Health Information Associates Patient & Portals
Health Information Associates of Texasinfo@healthinfotexas.com
Health Information Associates Services We ProvideEMR/EHR and POMIS Selection and Implementationand EHR Incentive PaymentMeaningful Use ComplianceWorkflow Analysis to Map Current Process to Post-Implementation ProcessFinancial Services and Protection – Billing andCollection Optimization and Audit Risk MitigationMarketing – Branding, Social Media Usage, ImageEnhancement
Patient Portals – What are they?Patient Portals are healthcare-related online applications that allow patients tointeract and communicate with their healthcare providersTypically, portal services are available on the Internet at all hours of the day.Some patient portal applications: exist as stand-alone web sites and sell their services to healthcare providers. Other portal applications are integrated into the existing web site of the healthcare provider. Still others are modules added onto an existing EMR system.What all of these share is the ability of the patient interacting with their medicalinformation via the Internet.The lines between an electronic medical record, personal health record, and a patientportal are blurring.. Wikipedia – Jan. 25, 2012
Why are Patient Portals becoming popular?As more people do more of their business on the Internet- making travel arrangements, banking, trading stocks, checking their childrens grades, catching up on the news, downloading books and movies, keeping track of their friends and business associates-the day will come when they start to wonder why they have to resort tothe telephone to call their doctor.A survey that our company conducted found that 77% of patients woulduse an on-line patient portal.
Patient Portals – What do they do?Request Appointments with preferred dates and timesReceive reminders of appointments or other significant datesReview clinical data (EMR data)Review educational material (based on DX)Check lab resultsExamine statements and make payments via on-line bill paymentRequest a prescription refillComplete new patient intake formsUpdate existing informationCommunicate with the office (front office and care providers)
Two Types of CriteriaEHR Functionality Clinical Quality Measures
EHR FunctionalityCore Set 15 Menu Set 10Mandatory 20 Criteria Select 5 Needed
Patient Portals can help your practice meet3 (of 15) core objectives and 4 (of 5) menu objectives for a total of 7 (of 20)
Meaningful Use Criteria Met by Patient Portal Core Set1. Computerized provider order entry (CPOE)2. E-Prescribing (eRx)3. Report ambulatory clinical quality measures to CMS/States4. Implement one clinical decision support rule5. Provide patients with an electronic copy of their health information, upon request6. Provide clinical summaries for patients for each office visit7. Drug-drug and drug-allergy interaction checks8. Record demographics9. Maintain an up-to-date problem list of current and active diagnoses10. Maintain active medication list11. Maintain active medication allergy list12. Record and chart changes in vital signs13. Record smoking status for patients13 years or older14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically15. Protect electronic health information
Meaningful Use Criteria Met by Patient Portal Menu Set1. Drug-formulary checks2. Incorporate clinical lab test results as structured data3. Generate lists of patients by specific conditions4. Send reminders to patients per patient preference for preventive/followup care5. Provide patients with timely electronic access to their health information6. Use certified EHR technology to identify patient-specific educationresources and provide to patient, if appropriate7. Medication reconciliation8. Summary of care record for each transition of care/referrals9. Capability to submit electronic data to immunization registries/systems*10. Capability to provide electronic syndromic surveillance data to publichealth agencies*
Meaningful Use Criteria Met by Patient Portal Menu SetThe following pages provide detailedinformation on those Meaningful UseCriteria that a patient portal will help you meet.
1 Meeting the Meaningful Use Criteria Core Set (15 Mandatory)Objective Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies), upon requestMeasure More than 50% of all requesting patients receive an electronic copy of their health information within 3 business daysPatient Portal Patients are given secure access to the portal and pull up their current health information along with any clinic office visit summary.
2 Meeting the Meaningful Use Criteria Core Set (15 Mandatory)Objective Provide clinical summaries for patients for each office visit.Measure Clinical summaries provided to patients for more than 50% of all office visits within 3 business daysPatient Portal While this requirement can be addressed via paper copies, the cost effective solution is to give an electronic copy to patients who want one.
3 Meeting the Meaningful Use Criteria Core Set (15 Mandatory)Objective Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, diagnostic test results), among providers of care and patient authorized entities electronically.Measure Performed at least one test of certified EHR technologys capacity to electronically exchange key clinical information.Patient Portal Your certified EHR will be able to generate the properly formatted data file, but a good patient portal will allow you to share this data with a referring doctor or specialist.
1 Meeting the Meaningful Use Criteria Menu Set (Select 5 of 10)Objective Send reminders to patients per patient preference for preventive/ follow up care.Measure More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period.Patient Portal There are others way to do this but a patient portal should have the functionality to do this if you cannot do it through other methods.
2 Meeting the Meaningful Use Criteria Menu Set (Select 5 of 10)Objective Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies) within four business days of the information being available to the doctor.Measure More than 10% of all unique patients are provided electronic access to their health information within four business days of being updated in the certified EHR. Goes to 90% in MU Stage 3.Patient Portal Patient requests a secure access code and is issued one. They access the portal and pull up their current health information along with any clinic office visit summary.
3 Meeting the Meaningful Use Criteria Menu Set (Select 5 of 10)Objective Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate.Measure More than 10% of all unique patients are provided patient-specific education resourcesPatient Portal Data pulled from certified EHR provides ICD-9s for the patient. Email link to patient with appropriate ICD-9 driven educational material or have link on Patient Portal.
4 Meeting the Meaningful Use Criteria Menu Set (Select 5 of 10)Objective The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral.Measure Provide as summary of care record for more than 50% of transitions of care and referralsPatient Portal This can be done a number of ways but some systems allow the practice to email a secure link to the referee who then can access the patient’s record through the patient portal.
Example of Patient Health Information from Patient Portal
Example of Patient Lab Results from Patient Portal
Example of Patient Education from Patient Portal Based on Patient’s DX
The Future of Patient PortalsWe will look back one day andwonder how we ran a practice without a Patient Portal