain a copy of their medical records.
What are the questions asked in the portal study?
We asked two main questions in this study: 1 How do patients who access their portal accounts in the inpatient setting differ from those with access who do not? 2 Is there a relationship between inpatient portal use and hospital outcomes of 30-day readmission, 30-day mortality, and inpatient mortality?
What is EHR used for?
The EHR was used to obtain information on patient demographics (age at admission, sex, race, ethnicity, marital status, primary language, payor information, and employment status) and clinical information known at the time of admission (admission status, admission service, and comorbidities), and hospital outcomes (30-day readmission, 30-day mortality, and inpatient mortality). Principal and secondary diagnoses and procedures, comorbidities, and All-Patient Refined Diagnosis Related Group (APR-DRG) weight 16 were collected based on International Classification of Diseases, Ninth Revision, Clinical Modification codes extracted from hospital discharge abstracts. Hospital length of stay (LOS) was calculated using the dates and times of hospital admission and hospital discharge.
Abstract
Keywords: Acute patient portals, patient portals, PHR, medical records, transparency, note-sharing.#N#Citation: Grossman LV, Restaino S, Vawdrey D. Should hospital patients have bedside access to their complete medical records? J Participat Med.
The Note-Sharing Initiative at Columbia University Medical Center
In a randomized controlled trial, [ 2] our team introduced a bedside portal to cardiology inpatients at Columbia University Medical Center. The bedside portal incorporates multiple features, including medication summaries, diagnostic test results, and the inpatient care team.
The Future of Transparency for the Medical Community
Patients benefit from having access to their complete medical record, including physician notes. Information can empower patients to participate in their care, and raise their awareness of providers’ actions performed on their behalf.
Acknowledgements
This project received support from the Agency for Healthcare Research and Quality.
Background
Materials and Methods
- Study design and subjects
This retrospective study included all adult patients admitted to Mayo Clinic Hospital in Jacksonville, Florida, from August 1, 2012, to July 31, 2014, who had a patient portal account prior to hospitalization. If a patient had more than one inpatient admission during this time frame, onl… - Data collection
The EHR was used to obtain information on patient demographics (age at admission, sex, race, ethnicity, marital status, primary language, payor information, and employment status) and clinical information known at the time of admission (admission status, admission service, and comorbi…
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Results
We identified 17 050 patients in the study period: 7538 (44.2%) had a portal account established at the time of admission and 9512 (55.8%) did not. Of the patients who already had portal accounts, 1566 (20.8%) accessed the portal during hospitalization. Patients’ preadmission characteristics before matching are summarized in Table 1and show substantial differences (st…
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Discussion
The primary objective of this study was to compare patients with portal accounts who accessed and did not access the portal during hospitalization and to determine if there was an association between inpatient portal use and 30-day readmissions and mortality. In this study, patients who accessed their portal account were younger and had greater disease severity and more urgent a…
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Conclusion
This is the first study to examine the association between 30-day readmissions, 30-day mortality, and inpatient mortality and inpatient portal use. We found that there was no difference in 30-day readmissions, inpatient mortality, or 30-day mortality between portal and non–portal users and that inpatient portal use was low. The first step in determining whether patient portal use can im…
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Funding
This work was supported by the Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, Florida.
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Contributors
AGD, MCB, and NLD conceived and designed the study. AGD, LMN, and CST collected the data. CST and JMN analyzed the data, designed the statistical method, and drafted the tables. AGD, MCB, NLD, and CST drafted the article. HEG, DIA, and JMN critically revised the article for important intellectual content. All co-authors contributed to writing, proofreading, and editing th…
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Abstract
Keywords: Acute patient portals, patient portals, PHR, medical records, transparency, note-sharing. Citation: Grossman LV, Restaino S, Vawdrey D. Should hospital patients have bedside access to their complete medical records? J Participat Med. 2017 May 17; 9:e11. Published: May 17, 2017. Competing Interests: The authors have declared that no competing interests exist. Ste…
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The Note-Sharing Initiative at Columbia University Medical Center
In a randomized controlled trial,[2] our team introduced a bedside portal to cardiology inpatients at Columbia University Medical Center. The bedside portal incorporates multiple features, including medication summaries, diagnostic test results, and the inpatient care team. The note-sharing initiative at the Heart Institute provided 10 patients wit...
See more on participatorymedicine.org
The Future of Transparency For The Medical Community
Patients benefit from having access to their complete medical record, including physician notes. Information can empower patients to participate in their care, and raise their awareness of providers’ actions performed on their behalf. Information also lessens the anxiety, disempowerment, and suffering patients experience due to uncertainty about their condition. Ou…
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Authors’ Note
References
- Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157(7):461-470. ↩
- Masterson Creber R, Prey J, Ryan B, et al. Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial. Contemp Clin Trials. 2016;47:165-171. ↩
- Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal heal…
- Delbanco T, Walker J, Bell SK, et al. Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead. Ann Intern Med. 2012;157(7):461-470. ↩
- Masterson Creber R, Prey J, Ryan B, et al. Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial. Contemp Clin Trials. 2016;47:165-171. ↩
- Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). J Am Med Inform Assoc. 2008;15(6):729-736. ↩
- Berkely Research Group. How and Why to Become an OpenNotes Organization. Available at: http://bok.ahima.org/doc?oid=301483#.WAAK7uArKhd. Accessed April 14, 2017.↩