patient portal impact on nursing

by Nora Roob 7 min read

Patient portal considerations : Nursing Management

30 hours ago Mar 09, 2015 · Nurses play an important role in encouraging and teaching patients to use the portals as well as responding to patient inquiries in the portal system. Patient portals tethered to an electronic health record (EHR) along with stand-alone portals connected to providers’ practices are becoming one of the modalities for improving patients’ engagement in their care. >> Go To The Portal


Communicating through portals can save nurses and receptionists time, too, since the messages pop up real time on their computer screens. The patient to doctor direct communication also cuts out other staff members’ interpretation of medical issues and patient needs that can occur with phone calls, Legan adds.

Conclusions: 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.Apr 11, 2019

Full Answer

Do patient portals improve patient care?

Mar 09, 2015 · Nurses play an important role in encouraging and teaching patients to use the portals as well as responding to patient inquiries in the portal system. Patient portals tethered to an electronic health record (EHR) along with stand-alone portals connected to providers’ practices are becoming one of the modalities for improving patients’ engagement in their care.

Which factors influence patient portal engagement and use?

Patient portals have been shown to improve patient outcomes, and chronic conditions can be improved with web-based tools. 8 The patient portal offers an extended resource to engage patients with conditions such as asthma, diabetes mellitus, hypertension, and obesity. 8 Healthcare providers can directly interact with patients and their authorized family members …

What is a portal and why do you need one?

Apr 11, 2019 · 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 …

Do patients and caregivers use portals to communicate with healthcare staff?

Conclusions: Current research has demonstrated that patients' interest and ability to use patient portals is strongly influenced by personal factors such age, ethnicity, education level, health literacy, health status, and role as a caregiver. Health care delivery factors, mainly provider endorsement and patient portal usability also contribute to patient's ability to engage through …

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Why is patient portal important in healthcare?

Patient portals provide the ability for patients to have 24-hour access to connect with their provider by reviewing patient health information (PHI), asking and answering questions, and reviewing notes, making the patient-physician relationship closer than ever.Dec 8, 2017

What is the nurse's role in implementation of patient portals in healthcare?

Nurses see the portal as an additional service for patients, because it offers them the possibility for asking questions at any time and place suitable for the patient. Some nurses experience an increase in work load, because patients ask more non-urgent questions that otherwise would not be asked.Jun 15, 2012

How does patient portal improve patient care?

The Benefits of a Patient Portal You can access all of your personal health information from all of your providers in one place. If you have a team of providers, or see specialists regularly, they can all post results and reminders in a portal. Providers can see what other treatments and advice you are getting.Aug 13, 2020

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

What are the challenges of using electronic health records and patient portals?

4 Problems With Electronic Health RecordsSecurity Risks From Criminal Computer Hackers. ... Data Bottlenecks Because of a Poorly Designed Interface. ... Staff Needs Training to Switch from Paper to Electronic Health Records. ... Individuals With Poor Typing Skills May Be Slowed Down Using an EHR.More items...•Oct 16, 2019

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

Do patient portals improve outcomes?

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.Dec 19, 2019

What safeguards are included in 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 the goal of hie?

Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care providers and patients to appropriately access and securely share a patient's vital medical information electronically—improving the speed, quality, safety and cost of patient care.Jul 24, 2020

How do patient portals support safety and quality of nursing?

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.

What are the cons of patient portals?

Even though they should improve communication, there are also disadvantages to patient portals....Table of ContentsGetting Patients to Opt-In.Security Concerns.User Confusion.Alienation and Health Disparities.Extra Work for the Provider.Conclusion.Nov 11, 2021

What are the risks of a patient portal?

Some of these risks include: reliance on the patient portal as a sole method of patient communication; patient transmission of urgent/emergent messages via the portal; the posting of critical diagnostic results prior to provider discussions with patients; and possible security breaches resulting in HIPAA violations.Mar 1, 2021

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.

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 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

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 is the PHMG strategy?

PHMG had a strategy of ensuring that patients hear about the portal from multiple sources during each clinical visit. To execute this strategy, PHMG used several methods of communication, including:

When did PHMG start patient portal?

PHMG launched the patient portal in early 2010. As a first step, the physician champion piloted the portal for about 6 months before it was implemented in one clinic at a time. According to the physician champion, implementation was “easier than expected because everyone was already comfortable with eClinicalWorks, ...

Is the portal easy to use?

It’s really very easy to use. If you use the Internet, you’ll most likely find the portal helpful and easy to navigate. They found that it is particularly persuasive when providers encourage patients to use the portal because patients trust providers and value their opinions.

What are the challenges of the portal?

One major challenge with the portal is the multiple step registration process . Patients provide their e‐mail address at the front desk and are given a password to register from home. Some patients fail to complete the registration process after leaving the clinic. Remembering and managing passwords and managing family accounts are also challenging for patients. For example, a parent may log in for one child and then ask questions about a second child. For providers and staff, a challenge is that there is no way to know whether a Web‐enabled patient actually uses the portal and there are no read receipts to confirm that patients have read a message.

When did PHMG implement EHR?

In 2007 PHMG implemented an EHR system, eClinicalWorks, as part of a strategy to improve quality of care and facilitate coordination of care across its multiple clinic locations. In preparing for implementation, PHMG proceeded with:

Why are patient portals important?

Research shows that when patients are able to see their own health data, they gain ownership of their own wellness and are better prepared to interact with their providers about their care.

Why do providers use patient portals?

This is mainly because providers are trying to build a relationship with their patients, not just bolster patient loyalty. For many providers, patient portal use is about building trust and enhancing care.

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