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Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.

ABSTRACT: BACKGROUND:Care plan concordance among patients and clinicians during hospitalization is suboptimal. OBJECTIVE:This article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and clinicians in acute care setting. METHODS:The intervention included (1) a patient portal configured to solicit a single patient-designated recovery goal and display the care plan from the EHR for participating patients; and (2) an electronic care plan for all unit-based nurses that displays patient-inputted information, accessible to all clinicians via the EHR. Patients admitted to an oncology unit, including their nurses and physicians, were enrolled before and after implementation. Main outcomes included mean concordance scores for the overall care plan and individual care plan elements. RESULTS:Of 457 and 283 eligible patients approached during pre- and postintervention periods, 55 and 46 participated in interviews, respectively, including their clinicians. Of 46 postintervention patients, 27 (58.7%) enrolled in the patient portal. The intention-to-treat analysis demonstrated a nonsignificant increase in the mean concordance score for the overall care plan (62.0-67.1, adjusted p?=?0.13), and significant increases in mean concordance scores for the recovery goal (30.3-57.7, adjusted p?

SUBMITTER: Dalal AK

PROVIDER: S-EPMC6541475 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.

Dalal Anuj K AK Dykes Patricia P Samal Lipika L McNally Kelly K Mlaver Eli E Yoon Cathy S CS Lipsitz Stuart R SR Bates David W DW

Applied clinical informatics 20190529 3

<h4>Background</h4>Care plan concordance among patients and clinicians during hospitalization is suboptimal.<h4>Objective</h4>This article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and clinicians in acute care setting.<h4>Methods</h4>The intervention included (1) a patient portal configured to solicit a single patient-designated recovery goal and disp ...[more]

PMID: 31141830

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Project description:Interventions: Patients at Footscray Hospital will receive a personalised care plan summary which has the following components including Cancer stage, Planned treatment, Planned follow-up visits and Cancer helpline resources. The care plan summary will be generated and provided to the patient during their second consultation with the oncology clinician. The consultation with the clinician will usually take approximately 30 minutes where they are provided the care plan and informed that they will be asked to complete a survey about how useful the care plan is in 6 months. The patient will be approached to complete the survey at a further consultation with the clinician. The care plan summary will be generated from a HREC approved colorectal registry which all colorectal cancer patients at Footscray Hospital are entered into. This study utilised a waiver of consent approach where the participants will be told about the study and a questionnaire which will be provided to them for completion after they have completed their first course of the treatment. No written consent will be obtained from the participants. The duration of the study is approximately 7 months. The plan is to roll this out to other centres and for other tumour streams if determined to be an effective communication tool. Primary outcome(s): The successful development of electronically generated care plan for Colorectal Cancer (CRC) patients. This outcome will be assessed by running a report from the database on how many patients receive the care plan from the oncologist. We can measure this by comparing with the total number of patients entered onto the database.[Patients will receive their personalised care plan at their second clinic visit];Patient feedback and level of satisfaction with the information provided on their care plan and at their initial oncology clinic visits. This will be assessed through a patient survey that patients will be asked to complete. The name of the survey developed for this study is Bowel Cancer Patient Information Survey’[At completion of patient’s treatment];To evaluate and analyse General Practitioner (GP) satisfaction of the care plan through an evaluation survey. The care plan will be uploaded to the hospital system and sent out electronically to GPs, The name of the survey developed for this study is ‘GP Care Plan Evaluation Survey’[The evaluation of GPs will take place as soon as possible after the GP has received the care plan.] Study Design: Purpose: Natural history;Duration: Longitudinal;Selection: Defined population;Timing: Prospective

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Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.

Publications

Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.

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