Presentation Transcript

1. Alberta’s Personal Health Record Platformwww.MyHealth.Alberta.caeHealth 2013

   May 27, 2013
2. Agenda Current Status User Engagement Communications Personal Health Record Solution Benefits Evaluation Demonstration Q&A 2
3. Personal Health Portal Vision “MyHealth.Alberta is the Alberta source for trusted health information and secure on-line health services that will empower Albertans in managing their health and wellness” 3
4. Program Goals The Alberta Personal Health Portal (MyHealth.Alberta.ca) is intended to provide the following benefits to Albertans, their health care providers and the health care system: Albertans will have an improved ability to proactively manage their wellness and health. Albertans will have an improved ability to access the health services available to them. Patients and clinicians will have an improved ability to interact with one another. Patients can more effectively participate in managing their treatment. Albertans can more effectively engage the support of, and assist others, in treatment. Health system efficiencies will be increased. The health system will be more informed of Albertan’s health care experience.
5. Current Usage
6. User Engagement Multiple ways to provide feedback 6
7. Reporting
8. Public Advisory Group Governance Review Competitive Process Open to all Albertans First meeting April 4th, 2013 in Edmonton Demographic Coverage 8
9. Clinical Engagement Integrated Clinical Working Group – PHP Subgroup Physicians, Nurses, Specialists, Pharmacists, Physiotherapists, Clinic Managers, HealthLink Representation Personal Health Portal Steering Committee Alberta Medical Association, College of Physicians and Surgeons, College of Alberta Registered Nurses, Alberta College of Pharmacists 9
10. Communications Strategy Public and Provider messages Awareness of EHR Patient rights and responsibilities Leading up to public availability of PHR 10
11. MyHealth.Alberta.ca Personal Health Record A collection of Common Off The Shelf (COTS) products Instant PHR Healthvault Integrator Netcare EHR HealthVault 11
12. MyHealth.Alberta.ca Personal Health Record – Identity and Authorization Albertan Current Environment Microsoft Account Identity Service HealthVault SharePoint 2010 12
13. MyHealth.Alberta.ca Personal Health Record – Identity and Authorization Albertan Future Environment GoA Identity HealthVault SharePoint 2010 Trust Relationship 13
14. Benefits Evaluation- Framework Net Benefits Quality Patient Safety Appropriateness/Effectiveness Health Outcomes System Quality Functionality Performance Security Use Use Behaviour/ Pattern Self Reported Use Intention to Use Access Ability of Patients/Providers to Access Services Patient and Caregiver Participation Information Quality Content Availability User Satisfaction Competency User Satisfaction Ease of Use Service Quality Responsiveness Productivity Efficiency Care Coordination Net Cost Organizational and Context Factors: Strategy, Culture, and Business Process – Out of Scope 14
15. PHP BE embedded throughout the development and deployment lifecycle. 15
16. BE Multi-Methods Pre-Design: Persona development / circle of care models Design: Usability testing and Usability inspection Deployment: Patient interviews and discussion groups: patient experience with use of PHR Provider discussion groups: experience / impact of PHR on practice PHR usage statistics: to confirm which widgets are used and frequency / timing of use 16
17. Multi-methods to assess from early adoption to later adoption benefits 17
18. Phase 1 EvaluationMyHealth.Alberta.ca Knowledge Portal General Albertan Survey Assessment of MyHealth.Alberta.ca Awareness Baseline snapshot of Alberta general population health information seeking and internet behaviour Summer of 2011 396 Participants Results: 93% used the Internet to look up health-related information 72% agreed that online health resources provided answers more quickly than other means 75% agreed that online health resources increased knowledge of a health condition 18
19. Phase 1 EvaluationMyHealth.Alberta.ca Knowledge Portal Alberta PHP Embedded Web Survey Assessment of Use and Experience Rank MyHealth.Alberta.ca pages from 1 to 5 and answer three questions to assess visitor experience: Did this page provide you with the information you needed? Do you feel this information will help you make better health choices? Will this information help you when talking with your doctor or other health care professional? Results: September, 2012 – Present Feedback tools used 4,925 times by 4,695 unique visitors (to date) Overall page ranking: 3.59 out of 5 Question 1 ranking: 68% Question 2 ranking: 70% Question 3 ranking: 69% 19
20. Phase 2 Evaluation Usability Usability Inspection Cardiac Persona User Acceptance Testing Part ofinternal evaluation Usability Testing 14 Victoria participants (no previous exposure to PHR) 7 PHP participants (previously involved in PHR activities) Focus Group 14 PHP participants 20
21. Phase 2 EvaluationUsability Results Five key areas of improvement identified: Information Architecture Missing Content / Functionality Presentation Functionality of Existing Content Login Process 21
22. Phase 2Deployment Evaluation Cardiac Wellness Institute of Calgary User experience interviews User experience discussion groups Provider discussion group Follow-up user experience interviews 22
23. What’s Next Improve: Login and registration process User Experience within PHR Search and content presentation Personal medical device connectivity Develop Strategy for verification of users Communication strategy Mobile device support 23
24. Demonstration 24