29 hours ago Meaningful Use is using electronic health records (EHRs) in a meaningful manner, which includes, but is not limited to: (4) 1)electronically capturing health information in a coded format. 2)using that information to track key clinical conditions, 3)communicating that information to help coordinate care. 4)initiating the reporting of clinical ... >> Go To The Portal
Meaningful use. using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities. Engage patients and family. Improve care coordination, and population and public health.
A patient portal is a secure online website, managed by a health care organization, that provides patients access to their personal health information [1-3]. Portals were developed to provide patients with a platform through which to claim ownership over their health care.
Patient use was the most commonly studied patient portal metric, analyzed in 90% (78/87) of studies. Super user designations were only found in 24% (21/87) of studies, making this the least commonly studied metric. Table 2identifies the frequency with which each metric was included in each study, with totals for each metric [6-10,18,22-102].
Numerous studies have investigated the relationship between patient portal utilization and health outcomes, specifically indicating a link between increased portal use and increased rates of patient engagement [6-9].
Under the Meaningful Use objectives, states can make which of the following required for Medicaid providers upon approval from CMS? A. Generate lists of patients by specific conditions for quality improvement, reduction of disparities, research, or outreach
A large medical center that specializes in high-risk pregnancies is implementing an entire suite of clinical applications such as CPOE, barcode medication administration (BCMA), nursing documentation, data acquisition system to collect clinical data from cardiac and fetal monitors and ventilators, laboratory system, radiology system, PACS, and cardiology.
• Meaningful Use is using certified EHR technology to • Improve quality, safety, efficiency, and reduce health disparities • Engage patients and families in their health care
reporting period of 90 days for 2 years, objectives and CQM, 80% patients must have records in certified EHR
using certified EHR technology to improve quality, safety, efficiency, and reduce health disparities, engage patients and their families in their healthcare, improve care conditions, improve population and public health, all while maintaining privacy and secutiry
acute care setting where the patient has already has a date and time for surgery.
T/F A patient request a transfer because he or she finds the room to noisy.
A secure website that allows patients to access a personal health record ( PHR) to communicate with healthcare providers, request prescription refills, review laboratory test results, or schedule appointments.
increased patient satisfaction because of a reduction in wait times.
A nurse does not like the patient.
Patient use was the most commonly studied patient portal metric, analyzed in 90% (78/87) of studies. Super user designations were only found in 24% (21/87) of studies, making this the least commonly studied metric. Table 2identifies the frequency with which each metric was included in each study, with totals for each metric [6-10,18,22-102]. There were 32 different combinations of study metrics, identified in Table 3, with the two most common metric combinations being patient use/adoption, frequency, and intensity (n=9) and patient use/adoption alone (n=9). The majority of studies (53/87, 61%) analyzed three or fewer metrics, with 3.11 as the average number of metrics reported. The definitions of these 271 metrics are summarized by study in Multimedia Appendix 1.
A patient portal is a secure online website, managed by a health care organization, that provides patients access to their personal health information [1-3]. Portals were developed to provide patients with a platform through which to claim ownership over their health care. For patients that adopt health care portals, usage of the portal has been shown to positively impact health outcomes [1]. Despite their introduction in the late 1990s to augment patient engagement [2], widespread adoption of patient portals was not seen until 2006 [2,4]. As of 2018, a reported 90% of health care organizations offer patients portal access, with the remaining 10% reporting plans to adopt this tool [5].
Users stratified in a way that distinguishes a high-utilization or high-activity group (eg, in terms of greater intensity, a categorically higher frequency, consistent duration of use, etc).
Portal use by providers, care teams, or other staff. This use could be in terms of adoption, frequency, intensity, duration, or super user, per below; patient utilization grouped by provider practice/specialty also implies provider/practice adoption.
For coding purposes, use/adoption, frequency, duration, intensity, and super user (or similar user stratification) were considered a priori themes from which to extract definitions; provider use emerged as a theme inductively. Super user, in this context, is synonymous with high utilizer and should not be confused with the information technology standard definition implying a user with elevated privileges. All metrics were coded as binary, indicating the presence of a measure for and/or definition of each respective metric. These data were coded and recorded in a spreadsheet containing the article citation information and columns for themes of interest for both portal use metric definitions and MU criteria. Extractors’ working definitions of metric types are summarized in Table 1.
Numerous studies have investigated the relationship between patient portal utilization and health outcomes, specifically indicating a link between increased portal use and increased rates of patient engagement [6-9]. Notably, engaged individuals more actively participate in the management of their health care [10] and report enhanced patient satisfaction [11], a finding increasingly critical in patients with chronic diseases [12]. Patient portal utilization has been linked to “significant decreases in office visits…, changes in medication regimen, and better adherence to treatment” [13], along with improved chronic disease management and disease awareness [8,9]. Interestingly, even the content of patient messages was recently found to be associated with estimated readmission rates in patients with ischemic heart disease [14]. In these ways, patient portals have been cited as essential components of the solution to the cost and quality health care crisis in the United States [2].
Understanding how patient portal use has been defined and operationalized may encourage more consistent, well-defined, and perhaps more meaningful standards for utilization, informing future portal development.