implementations of patient portal after 1 month

by Dr. Douglas Gottlieb Jr. 3 min read

Patient portal implementation: resident and attending ...

14 hours ago RESULTS: Prior to portal implementation, residents reported receiving much less e-mail from patients than faculty physicians; 68% and 9% of residents and faculty, respectively, reported no email exchange in a typical month (P < 0.001).Residents were less likely to agree with allowing patients to view selected parts of their medical record on-line than faculty physicians (57% and … >> Go To The Portal


How does patient portal implementation improve quality of patient care?

RESULTS: Prior to portal implementation, residents reported receiving much less e-mail from patients than faculty physicians; 68% and 9% of residents and faculty, respectively, reported no email exchange in a typical month (P < 0.001).Residents were less likely to agree with allowing patients to view selected parts of their medical record on-line than faculty physicians (57% and …

How do patients sign up for a patient portal?

Results: Prior to portal implementation, residents reported receiving much less e-mail from patients than faculty physicians; 68% and 9% of residents and faculty, respectively, reported no email exchange in a typical month. Residents were less likely to agree with allowing patients to view selected parts of their medical record on-line than ...

Does the physician portal increase workload?

After 1 year of portal use, a post-implementation paper survey was administered to faculty at the pi-lot sites. Additionally, we conducted post-implementation interviews with key attending physician informants from GIM and FCM. We used these interviews to provide additional in-sights and context for our quantita-tive survey results. This study was

How can EHRs engage patients and their family members?

Feb 07, 2018 · After the patient portal implementation, patients registered by providing their e-mail address and within 24 hours they receive an e-mail with instructions for registering on the website. A reminder e-mail is sent after 30 days if patients have not registered. The practice found that it is important to clearly explain the steps for signing up.

How do you implement a patient portal?

7 Steps to Implement a New Patient Portal SolutionResearch different solutions. ... Look for the right features. ... Get buy-in from key stakeholders. ... Evaluate and enhance existing workflows. ... Develop an onboarding plan. ... Successful go-live. ... Seek out painless portal migration.Jul 2, 2020

When did healthcare start using patient portals?

In the late 1990s and early 2000s, the earliest adopters of patient portals began offering electronic tools for patient-centered communication, often “tethered” to their integrated electronic health record system.Apr 7, 2016

What must be done when creating a patient portal?

4 Steps to Successful Patient Portal Adoption, IntegrationOutline clinic or hospital needs, goals.Select a patient portal vendor.Create provider buy-in.Market the patient portal to end-users.Jun 6, 2017

How do patient portals improve patient engagement?

Patient portals may enhance patient engagement by enabling patients to access their electronic medical records (EMRs) and facilitating secure patient-provider communication.

What are the benefits and challenges of using patient portals?

What are the Top Pros and Cons of Adopting Patient Portals?Pro: Better communication with chronically ill patients.Con: Healthcare data security concerns.Pro: More complete and accurate patient information.Con: Difficult patient buy-in.Pro: Increased patient ownership of their own care.Feb 17, 2016

How can patient compliance with portal registration be increased?

Provide print materials in the office. • Leave portal pamphlets in the exam room for patients to read while they wait to see the physician. ... Promote the portal online. • ... Prepare your office and staff. • ... Adapt existing office workflows. • ... Equip your staff with talking points. • ... Offer incentives to patients and staff. •

What is the difference between a personal health record and a patient portal?

The Portal is controlled by the source system (EMR/EHR/Hospital). On the other hand, the Personal Health Record (PHR) is more patient centric, is controlled by a patient or family member, and may or may not be connected to a doctor or hospital (i.e. it may be tethered or untethered).Sep 6, 2012

What types of patient portals are there?

There are two main types of patient portals: a standalone system and an integrated service. Integrated patient portal software functionality usually comes as a part of an EMR system, an EHR system or practice management software. But at their most basic, they're simply web-based tools.Feb 12, 2021

How secure are patient portals?

Patient portals have privacy and security safeguards in place to protect your health information. To make sure that your private health information is safe from unauthorized access, patient portals are hosted on a secure connection and accessed via an encrypted, password-protected logon.

What is patient Web portal?

A patient portal is a secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection. Using a secure username and password, patients can view health information such as: Recent doctor visits. Discharge summaries. Medications.Sep 29, 2017

What is a patient portal NCBI?

Patient portals provide patients access to selected health information from their health care organization's EHR, including medications, discharge summaries, lab results, immunizations, and allergies [1].

How do patient portals contribute to patient centered care?

Further, portals help providers educate their patients and prepare them for future care encounters. When patients have access to their health data, they are better informed, and have the potential to generate deep and meaningful conversations regarding patient wellness during doctor's appointments.May 13, 2016

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.

What are the limitations of EHR?

The limitations of the EHR and the patient portal have presented challenges, such as the inability to send clinical summaries to patients via the portal. The practice can only move ahead with certain aspects of patient and family engagement as quickly as the system is upgraded.

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

Benefits of a Patient Portal

Staff will spend less time on data entry. When you consider that registration information must be provided by every patient, you quickly realize the enormous amount of time your office staff spends entering that data into your computer system.

Portals and EHR Meaningful Use

With 2014 just around the corner, practices that are moving on to Stage 2 of the federal meaningful use (MU) incentive program must prepare to meet the new re-quirements.

Get Prepared for a Portal

Start early. It takes considerable time to introduce your patients to the features available through your portal—and even longer to get them into the habit of using it regularly. “We knew that we had to embrace this new technology as part of the MU requirements and did not want to wait until the last minute to begin implementation,” said Ms.

Going Live

When your patient portal goes live, should you roll out multiple features all at once or implement one component at a time?

Usability Is Critical

Patient portals must be user friendly to sustain continued patient use. If your practice’s portal is not intuitive or if it is too cumbersome to move through the options, you’ll find your patients will avoid using it. “Our portal is provided by one of several third-party vendors that work directly with our EHR vendor,” said Ms. Woodke.

What is the implementation of a patient portal?

Implementation of a patient portal is comprised of several intertwined components: marketing, enrollment, training, support, and workflow redesign. Although these topics will be discussed separately, the implementation strategy, marketing tactics, and enrollment efforts are difficult to separate, as strategy drives rollout methodology and tactics.

What is a patient portal?

Patient portals are add-on modules to EHR systems and are rarely included among a health center’s “mission critical” requirements for an EHR. The features and functions of a portal are seldom explored in detail during the sales cycle, and portal limitations or deficiencies are often not discovered until implementation. Also, since providers are paying for or selecting the system, portals are often designed from their point of view rather than from the patient’s. This can impact the ease of use, features offered, and even technical requirements for patient access.

What is California Health Care Foundation?

The California HealthCare Foundation works as a catalyst to fulfill the promise of better health care for all Californians. We support ideas and innovations that improve quality, increase efficiency, and lower the costs of care. For more information, visit us online at www.chcf.org.

What are the rights of minors in California?

Both California law and Health Insurance Portability and Accountability Act (HIPAA) regulations contain provisions dealing with minors’ rights to access their health information , and accompanying rights to privacy and confidentiality of that information (HIPAA largely defers to state law). In general, the person who has the right or obligation to consent for treatment purposes also holds the privacy rights with respect to the data. In other words, if minors have the right to seek and obtain treatment on their own, without parental consent, they hold the privacy rights with respect to data about that treatment.2 To further complicate the matter, the age at which minors may consent for treatment on their own is based on the type of health service sought:

Abstract

Electronic health record patient portal usage has been associated with improvement in chronic disease parameters, patient functional status and patient satisfaction. Our institution’s patient portal is a secure, online health management tool that connects patients to portions of their electronic health record.

Problem

A frequent challenge faced in resident continuity clinics is a lack of timely communication of test results to patients. Delays in timely action on test results lead to patient dissatisfaction and have been identified as a serious quality gap in the management of test results.

Background

Recent reports have shown that patient access to the EHR via patient portals can help facilitate medication refills, coordinate appointments and billing activities, 2 and can increase patient satisfaction by making clinical information, assessments and results readily available.

Measurement

A baseline audit showed that 35% or 570 patients out of 1628 total patients in 16 resident patient panels were enrolled in the patient portal. Anchor nurses completed surveys at baseline to determine the facilitators and potential barriers to effective implementation of the project.

Design

Our primary intervention was to introduce a standard patient portal sign-up process at the end of the patient rooming process. Nurses identified that one major barrier to patient portal enrolment was difficulty remembering the sign-up process in a long list of tasks necessary for ‘rooming’ a patient.

Strategy

Our objective was to increase the number of patient portal enrolments in the IM resident continuity clinic at a large, academic medical centre using two distinct Plan-Do-Study-Act (PDSA) cycles.

Results

Patient portal enrolment was measured for the 16 IM resident panels weekly. A Health Information Technology Services analyst provided electronic reports detailing the number of clinic patients who signed up for the portal during their appointment.