PATIENT
PORTALS
This patient spent 9 months
seeking a diagnosis f or
re c u r re n t p n e u m o n i a .
Eventually a carcinoid tumor
was ...
HITECH

ACT
As part of the Affordable
Care Act, the HITECH Act
mandates physicians
integrate an Electronic
Medical Record ...
EMR’S
IMPROVE

SAFETY

	
  

Studies have shown EMR’s can:

Decrease medical errors

11%1
Reduce medication errors

14%2

...
EMR’S
IMPROVE

OUTCOMES	
  
…gets yo
u
better, fas
ter

88% of providers report
their EMR produces clinical
benefits for t...
EMR’S
IMPROVE

EFFICIENCY	
  

80% decrease in time
admitting ER patients. 1

94% of providers report
their EMR makes reco...
“INTEROPRA…

WHAT?”

More than 400 EMR’s are commercially available in the US.
Currently, EMR’s lack ability to communicat...
What’s A

A secure website
provided by your
physician containing
various health records,
patient information
and communica...
14%

Of patients that have portal
access actually log-on and use
them…because:
1) Portals lack functionality
2) Patients a...
FULL DISCLOSURE: I’m a Vanderbilt patient and have only used
the My Health Patient Portal. It has better functionality tha...
FORMS

Patients can complete forms prior to
arriving at an appointment and view
standard forms they’ve already
completed s...
APPOINT-

MENTS

Some providers allow patients to
schedule routine visits through the
portal. No more waiting on hold or
s...
MESSAGING

Some providers enable patients to send
secure emails via the portal. Messages
are triaged by nurses who respond...
RECORDS

Perhaps the most valuable and
pertinent functionality of portals.
Information can include lab results,
image repo...
THE

Future iterations of patient
portals will include:
•  Disease specific and
	
  
physician approved
patient education
...
“DOES MY
DOCTOR
HAVE A
PATIENT
PORTAL?”

Ask your physician when they are
implementing a portal.
If your
physician has a p...
John Crowley
C!
Y!

john@medqb.com

w

www.medqb.com

www.medqb.wordpress.com

B! @medqb
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A Patient's Guide to Patient Portals

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Why aren't patients using Patient Portals?
1. Portals lack functionality
2. Patients lack education
This presentation reviews what some portals are offering and why it's important to you, the empowered patient.

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A Patient's Guide to Patient Portals

  1. 1. PATIENT PORTALS
  2. 2. This patient spent 9 months seeking a diagnosis f or re c u r re n t p n e u m o n i a . Eventually a carcinoid tumor was discovered in his lung. As a result of the delayed diagnosis, the tumor proliferated and surgeons were forced to remove the patient’s entire right lung. The patient’s inability to access and share health records caused redundant and inconclusive tests costing valuable time and ultimately, his lung.
  3. 3. HITECH ACT As part of the Affordable Care Act, the HITECH Act mandates physicians integrate an Electronic Medical Record (EMR) systems in their practice. To be compliant, EMR’s must include a Patient Portal. The government has designated $26B in incentives to help offset the financial burden of EMR’s. Starting in 2014, incentives will transition to penalties if a “Meaningfully Usable “ EMR isn’t implemented.
  4. 4. EMR’S IMPROVE SAFETY   Studies have shown EMR’s can: Decrease medical errors 11%1 Reduce medication errors 14%2 1.  http://www.commonwealthfund.org/~/media/Files/Publications/Issue %20Brief/2012/Jul/1608_SilowCarroll_using_EHRs_improve_quality.pdf 2.  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116263/
  5. 5. EMR’S IMPROVE OUTCOMES   …gets yo u better, fas ter 88% of providers report their EMR produces clinical benefits for the practice1 75% of providers report their EHR allows them to deliver better patient care2 1.  http://www.commonwealthfund.org/~/media/Files/ Publications/Issue%20Brief/2012/Jul/ 1608_SilowCarroll_using_EHRs_improve_quality.pdf 2.  http://www.healthit.gov/providers-professionals/ improved-diagnostics-patient-outcomes
  6. 6. EMR’S IMPROVE EFFICIENCY   80% decrease in time admitting ER patients. 1 94% of providers report their EMR makes records readily available at point of care. 2 1 http://www.commonwealthfund.org/~/media/Files/Publications/Issue %20Brief/2012/Jul/1608_SilowCarroll_using_EHRs_improve_quality.pdf 2 http://www.healthit.gov/providers-professionals/improved-diagnosticspatient-outcomes 3 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116263/ 75% reduction in transcription costs. 3
  7. 7. “INTEROPRA… WHAT?” More than 400 EMR’s are commercially available in the US. Currently, EMR’s lack ability to communicate…interoperability. On average, Americans have 7 different physicians and the lack of interoperability means doctors outside of an integrated Health System (Kaiser Permanente, Vanderbilt, etc) are unable to easily share patient information. So, Patient Portals were mandated…
  8. 8. What’s A A secure website provided by your physician containing various health records, patient information and communication tools. Functionality varies widely by vendor.
  9. 9. 14% Of patients that have portal access actually log-on and use them…because: 1) Portals lack functionality 2) Patients aren’t aware Source: PwC Health Research Institute Consumer Survey, 2010
  10. 10. FULL DISCLOSURE: I’m a Vanderbilt patient and have only used the My Health Patient Portal. It has better functionality than most I’ve researched…but there’s room for improvement.
  11. 11. FORMS Patients can complete forms prior to arriving at an appointment and view standard forms they’ve already completed such as HIPAA Privacy Forms
  12. 12. APPOINT- MENTS Some providers allow patients to schedule routine visits through the portal. No more waiting on hold or speaking with the answering service!
  13. 13. MESSAGING Some providers enable patients to send secure emails via the portal. Messages are triaged by nurses who respond to routine questions and forward urgent or abnormal messages to physicians.
  14. 14. RECORDS Perhaps the most valuable and pertinent functionality of portals. Information can include lab results, image reports, vital signs, immunizations and medication lists.
  15. 15. THE Future iterations of patient portals will include: •  Disease specific and   physician approved patient education •  Disease specific social networking •  Images – xray, CT scans, MRI •  Doctor Notes   FUTURE
  16. 16. “DOES MY DOCTOR HAVE A PATIENT PORTAL?” Ask your physician when they are implementing a portal. If your physician has a portal, use it! If you don’t like it, tell your physician why. It is our responsibility as patients to be quarterback of our healthcare and patient portals are the gateway to improved communication and better healthcare outcomes.
  17. 17. John Crowley C! Y! john@medqb.com w www.medqb.com www.medqb.wordpress.com B! @medqb

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