improving clinician use of patient portal

Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes.

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Do patient portals improve patient care?

Dec 19, 2019 · Patient portal interventions lead to improvements in a wide range of psychobehavioral outcomes, such as health knowledge, self-efficacy, decision making, medication adherence, and preventive service use. Effects of patient portal interventions on clinical outcomes including blood pressure, glucose, cholesterol, and weight loss were mixed.

How do patients sign up for a patient portal?

Patient portal interventions lead to improvements in a wide range of psychobehavioral outcomes, such as health knowledge, self-efficacy, decision making, medication adherence, and preventive service use. Effects of patient portal interventions on clinical outcomes including blood pressure, glucose, cholesterol, and weight loss were mixed.

Does patient condition influence portal use among cancer patients?

Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices. Ninety percent of health care systems now offer patient portals to access electronic health records (EHRs) in the United States, but only 15% to 30% of patients use these platforms. Using PubMed, the authors identified 53 studies published from September 2013 to …

What are the most common patient portal interventions?

Two recent systematic reviews in adults have demonstrated that patient portals are positively associated with improvements in medication adherence, increases in preventative medicine, improved disease management in chronic conditions, enhanced patient-provider communication, better use of office visit time, and greater satisfaction with care. 2,3 Portal sign-up rates have …

How would you encourage patients to use patient portal?

How do you optimize patient portals for patient engagement?

How can patient compliance with portal registration be increased?

What are the benefits and challenges of using patient portals?

Do patient portals improve healthcare?

What should be in a patient portal?

How can I improve my hospital registration?

Why the use of patient portals are beneficial?

Why is patient portal important in healthcare?

What are the challenges of patient portals?

What are the advantages of patient portals to the patient and to the healthcare facility quizlet?

Why do some patients fail to participate in the use of the patient portal?

How effective are patient portals?

Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes. Understanding the role of patient portals as an effecti …

How effective are patient portal interventions?

Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes.

Why is patient portal important?

Understanding the role of patient portals as an effective intervention strategy is an essential step to encourage patients to be actively engaged in their health care.

Where is 4Daegu University?

4Daegu University, Department of Nursing, Daegu, Republic of Korea.

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.

What are the benefits of patient portal?

Reaction to the patient portal implementation has been very positive. Patients appreciate the convenience, for example, of being able to contact the practice at any time of day or night . For many patients, the use of Web-based information and electronic communication is “second nature”; consequently, they are comfortable using the portal. As one clinician observed, “Lots of patients are accustomed to using electronic communication now. They don’t want to have to pick up the phone anymore.” Clinicians and staff members appreciate that the portal reduces call volume and “provides a fluid line of communication that works well.” They noted that communication via the portal helped to reduce miscommunication and delays that sometimes occur with phone communication.

Why are patients interested in portals?

Patients may be especially interested in the portal at particular moments, such as when they are frustrated with telephone wait times or playing “telephone tag.” Staff members take these opportunities to encourage patients to use the portal.

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

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.

Do patients need to be educated about clinical summaries?

The providers noted that patients need to be educated about clinical summaries, otherwise “many clinical summaries are likely to end up in the trash.” Consequently, providers explain the contents, purpose, and benefits of the clinical summary to patients.

How does a patient portal work?

A fully integrated patient portal works with you EHR, Practice Management, and Billing Software to deliver a smoother patient experience, improve patient outcomes, and grow revenue within your organization.

Why is patient portal important?

Not only is the patient portal a convenient place for patients and providers to communicate, but it is also the place patients go to understand their personal health. Here, patients can review their care plan so that they can adhere to it more easily and gain instant access to test results in real-time. They can then review them with their providers and know exactly where they are in their progress. Increasing access to information is essential to achieving better patient outcomes.

What is a patient portal?

The patient portal is best known for its connection and communication capabilities. A quality solution should come with an easy-to-use messaging center where patients and providers can stay connected more than ever. Here, patients can ask important questions, bring up developments in their care, and form a connection with their provider. Without this tool, patients are put in a position where they have to address everything on their mind in a single visit with their provider, losing information between interactions and forgetting to address key details in their care. The patient portal makes it simple for the patient to stay completely connected with their provider, preventing important developments from slipping through the cracks.

Why is it important to get your patients involved in their care?

Getting your patients actively engaged in their care is essential to achieving a better health outcome. Unless a patient is independently involved in their medical care, it can be difficult to get them to adhere to their treatment plan and achieve quality results.

What are the inputs and outputs of a patient portal?

The inputs are the material (eg, hardware and software) and nonmaterial (eg, leadership) components that facilitate or impair the establishment or use of the portal. Processes include the interactions of the users with the portal. Outputs comprise the results of the implementation or the use of the portal. Through the analysis, we identified 14 themes within these three categories, shown in Textbox 1.

How does patient involvement improve quality of care?

Promoting patient involvement in health care delivery may lead to improved quality and safety of care [14,15] by enabling patients to spot and report errors in EMRs, for example [6]. Some patients recognize the role of patient portals in their health care, reporting satisfaction with the ability to communicate with their health care teams and perform tasks such as requesting prescription refills conveniently [3,16]. Portal use may reduce in-person visits, visits to emergency departments, and patient-provider telephone conversations [3,8-10,12,16]. Despite the potential of portals, already used in the ambulatory setting for some time, implementation in the inpatient setting has only recently gathered momentum [17-19]. The inpatient setting presents additional challenges for implementing patient portals [18,20]. Clinical conditions leading to hospitalization are often acute and the amount of medical information generated during this time can be extensive, which may overwhelm patients [20] and challenge information technology to rapidly display this information.

Why are patient portals important?

While the evidence is currently immature, patient portals have demonstrated benefit by enabling the discovery of medical errors, improving adherence to medications, and providing patient-provider communication, etc. High-quality studies are needed to fully understand, improve, and evaluate their impact.

How does EMR help patients?

Hospitals and other health care organizations can facilitate patient access to their EMR information through patient portals. Patient portals can provide secure, online access to personal health information [1] such as medication lists, laboratory results, immunizations, allergies, and discharge information [2]. They can also enable patient-provider communication using secure messaging, appointments and payment management, and prescription refill requests [2,3].

How many articles are in the systematic search?

The systematic search identified 58 articles for inclusion. The inputs category was addressed by 40 articles, while the processes and outputs categories were addressed by 36 and 46 articles, respectively: 47 articles addressed multiple themes across the three categories, and 11 addressed only a single theme. Nineteen articles had high- to very high-quality, 21 had medium quality, and 18 had low- to very low-quality. Findings in the inputs category showed wide-ranging portal designs; patients’ privacy concerns and lack of encouragement from providers were among portal adoption barriers while information access and patient-provider communication were among facilitators. Several methods were used to train portal users with varying success. In the processes category, sociodemographic characteristics and medical conditions of patients were predictors of portal use; some patients wanted unlimited access to their EMRs, personalized health education, and nonclinical information; and patients were keen to use portals for communicating with their health care teams. In the outputs category, some but not all studies found patient portals improved patient engagement; patients perceived some portal functions as inadequate but others as useful; patients and staff thought portals may improve patient care but could cause anxiety in some patients; and portals improved patient safety, adherence to medications, and patient-provider communication but had no impact on objective health outcomes.

How does a patient portal 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 organizational factors in healthcare?

Organizational factors: culture of a health care organization; decisions and actions it takes when an initial consideration is made to implement a patient portal

What is the difference between a patient portal and a PHR?

The ownership of a patient portal distinguishes it from a personal health record (PHR); while the PHR is owned and managed by the patient, a patient portal is owned and managed by the health care organization. A main advantage of the patient portal is that the data are current, while the data in the PHR are current only when the patient updates it . Without a patient portal as an intermediary, the patient would not be able to access the data in the electronic health record (EHR).

How many papers were there in the Patient Portal study?

Ammenwerth, Schnell-Inderst, and Hoerbst conducted a systematic review on patient portals through a pilot study in 2011 [4]. The authors used medical subject headings (MeSH) terms to focus their research on studies that measured the impact of a patient portal on outcome criteria such as patient satisfaction with the provided care, patient empowerment, costs and resource consumption, mortality, or other relevant clinical parameters. The authors identified 603 papers, 13 of which were experimental or quasi-experimental. Of the 13 papers, five studies were deemed eligible and further analyzed, and four of which were randomized controlled trials (RCTs). Sample sizes ranged from 6-81 participants. A significant flaw in their research was to include the PHR in their search, which, as mentioned above, is significantly different from a patient portal in terms of ownership and management. The features of the patient portal, such as disease management, SM, and the ability to view current personal medical information, are not only key distinguishing details between the patient portal and the PHR, but they also identify features that align with Meaningful Use criteria in Stage 2. Results of this study showed an association between portal use and the following: decrease in office visits rates and telephone contacts, increase in number of messages sent, changes of medication regimen, and better adherence to treatment. The authors summarized their results as a very small effect of patient portals on patient empowerment.

How to improve patient portal?

To improve the association of use of the patient portal with Meaningful Use, hospital administrators should focus heavily on the incorporation of training in proper portal use for patients. Portal developers should conduct ease-of-use studies on their products. If the portal is not easy to navigate, it will not be used. Policy makers should consider the extension of Meaningful Use incentives in the area that affects patient portals. The market has been slow to adapt, and as a result, the maturity of the portal is not where it needs to be in order to improve quality of care and more deeply involve the patient in the medical decision.

What is meaningful use criteria?

The Meaningful Use criteria are a set of requirements that health care organizations must meet in order to qualify for incentives for the meaningfuladoption of health information technology (HIT) [6]. Stage 1 criteria focused on data capture and sharing, while Stage 2 (current stage) focuses on advanced clinical processes such as health information exchange and increased patient-controlled data; the latter is specific to patient portals [6].

Why are patient portals important?

Patient portals seem to offer great potential for higher quality care, but it is unknown whether providers who offer the portals will be able to capitalize on the Meaningful Use, stage 2 incentive due to lack of awareness of the patient portal service [24,25,27]. Measure seven of 17 states requires eligible professionals (EP) to “provide patients the ability to view online, download and transmit their health information within four business days of the information being available to the EP” [2]. In this review, there was insufficient data to associate the use of the patient portal with Meaningful Use.

How many studies have been conducted on the patient portal?

We identified 26 studies and 1 review, and we summarized their findings and applicability to our research question. Very few studies associated use of the patient portal, or its features, to improved outcomes; 37% (10/27) of papers reported improvements in medication adherence, disease awareness, self-management of disease, a decrease of office visits, an increase in preventative medicine, and an increase in extended office visits, at the patient’s request for additional information. The results also show an increase in quality in terms of patient satisfaction and customer retention, but there are weak results on medical outcomes.

What is a patient portal?

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” [5]. The data are managed by the health care organization, and even the most rudimentary portals enable patients to access information like recent doctor visits, discharge summaries, medications, immunizations, allergies, and lab results. More advanced portals enable patients to request prescription refills, schedule non-urgent appointments, and exchange secure messaging (SM) with their provider [5].