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Patient Access to Empowerment Piloting an EMR Patient Portal

Patient Access to Empowerment Piloting an EMR Patient Portal. eHealth Conference May 29, 2013. Selena Davis , PITO - BC Medical Association Gabriel Rose , AMBiT Consulting Inc . Disclosure. Patient Portal Project was a BC PITO initiative

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Patient Access to Empowerment Piloting an EMR Patient Portal

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  1. Patient Access to EmpowermentPiloting an EMR Patient Portal

    eHealth Conference May 29, 2013 Selena Davis, PITO - BC Medical Association Gabriel Rose, AMBiT Consulting Inc.
  2. Disclosure Patient Portal Project was a BC PITO initiative PITO engaged AMBiT Consulting to provide project management and business analysis services in support of project objectives Presentation focused on methodology and objective results
  3. “As patients start to get access (to their health records), they will say, ‘Wow this is really great. This is like every other part of my life. Now medicine is finally getting there and now I want more.’” ~ patient, Vancouver Sun article, May 11, 2013 “Private clinic's web portal lets patients access own records”
  4. Patient Portal Project Purpose EMR Patient Portal Patient Experience Practice Management
  5. Pilot Methodology EMR Patient Portal 94 patients51 participated Ordinary use over six weeks BC’s White Rock South Surrey Community of Practice Accession Patient within Intrahealth’s Profile EMR Five patient portal system functions
  6. Patient Participant Engagement EMR Patient Portal Patients engaged by physician directly Obtained consent Provided login information No training, a few calls to MOA for support
  7. Five Functions Tested EMR Patient Portal Request prescription refill Communicate with physician Update personal information Book appointments Review test results Five portal system functions
  8. The Portal – Home Screen
  9. The Portal – View Lab Results in Real Time
  10. The Portal – Request Refills Providers view in Profile
  11. The Portal – Update personal information Providers view in Profile
  12. Results Methodology Survey for patients Interviews for physician/MOAs
  13. Ease of Use and Relative Value Easy to use More valuable Patient Experience
  14. Patient Impressions 74% preferred booking appointments through the portal 90% preferred requesting prescription refills through the portal 100% preferred updating personal data through the portal Patients appreciated direct access to results Patients unsure what questions could be asked and found responses to be slow Patient Experience
  15. Practice Impressions Booking appointments: save >8hr/wk of MOA time dealing with one physician’s patients = savings of ~$220/wk Request prescription refill: inefficiency re storing preferred pharmacy information added ~5 min per occurrence of work = cost of ~$40/wk Practice Management Speculation of higher quality patient information
  16. Practice Impressions Review test results: additional workload for physician, but “felt it made [him] a better doctor” Communicating with physician through portal takes considerable physician time; question of physician compensation Practice Management
  17. Conclusions Small pilot Significant potential benefits Valuable functionality Recommended improvements Business model Support continued use
  18. Thank You Questions?
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