BACKGROUND: Patient electronic health record (EHR) portals can enhance patient and family engagement by providing information and a way to communicate with their healthcare team (HCT). However, portal implementation has been limited to ambulatory settings and met with resistance from HCTs. OBJECTIVE: We evaluated HCT perceptions before and 6-months after implementation of an inpatient EHR portal application on a tablet computer given to parents of hospitalized children. METHODS: This repeated cross-sectional study was conducted with HCT members (nurses, physicians, ancillary staff) on a medical/surgical unit at a quaternary children's hospital. From December 2014-June 2015, parents of children <12 years old were given a portal application on a tablet computer. It provided real-time vitals, medications, lab results, schedules, education, HCT information and a way to send the HCT messages/requests. HCT members completed surveys pre- and post-implementation regarding their portal perceptions. Pre-post differences in HCT perceptions were compared using chi-squared, Mann-Whitney and Kruskall Wallis tests. RESULTS: Pre-implementation, HCT respondents (N=94) were generally optimistic about the benefits of a portal for parents; however, all anticipated challenges to portal use. Over the next 6-months, 296 parents used the portal, sending 176 requests and 36 messages. Post-implementation, HCT respondent (N=70) perceptions of these challenges were significantly reduced (all p<0.001), including: parents (will) have too many questions (69 vs. 3%, pre-post), parents (will) know results before the HCT (65 vs. 1%), staff (would be/are) skeptical (43 vs. 21%) and there (will be/is) not enough technical support (28 vs. 1%). CONCLUSIONS: All HCT respondents anticipated challenges in providing a portal to parents of hospitalized children; however, these concerns were minimized after implementation.
BACKGROUND:Patient electronic health record (EHR) portals can enhance patient and family engagement by providing information and a way to communicate with their healthcare team (HCT). However, portal implementation has been limited to ambulatory settings and met with resistance from HCTs. OBJECTIVE: We evaluated HCT perceptions before and 6-months after implementation of an inpatient EHR portal application on a tablet computer given to parents of hospitalized children. METHODS: This repeated cross-sectional study was conducted with HCT members (nurses, physicians, ancillary staff) on a medical/surgical unit at a quaternary children's hospital. From December 2014-June 2015, parents of children <12 years old were given a portal application on a tablet computer. It provided real-time vitals, medications, lab results, schedules, education, HCT information and a way to send the HCT messages/requests. HCT members completed surveys pre- and post-implementation regarding their portal perceptions. Pre-post differences in HCT perceptions were compared using chi-squared, Mann-Whitney and Kruskall Wallis tests. RESULTS: Pre-implementation, HCT respondents (N=94) were generally optimistic about the benefits of a portal for parents; however, all anticipated challenges to portal use. Over the next 6-months, 296 parents used the portal, sending 176 requests and 36 messages. Post-implementation, HCT respondent (N=70) perceptions of these challenges were significantly reduced (all p<0.001), including: parents (will) have too many questions (69 vs. 3%, pre-post), parents (will) know results before the HCT (65 vs. 1%), staff (would be/are) skeptical (43 vs. 21%) and there (will be/is) not enough technical support (28 vs. 1%). CONCLUSIONS: All HCT respondents anticipated challenges in providing a portal to parents of hospitalized children; however, these concerns were minimized after implementation.
Entities:
Keywords:
Inpatient; and personal health record; engagement; health information technology; pediatrics
Authors: Tom Delbanco; Jan Walker; Jonathan D Darer; Joann G Elmore; Henry J Feldman; Suzanne G Leveille; James D Ralston; Stephen E Ross; Elisabeth Vodicka; Valerie D Weber Journal: Ann Intern Med Date: 2010-07-20 Impact factor: 25.391
Authors: Douglas S Wakefield; David Mehr; Lynn Keplinger; Shannon Canfield; Rajitha Gopidi; Bonnie J Wakefield; Richelle J Koopman; Jeffery L Belden; Robin Kruse; Karl M Kochendorfer Journal: Int J Med Inform Date: 2010-05-15 Impact factor: 4.046
Authors: Pascale Carayon; Randi Cartmill; Mary Ann Blosky; Roger Brown; Matthew Hackenberg; Peter Hoonakker; Ann Schoofs Hundt; Evan Norfolk; Tosha B Wetterneck; James M Walker Journal: J Am Med Inform Assoc Date: 2011-06-22 Impact factor: 4.497
Authors: Kevin J O'Leary; Mary E Lohman; Eckford Culver; Audrey Killarney; G Randy Smith; David M Liebovitz Journal: J Am Med Inform Assoc Date: 2015-06-15 Impact factor: 4.497
Authors: Jennifer E Prey; Janet Woollen; Lauren Wilcox; Alexander D Sackeim; George Hripcsak; Suzanne Bakken; Susan Restaino; Steven Feiner; David K Vawdrey Journal: J Am Med Inform Assoc Date: 2013-11-22 Impact factor: 4.497
Authors: David P Miller; Celine Latulipe; Kathryn A Melius; Sara A Quandt; Thomas A Arcury Journal: J Med Internet Res Date: 2016-01-15 Impact factor: 5.428
Authors: Cynthia J Sieck; Daniel M Walker; Jennifer L Hefner; Jaclyn Volney; Timothy R Huerta; Ann Scheck McAlearney Journal: Appl Clin Inform Date: 2018-12-05 Impact factor: 2.342
Authors: Peter L T Hoonakker; Rebecca J Rankin; Jennifer C Passini; Jenny A Bunton; Bradley D Ehlenfeldt; Shannon M Dean; Anne S Thurber; Michelle M Kelly Journal: Appl Clin Inform Date: 2019-08-28 Impact factor: 2.342
Authors: Michelle M Kelly; Anne S Thurber; Ryan J Coller; Alisa Khan; Shannon M Dean; Windy Smith; Peter L T Hoonakker Journal: Hosp Pediatr Date: 2019-04
Authors: Daniel M Walker; Alice Gaughan; Naleef Fareed; Susan Moffatt-Bruce; Ann Scheck McAlearney Journal: Appl Clin Inform Date: 2019-11-27 Impact factor: 2.342
Authors: Daniel J Lee; Robert Cronin; Jamie Robinson; Shilo Anders; Kim Unertl; Katherine Kelly; Heather Hankins; Ryan Skeens; Gretchen P Jackson Journal: Appl Clin Inform Date: 2018-08-08 Impact factor: 2.342