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Design and Implementation of Patient Portal-Based Advance Care Planning Tools.


ABSTRACT: BACKGROUND:Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA). MEASURES:MDPOA documentation and System Usability Scale were assessed. INTERVENTION:Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives. OUTCOMES:A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable. CONCLUSIONS/LESSONS LEARNED:Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal.

SUBMITTER: Lum HD 

PROVIDER: S-EPMC6314208 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Design and Implementation of Patient Portal-Based Advance Care Planning Tools.

Lum Hillary D HD   Brungardt Adreanne A   Jordan Sarah R SR   Phimphasone-Brady Phoutdavone P   Schilling Lisa M LM   Lin Chen-Tan CT   Kutner Jean S JS  

Journal of pain and symptom management 20181025 1


<h4>Background</h4>Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA).<h4>Measures</h4>MDPOA documentation and System Usability Scale were assessed.<h4>Intervention</h4>Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed  ...[more]

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