scholarly journals VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes

2014 ◽  
Vol 22 (2) ◽  
pp. 380-389 ◽  
Author(s):  
Kim M Nazi ◽  
Carolyn L Turvey ◽  
Dawn M Klein ◽  
Timothy P Hogan ◽  
Susan S Woods
Keyword(s):  
Healthcare Professionals ◽  
Initial Assessment ◽  
Healthcare Team ◽  
Patient Portal ◽  
Patient Access ◽  
Test Results ◽  
Web Based ◽  
Clinical Notes ◽  
Patient Awareness ◽  
Online Access

Abstract Objective To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal. Methods A web-based survey of VA patient portal users from June 22 to September 15, 2013. Results 33.5% of respondents knew that clinical notes could be viewed, and nearly one in four (23.5%) said that they had viewed their notes at least once. The majority of VA Notes users agreed that accessing their notes will help them to do a better job of taking medications as prescribed (80.1%) and be better prepared for clinic visits (88.6%). Nine out of 10 users agreed that use of visit notes will help them understand their conditions better (91.8%), and better remember the plan for their care (91.9%). In contrast, 87% disagreed that VA Notes will make them worry more, and 88.4% disagreed that access to VA Notes will be more confusing than helpful. Users who had either contacted their provider or healthcare team (11.9%) or planned to (13.5%) primarily wanted to learn more about a health issue, medication, or test results (53.7%). Conclusions Initial assessment of the patient experience within the first 9 months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.

Prevalence and predictors of online patient access to electronic medical records among patients with cancer.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 35-35
Author(s):  
Andrew L Laccetti ◽  
Jingsheng Yan ◽  
Jennifer Cai ◽  
Samantha Gates ◽  
Yang Xie ◽  
...  
Keyword(s):  
Medical Center ◽  
Medical Advice ◽  
Cancer Center ◽  
Cancer Type ◽  
Patient Portal ◽  
Patient Access ◽  
Test Results ◽  
Number Of Patients ◽  
Patient Reported ◽  
The Impact

35 Background: Although the impact of patient access to health records and providers has not been well studied in cancer populations, these applications are now widely employed at cancer centers nationwide. Understanding implications of this practice in cancer patients is critical as patient-reported symptoms may be more likely to represent medical emergencies and test results may be more likely to represent major clinical developments. Methods: Retrospective analysis of enrollment in and use of MyChart, an internet-based patient portal for the EPIC electronic medical record, among patients seen at the Harold C. Simmons Cancer Center at UT Southwestern Medical Center. Predictors of MyChart use were analyzed through univariate and multivariate regression models. Results: A total of 6,495 patients enrolled in MyChart (2006-2012). Mean age was 60 ± 13 years, and 67% were female. The number of patients enrolling per year increased more than five-fold - 181 in 2006 to 1,146 in 2012. The total number of MyChart log-ins was 707,746. Per patient, median total log-ins was 57 (range 1-10,347). In a multivariate model, increased MyChart use was associated with male gender (p=0.01) and with cancer type (p<0.001), with highest rates among patients with genitourinary and upper aerodigestive malignancies. The most common MyChart activities were review of laboratory and radiology results (35%), communicating with providers (34%) [including messaging (29%) and medical advice request (5%)], and appointment scheduling/canceling (18%). Eighty-nine percent of log-ins occurred Monday-Friday. Login-times were 8a-5p (72%), 5p-11p (17%), and 11p-8a (11%). Approximately 32% of messaging (40% of medical advice requests) occurred outside clinic hours. Conclusions: Patient use of an internet-based patient health portal at an NCI-designated cancer center increased dramatically in recent years. The most common activities were viewing of test results and messaging with providers. A substantial proportion of messaging, particularly advice requests, occurred outside clinic hours. Further study of this technology is needed to understand its impact on patient safety, patient/provider satisfaction, and quality of care.

scholarly journals Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals

2018 ◽  
Vol 5 (1) ◽  
pp. e11 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care Professionals ◽  
Psychiatric Care ◽  
Response Rate ◽  
Patient Access ◽  
Swedish Version ◽  
Web Based ◽  
Striking Result ◽  
Specialized Care ◽  
Adult Psychiatry ◽  
Online Access

Background When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult psychiatric care in Region Skåne. Objective The objective of this study was to describe, compare, and discuss how different HCPs in adult psychiatric care in Region Skåne expect Open Notes to impact their patients and their own practice. Methods A full population Web-based questionnaire was distributed to psychiatric care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. Results The results show that the psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. Conclusions Open Notes can increase the transparency between patients and psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.

scholarly journals Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals (Preprint)

2017 ◽  
Author(s):  
Lena Petersson ◽  
Gudbjörg Erlingsdóttir
Keyword(s):  
Health Care Professionals ◽  
Psychiatric Care ◽  
Response Rate ◽  
Patient Access ◽  
Swedish Version ◽  
Web Based ◽  
Striking Result ◽  
Specialized Care ◽  
Adult Psychiatry ◽  
Online Access

BACKGROUND When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health care professionals (HCPs) in adult psychiatric care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult psychiatric care in Region Skåne. OBJECTIVE The objective of this study was to describe, compare, and discuss how different HCPs in adult psychiatric care in Region Skåne expect Open Notes to impact their patients and their own practice. METHODS A full population Web-based questionnaire was distributed to psychiatric care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. RESULTS The results show that the psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. CONCLUSIONS Open Notes can increase the transparency between patients and psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.

Patients Want Online Access to Test Results Stat

2012 ◽  
Vol 43 (5) ◽  
pp. 42
Author(s):  
PATRICE WENDLING
Keyword(s):  
Test Results ◽  
Online Access

scholarly journals Solutions for Unexpected Challenges Encountered when Integrating Research Genomics Results into the EHR

ACI Open ◽  
2020 ◽  
Vol 04 (02) ◽  
pp. e132-e135
Author(s):  
Luke V. Rasmussen ◽  
Christin Hoell ◽  
Maureen E. Smith ◽  
Rex Chisholm ◽  
Justin Starren ◽  
...  
Keyword(s):  
Genetic Research ◽  
Lessons Learned ◽  
Return Of Results ◽  
Patient Portal ◽  
Test Results ◽  
Research Results ◽  
Genetic Test Results ◽  
Future Return ◽  
New Research ◽  
Genetic Results

Abstract Background While there have been published reports detailing technical challenges of incorporating genetic test results into the electronic health record (EHR) with proposed solutions, less has been published about unanticipated sociotechnological or practical communication challenges involved in this process. Objectives This study was aimed to describe unanticipated issues that arose returning genetic research results through the EHR as part of the National Human Genome Research Institute (NHGRI)-funded electronic Medical Records and Genomics (eMERGE) 3 consortium, and provide lessons learned for future implementations Methods We sequenced 3,000 participants on a 109-gene panel and returned genetic results initially in person and/or by letter, with a later release directly into the EHR and patient portal. Results When results were returned through the EHR, multiple participants expressed confusion and contacted the health system, resulting in our institution temporarily freezing our return of research results. Discussion We determined the likely causes of this issue to be (1) the delay between enrollment and results return, (2) inability to personalize mass e-mail messages announcing new research test results in the EHR, (3) limited space for description of test results in the EHR, and (4) the requirement to list an ordering physician for research results in the EHR. For future return of results, we propose sending preparatory e-mails to participants, including screenshots of how they can expect to see their results presented in the EHR portal. Conclusion We hope our lessons learned can provide helpful guidance to other sites implementing research genetic results into the EHR and can encourage EHR developers to incorporate greater flexibility in the future.

scholarly journals Patterns of use and perceived value of social media for population health among population health stakeholders: a cross-sectional web-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sungwon Yoon ◽  
Sharon Wee ◽  
Vivian S. Y. Lee ◽  
Jing Lin ◽  
Julian Thumboo
Keyword(s):  
Social Media ◽  
Community Engagement ◽  
Population Health ◽  
Preventive Care ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Web Based ◽  
Healthy Behaviors ◽  
Time Investment ◽  
Patterns Of Use

Abstract Background Although existing studies have described patterns of social media use in healthcare, most are focused on health professionals in one discipline. Population health requires a multi-disciplinary approach to ensure diversity and to include diverse stakeholders. To date, what is known about using social media in population health is focused on its potential as a communication tool. This study aims to investigate patterns of use and perceived value of social media usage among stakeholders in population health practice, policy, or research. Methods We conducted a web-based survey of delegates attending the Singapore Population Health Conversations and Workshop. We designed a 24-item questionnaire to assess 1) social media use in terms of type of platform and frequency of use; 2) perceptions of social media relevance and impact on population health; and 3) top three areas in population health that would benefit from social media. We used descriptive and logistic regression analyses to assess the relationships between variables. Results Of the 308 survey respondents, 97.7% reported that they use social media in some form. Messaging (96.8%) was the most dominant activity when using social media. Challenges in implementing social media for population health were time investment by health care professionals (56.2%) and patient adoption (52.9%). The top three population health areas that would benefit most from using social media were the promotion of healthy behaviors (60.7%), community engagement (47.7%), and preventive care (40.6%). Older respondents (> = 40 years) were less likely to view social media as useful for the promotion of healthy behaviors (OR = 0.34; 95% CI: 0.19–0.60). Non-social/healthcare professionals were more likely to consider social media to be useful for community engagement (OR = 1.74; 95% CI: 1.10–2.76). For preventive care, older respondents (OR = 0.51; 95% CI: 0.32–0.82) and non-social/healthcare professionals were less likely to view social media as useful (OR = 0.61; 95% CI: 0.38–0.97). Conclusions Our findings suggest that it may be important to select the specific care areas that would benefit most from using social media. The time investment needed by population health professionals should be fully addressed in planning to maximize the application and potential value of social media.

scholarly journals AB0915-PARE DEVELOPMENT AND USABILITY OF A WEB-BASED PATIENT-TAILORED TOOL TO SUPPORT ADHERENCE TO URATE-LOWERING THERAPY IN GOUT PATIENTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1479.1-1479
Author(s):  
R. te Kampe ◽  
A. Boonen ◽  
T. Jansen ◽  
J. M. Elling ◽  
M. Flendrie ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Text Messages ◽  
Change Model ◽  
Adherence Behavior ◽  
Cross Sectional ◽  
Web Based ◽  
Usability Tests ◽  
Lowering Therapy ◽  
Steering Group ◽  
Three Phases

Background:Adherence to prescribed urate-lowering therapy (ULT) among gout patients is considered to be among the poorest of all chronic conditions. eHealth programs can be a possible opportunity to foster ULT adherence.Objectives:This study describes the development and usability evaluation of a web-based tool to support ULT adherence among gout patients, specifically designed for a complement to usual care.Methods:The Integrated Change (I-Change) model was used as theoretical basis for the development. The model combines various socio-cognitive theories and differentiates between three phases: a pre-motivational, a motivational, and a post-motivational phase. In practices, the I-Change gout tool contains three sessions, following the three phases of the I-Change model. Patients receive tailored feedback based on their answers in the form of animated videos and text messages after each session, and are prompted to set specific goals and action plans for their ULT adherence. The content and development of the I-Change gout tool was determined along an iterative process within a steering group of clinicians and researchers, supported by patient interviews and gout specific literature related to key aspects of medication adherence behavior. A cross-sectional mixed methods design was used to test usability of the support tool consisting of a think aloud method and a usability questionnaire.Results:The steering group decided on the content of the three sessions of the I-Change gout tool. Depending on the intention to change ULT adherence behavior patients were navigated through the I-Change gout tool, patients with a low intention go through all 3 sessions and patients with a high intention go through the pre- and post-motivational session (figure 1). In total, the I-Change gout tool contains three sessions with 80 questions, 66 tailored textual feedback messages, and 40 tailored animated videos.Figure 1.Flowchart of the computer-tailored I-Change gout tool for urate-lowering therapy adherence.Twenty gout patients and seven healthcare professionals participated in the usability tests. The program end score rating for the gout tool was on average 8.4±0.9 (range 6-10) for patients and 7.7±1.0 (range 6-9) for healthcare professionals. Furthermore, participants reported a high intention to use and/or recommend the program in the future. Yet, participants identified some issues for further improvement of the systems user-friendliness by addressing barriers (e.g. more explicitly navigation) and weaknesses (e.g. technical and health literacy). The I-Change gout tool was updated according suggestions of improvements of the participants.Conclusion:This study provides initial support for the usability by patients and healthcare professionals of a ULT adherence I-Change gout tool. Further studies need to be conducted to assess its efficacy and (cost-) effectiveness in daily practice.Disclosure of Interests:None declared

scholarly journals Development of a Web-Based Query Tool for Quality Assurance of Clinical Molecular Genetic Test Results

2007 ◽  
Vol 9 (1) ◽  
pp. 95-98 ◽  
Author(s):  
Matthew J. McGinniss ◽  
Rebecca Chen ◽  
Victoria M. Pratt ◽  
Arlene Buller ◽  
Franklin Quan ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Genetic Test ◽  
Molecular Genetic ◽  
Test Results ◽  
Web Based ◽  
Genetic Test Results ◽  
Query Tool ◽  
Molecular Genetic Test

Implementasi Metode Unsupervised Learning Pada Sistem Keamanan Dengan Optimalisasi Penyimpanan Kamera IP

2021 ◽  
Vol 5 (6) ◽  
pp. 1099-1105
Author(s):  
Desta Yolanda ◽  
Mohammad Hafiz Hersyah ◽  
Eno Marozi
Keyword(s):  
Unsupervised Learning ◽  
Night Vision ◽  
Raspberry Pi ◽  
Monitoring Systems ◽  
Test Results ◽  
Storage Process ◽  
File Size ◽  
Web Based ◽  
Security Monitoring ◽  
Human Faces

Security monitoring systems using face recognition can be applied to CCTV or IP cameras. This is intended to improve the security system and make it easier for users to track criminals is theft. The experiment was carried out by detecting human faces for 24 hours using different cameras, namely an HD camera that was active during the day and a Night Vision camera that was active at night. The application of Unsupervised Learning method with the concept of an image cluster, aims to distinguish the faces of known or unknown people according to the dataset built in the Raspberry Pi 4. The user interface media of this system is a web-based application built with Python Flask and Python MySQL. This application can be accessed using the domain provided by the IP Forwarding device which can be accessed anywhere. According to the test results on optimization of storage, the system is able to save files only when a face is detected with an average file size of ± 2.28 MB for 1x24 hours of streaming. So that this storage process becomes more efficient and economical compared to the storage process for CCTV or IP cameras in general.

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