1 / 34

Patient Engagement Tools

Patient Engagement Tools. November 13, 2013 Department of Biomedical Informatics BMIF 300. S. Trent Rosenbloom, MD MPH Associate Professor Departments of Biomedical Informatics, Internal Medicine and Pediatrics Vanderbilt University Medical Center. Patient Engagement.

marlo
Télécharger la présentation

Patient Engagement Tools

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Patient Engagement Tools November 13, 2013 Department of Biomedical Informatics BMIF 300 S. Trent Rosenbloom, MD MPH Associate Professor Departments of Biomedical Informatics, Internal Medicine and Pediatrics Vanderbilt University Medical Center

  2. Patient Engagement • Guides patients to take an active role in their healthcare delivery, starting with information • Improves patients’ understanding of their health and related conditions so they take a more active role in their health care • Encourages involvement of patients’ families and support systems or caregivers

  3. 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 Oct 2;157(7):461-70.

  4. 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 Oct 2;157(7):461-70.

  5. Palen TE, Ross C, Powers JD, Xu S. Association of online patient access to clinicians and medical records with use of clinical services. JAMA. 2012 Nov 21;308(19):2012-9.

  6. Wade-Vuturo AE, Mayberry LS, Osborn CY. Secure messaging and diabetes management: experiences and perspectives of patient portal users. JAMIA. 2013 May 1;20(3):519-25.

  7. Osborn CY, Mayberry LS, Wallston KA, Johnson KB, Elasy TA. Understanding patient portal use: implications for medication management. JMIR. 2013 Jul 3;15(7):e133.

  8. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  9. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  10. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  11. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  12. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  13. Flu Tool was deployed Feb 8 - Apr 13, 2011: • 1017 patients seen at VUMC and affiliated clinics received an ICD-9 encoded diagnosis for influenza (i.e., ICD-9 codes 487.xx or 488.xx) • Flu Tool accessed a total of 4040 times • 684 times within MHAV • 2928 times on the general VUMC website • 428 times on the general Children’s Hospital website. Rosenbloom ST, Daniels TL, Talbot TR…Muse S, Jirjis J, Purcell Jackson G. Triaging patients at risk of influenza using a patient portal. JAMIA. 2012 Jul-Aug;19(4):549-54.

  14. MHAV Original 2004 Login Screen

  15. MHAV Statistics *Approximately 410,000 patients seen at Vanderbilt in the prior 12 months

  16. MHAV Steering Committee • Purpose • The My Health at Vanderbilt Steering Committee is charged with overseeing the structure, content, and usability of the Vanderbilt patient portal. • This committee is also responsible for drafting and vetting policies and procedures for MHAV. Osborn CY, Rosenbloom ST, Stenner SP, Anders S, Muse S, Johnson KB, Jirjis J, Jackson GP. MyHealthAtVanderbilt. JAMIA. 2011 Dec;18 Suppl 1:i18-23.

  17. A vision for MHAV The goal for My Health at Vanderbilt is for it to serve as a platform to: • engage patients • personalize care • reduce disparities • streamline intake

  18. AHRQ R18 HS019276-01, Disseminating Adapted Diabetes Evidence To Clinicians Through A Patient Portal, Rosenbloom PI.

  19. Disparities in Adoption Osborn CY, Idowu RT, Han X, Chen Q, Rosenbloom ST, Jackson GP. Disparities in access to care over three years: Patient portal usage versus outpatient care. NIH Summit on the Science of Eliminating Health Disparities Meeting; National Harbor, MD, Oct-Nov 2012.

  20. Disparities in Adoption • Age • Gender • Race and Ethnicity • Socioeconomic Status • Health Literacy • Computer Literacy • Health and Disease

  21. Current MHAV Access Tiers • Tier I Access (partial access) • send secure messages • request appointments • Tier II Access (full access) • view portions of the clinical record • view educational materials, lab interpretations • view past and upcoming appointments

  22. Current MHaV Access Processes • Patient registers for Tier I access from anywhere • Patient shows ID onsite to gain Tier II access • Challenges - • Patients cannot easily get full access all at once onsite • Patients cannot get full access after leaving • Process requires manual steps and can be overlooked

  23. Universal Full MHaV Access • Automatically provide Tier II access for ALL patients as part of standard intake procedures. • Simplify account creation steps for patients. • Streamline MHaV account creation for patient services representatives and admissions staff.

  24. Future Directions • Patient-completed forms, -reported outcomes • Medications, Problems, Allergies reconciliation • Medication refills • Expand available medical record data • Robust mobile presence • Patient-directed decision support, care plans • Prescribed educational materials • Integrated social networks

  25. A BIG thanks – • Gretchen Jackson • Chandra Osborn • Kevin Johnson • Sue Muse • Gaye Smith • Jim Jirjis • Amanda Scott • The MHaV Team • The iAdapt Team • AHRQ R18HS019276

  26. Questions? http://www.youtube.com/watch?v=5eT1_L-w1Mo Happy to hear from you: trent.rosenbloom@vanderbilt.edu

More Related