PDF herunterladen
Appl Clin Inform 2018; 09(03): 558-564
DOI: 10.1055/s-0038-1666993
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Training to Optimize Collaborative Use of an Inpatient Portal

Jennifer L. Hefner
1   Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, United States
2   Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research (Catalyst), College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Cynthia J. Sieck
1   Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, United States
2   Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research (Catalyst), College of Medicine, The Ohio State University, Columbus, Ohio, United States
,
Ann Scheck McAlearney
1   Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, United States
2   Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research (Catalyst), College of Medicine, The Ohio State University, Columbus, Ohio, United States
3   Department of Biomedical Informatics, The Ohio State University, Columbus, Ohio, United States
4   Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, Ohio, United States
› Institutsangaben Funding This research was supported by grants from the Agency for Healthcare Research and Quality [Grant# P30HS024379, Grant# R01HS024091, and Grant #R21HS024767]. The conduct of this research was reviewed and approved by the Institutional Review Board of the authors.
Weitere Informationen

Publikationsverlauf

15. Januar 2018

01. Juni 2018

Publikationsdatum:
25. Juli 2018 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Background Inpatient portals are an emerging technology that can facilitate collaborative interactions between patients and care teams, but little is known about how organizations attempt to implement and facilitate inpatient portal use for their providers.

Methods We held in-person, semistructured interviews with care team members and information technology (IT) staff and conducted rigorous thematic analysis of transcripts.

Results Interviews with 220 care team members and 4 IT staff identified 3 new areas of training needed to optimize inpatient portal implementation and use that extend beyond training to use other technologies: (1) teaching staff to train patients about tool use; (2) training about how to promote tool use to patients; and (3) training about optimal use of secure messaging.

Discussion Our findings show that inpatient portals are implemented within a collaborative multistakeholder context. Training efforts must consider the importance of this collaborative context to help providers learn to both incorporate the technology into their workflow and assist patients with portal use.

Keywords

patient portals - hospitalization - medical informatics - implementation - training

Protection of Human and Animal Subjects

This study protocol was approved by the Biomedical Institutional Review Board affiliated with the authors' institution.


Supplementary Material

 

  • References

  • 1 Collins S, Dykes P, Bates DW. , et al. An informatics research agenda to support patient and family empowerment and engagement in care and recovery during and after hospitalization. J Am Med Informat Assoc 2018; 25 (02) 206-209
    CrossrefPubMedGoogle Scholar
  • 2 Collins SA, Rozenblum R, Leung WY. , et al. Acute care patient portals: a qualitative study of stakeholder perspectives on current practices. J Am Med Inform Assoc 2017; 24 (e1): e9-e17
    PubMedGoogle Scholar
  • 3 Walker DM, Hefner JL, Sieck CJ, Huerta TR, McAlearney AS. Framework for Evaluating Inpatient Portals: A Multi-Stakeholder Perspective. Academy of Management. Atlanta, GA: Conference Presentation; 2017
    Google Scholar
  • 4 Kelly MM, Hoonakker PL, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc 2017; 24 (01) 153-161
    CrossrefPubMedGoogle Scholar
  • 5 Masterson Creber R, Prey J, Ryan B. , et al. Engaging hospitalized patients in clinical care: study protocol for a pragmatic randomized controlled trial. Contemp Clin Trials 2016; 47: 165-171
    CrossrefPubMedGoogle Scholar
  • 6 Greysen SR, Magan Mendoza Y, Rosenthal J. , et al. Using tablet computers to increase patient engagement with electronic personal health records: protocol for a prospective, randomized interventional study. JMIR Res Protoc 2016; 5 (03) e176
    CrossrefPubMedGoogle Scholar
  • 7 Dykes PC, Stade D, Chang F. , et al. Participatory design and development of a patient-centered toolkit to engage hospitalized patients and care partners in their plan of care. AMIA Annu Symp Proc 2014; 2014: 486-495
    PubMedGoogle Scholar
  • 8 Britto MT, Jimison HB, Munafo JK, Wissman J, Rogers ML, Hersh W. Usability testing finds problems for novice users of pediatric portals. J Am Med Inform Assoc 2009; 16 (05) 660-669
    CrossrefPubMedGoogle Scholar
  • 9 Yen P-Y, McAlearney AS, Sieck CJ, Hefner JL, Huerta TR. Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation. JMIR Med Inform 2017; 5 (03) e28
    CrossrefPubMedGoogle Scholar
  • 10 Dalal AK, Dykes PC, Collins S. , et al. A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation. J Am Med Inform Assoc 2016; 23 (01) 80-87
    CrossrefPubMedGoogle Scholar
  • 11 Davis SE, Osborn CY, Kripalani S, Goggins KM, Jackson GP. Health literacy, education levels, and patient portal usage during hospitalizations. AMIA Annu Symp Proc 2015; 2015: 1871-1880
    PubMedGoogle Scholar
  • 12 Robinson JR, Davis SE, Cronin RM, Jackson GP. Use of a patient portal during hospital admissions to surgical services. AMIA Annu Symp Proc 2017; 2016: 1967-1976
    PubMedGoogle Scholar
  • 13 Winstanley EL, Burtchin M, Zhang Y. , et al. Inpatient experiences with MyChart Bedside. Telemed J E Health 2017; 23 (08) 691-693
    CrossrefPubMedGoogle Scholar
  • 14 Kelly MM, Coller RJ, Hoonakker PL. Inpatient portals for hospitalized patients and caregivers: a systematic review. J Hosp Med 2018; 13 (06) 405-412
    PubMedGoogle Scholar
  • 15 Hefner JL, Sieck CJ, Walker DM, Huerta TR, McAlearney AS. System-wide inpatient portal implementation: survey of health care team perceptions. JMIR Med Inform 2017; 5 (03) e31
    CrossrefPubMedGoogle Scholar
  • 16 Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Piscataway, NJ: Transaction Publishers; 2009
    Google Scholar
  • 17 Constas MA. Qualitative analysis as a public event: the documentation of category development procedures. Am Educ Res J 1992; 29 (02) 253-266
    CrossrefPubMedGoogle Scholar
  • 18 Scientific Software Development. Atlas.ti. Berlin: Scientific Software Development; 2013
    PubMed
  • 19 McAlearney AS, Robbins J, Kowalczyk N, Chisolm DJ, Song PH. The role of cognitive and learning theories in supporting successful EHR system implementation training: a qualitative study. Med Care Res Rev 2012; 69 (03) 294-315
    CrossrefPubMedGoogle Scholar
  • 20 Asan O, Holden RJ, Flynn KE, Yang Y, Azam L, Scanlon MC. Provider use of a novel EHR display in the pediatric intensive care unit. Large customizable interactive monitor (LCIM). Appl Clin Inform 2016; 7 (03) 682-692
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 21 Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care 2010; 19 (Suppl. 03) i68-i74
    CrossrefPubMedGoogle Scholar