TY - JOUR
T1 - Implementation of acute care patient portals
T2 - Recommendations on utility and use from six early adopters
AU - Grossman, Lisa V.
AU - Choi, Sung W.
AU - Collins, Sarah
AU - Dykes, Patricia C.
AU - O'Leary, Kevin J.
AU - Rizer, Milisa
AU - Strong, Philip
AU - Yen, Po Yin
AU - Vawdrey, David K.
N1 - Funding Information:
This work was supported by the Agency for Healthcare Research and Quality (R01HS21816, R21HS023613, P30HS023535, R21HS024349), Brigham and Women’s Hospital, and the Gordon and Betty Moore Foundation Patient Care Program (4609).
Publisher Copyright:
© 2017 The Author.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Objective: To provide recommendations on how to most effectively implement advanced features of acute care patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical data viewing, (4) patient education, (5) patient safety, (6) caregiver access, and (7) hospital amenities. Recommendations: We summarize the experiences of 6 organizations that have implemented acute care portals, representing a variety of settings and technologies. We discuss the considerations for and challenges of incorporating various features into an acute care patient portal, and extract the lessons learned from each institution's experience. We recommend that stakeholders in acute care patient portals should: (1) consider the benefits and challenges of generic and structured electronic care team messaging; (2) examine strategies to provide rich care plan information, such as daily schedule, problem list, care goals, discharge criteria, and posthospitalization care plan; (3) offer increasingly comprehensive access to clinical data and medical record information; (4) develop alternative strategies for patient education that go beyond infobuttons; (5) focus on improving patient safety through explicit safety-oriented features; (6) consider strategies to engage patient caregivers through portals while remaining cognizant of potential Health Insurance Portability and Accountability Act (HIPAA) violations; (7) consider offering amenities to patients through acute care portals, such as information about navigating the hospital or electronic food ordering.
AB - Objective: To provide recommendations on how to most effectively implement advanced features of acute care patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical data viewing, (4) patient education, (5) patient safety, (6) caregiver access, and (7) hospital amenities. Recommendations: We summarize the experiences of 6 organizations that have implemented acute care portals, representing a variety of settings and technologies. We discuss the considerations for and challenges of incorporating various features into an acute care patient portal, and extract the lessons learned from each institution's experience. We recommend that stakeholders in acute care patient portals should: (1) consider the benefits and challenges of generic and structured electronic care team messaging; (2) examine strategies to provide rich care plan information, such as daily schedule, problem list, care goals, discharge criteria, and posthospitalization care plan; (3) offer increasingly comprehensive access to clinical data and medical record information; (4) develop alternative strategies for patient education that go beyond infobuttons; (5) focus on improving patient safety through explicit safety-oriented features; (6) consider strategies to engage patient caregivers through portals while remaining cognizant of potential Health Insurance Portability and Accountability Act (HIPAA) violations; (7) consider offering amenities to patients through acute care portals, such as information about navigating the hospital or electronic food ordering.
KW - medical informatics applications
KW - patient access to records
KW - patient participation
KW - patient portals
KW - personal health records
UR - http://www.scopus.com/inward/record.url?scp=85054574422&partnerID=8YFLogxK
U2 - 10.1093/jamia/ocx074
DO - 10.1093/jamia/ocx074
M3 - Article
C2 - 29040634
AN - SCOPUS:85054574422
SN - 1067-5027
VL - 25
SP - 370
EP - 379
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 4
ER -