patient portal: lecture to facilitate discussion of patient portal research ideas with saftinet...
TRANSCRIPT
April 17, 2013
Patient Portals, Meaningful Use and Patient-Generated Data
Patient Portals
• Online applications that allow patients to interact with their healthcare providers through– exposing individual patient health information in a secure manner
online – allowing patients to interact in some way with providers (many
portals)• schedule appointments• request refills on medications • look at lab and other test results • communicate with providers• fill out patient forms• pay medical bills
• Key tool to help providers meet meaningful use requirements
Patient Portals
• Available online 24/7• Various formats– Stand-alone websites that sell services to
providers– Integrated into the existing website of a provider– Modules added to (or components of) the
provider’s existing EHR
Meaningful Use (MU) Stage 2 Related to Patient Portal
MU Stage 2 Related to Patient Portal
• Eligible professionals (EPs) must provide >50% of patients notification of online timely access to their medical records
• > 5% of EPs patients must – send practice a secure electronic message through
the portal – view, download or transmit their health
information
MU Stage 3 (proposed) Related to Patient Portal
• Eligible professionals (EPs) must provide 10% of patients the option to submit patient-generated data (EPs would choose what data to request)
• EPs must provide patients with the ability to request amendments to their record
Patient-Generated Data
• Could be entered into portal via forms (online, mobile, IVR)
• Can link to personal technology: apps, sensors, iPads
Patient-Generated Data: Example
• Breathe-Easy (RTI International and Virginia Commonwealth University)
• Asthma self-management • Smartphone application captured
– use of controller and rescue medications – symptom levels– quality of life– smoking
• Clinicians utilized online dashboard to – view the patients’ data– evaluate their health statuses– communicate changes in treatment or monitoring
Patient-Generated Data: Example
• iN Touch (San Francisco State University) • Obesity management among young low-income
adults• Used Mobile iPod Touch app and other technologies
popular among young people to – monitor physical activity, food intake, socialization and
mood – share the data with their health coaches and clinical care
teams – to help set health goals and track their progress
Patient-Generated Data
• Mobile phones: – 11% of all mobile phone users and 19% of smartphone
users have at least one health app (2012)• 38% tracked exercise, fitness or heart rate• 31% tracked diet or food • 12% tracked weight
• Wireless sensors: – blood sugar levels– number of steps taken a day– sleep cycles
Questions about Portals and Patient-Generated Data
• Where is your organization in the planning process?
• What information would be most valuable to receive electronically from patients? Why?
• What information do your patients want?• Can SAFTINet help with
collection/management of patient-generated data? How?