Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet
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PATIENT EMPOWERMENT & E-PATIENT
Patients as the healthcare system "missing link" #digitalhealth #hcsmeu #hcsm #epatient Curated by Lionel Reichardt / le Pharmageek |
Scooped by Lionel Reichardt / le Pharmageek |
Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet
Rescooped by Lionel Reichardt / le Pharmageek from Hospitals: Trends in Branding and Marketing |
We live in a pre-Copernican model where all of the planets float around the healthcare system, including the patient. What we need is the patient at the center. We need to put the sun where it belongs.
Scooped by Lionel Reichardt / le Pharmageek |
Enhancing the quality of patient care and expanding patient engagement improvements are key areas that healthcare providers are focused on today.
Scooped by Lionel Reichardt / le Pharmageek |
Patient engagement helps consumers view EHRs more positively and encourages them to take charge of their health.
Rescooped by Lionel Reichardt / le Pharmageek from healthcare technology |
New patient engagement trends from TechnologyAdvice Research reveals digital engagement is a growing factor in how patients choose healthcare providers.
Quality of care has long been a primary factor in choosing a healthcare provider, but convenience and communication are also becoming key considerations for patients. Still, many physicians do not appear to be offering the digital engagement services that can meet those demands.
According to a new nationwide survey conducted by TechnologyAdvice Research, a majority of patients (60.8 percent) said digital services like online appointment scheduling and online bill pay are either “important” or “somewhat important” when choosing a physician. However, when asked what services their current physician provides, less than one-third of patients indicated they have access to either online bill pay, online appointment scheduling, or the ability to view test results and diagnoses online, which are the top three services that patients report wanting the most.
“Primary care physicians are reporting some of the highest rates of EHR adoption to comply with government regulations and to receive incentives from Meaningful Use, but a significantly lower number of patients claim to have access to these patient portal services,” said TechnologyAdvice Managing Editor Cameron Graham, who authored the survey. “The issue here may not be implementation of digital services, but instead a lack of patient awareness. If physicians are offering these in-demand digital services, a more proactive approach to promoting them is needed and could create an advantage in attracting and retaining patients.”
TAKEAWAYS
- If providers wish to gain an upper edge in attracting new patients (especially younger ones), and in retaining their existing patients, they should invest in a fully featured patient portal system. For many primary care physicians this should not be difficult. Most comprehensive EHRs include patient portal features, and dedicated patient portal vendors are making strides in integrating with third-party systems. In particular, prioritizing systems with intuitive online appointment scheduling, online bill pay functionality, and online test results could provide a significant draw for new patients.
- For practices that already have patient portal systems, they should dedicate resources to making sure their patient populations are informed of the existence of such services. They should also consider prominently featuring these services in their advertising and on their websites. When orienting new patients to their practice, providers need to have a plan for walking patients through the initial portal set-up requirements and making sure they understand the features available to them.
-For particularly tech-savvy practices, a dedicated smartphone app could help set them apart, and attract younger individuals.
more at http://hitconsultant.net/2015/01/16/should-physicians-tailor-patient-engagement-based-on-age/
Scooped by Lionel Reichardt / le Pharmageek |
"The reality is that patients have no choice but to be engaged. They are provided these details in an inefficient way that causes a lot of frustration, worry and fear on top of already stressful medical concerns. The Office of the National Coordinator for Health Information Technology reports that one in three patients experience gaps in information exchange, which we rely on the patient to solve. I suspect this number is a significant underestimate because we are so used to this level of fragmentation and repetition, that we no longer see it for the system failure it is."
Add in the potential of emerging digital therapeutics (aka health apps) to help prevent and manage chronic disease. These tools of precarious potential are being developed as consumer products near the event horizon of the black hole we call health care. Stay tuned.
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Rescooped by Lionel Reichardt / le Pharmageek from mHealth: Patient Centered Care-Clinical Tools-Targeting Chronic Diseases |
Connected Health, leveraging technology and data for patient engagement, care collaboration
There is growing evidence that effective patient education can impact patient outcomes as well as improve patient engagement and satisfaction. Providing these tools for patients, whether remote or local, as part of a risk sharing agreement or through traditional reimbursement, is an effective approach to patient engagement.
By Sherri Dorfman Sherri Dorfman is CEO, Stepping Stone Partners
@HIMSS
Blog makes reference to other resources:
Resources
Stage 2 Meaningful Use patient-specific education resources (PDF)
Mercy Hospital Center of Excellence program
Patient-Specific Education Resources from HealthIT.gov
Patient Education Materials from AHRQ
Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes – Canadian Journal of Diabetes
Rescooped by Lionel Reichardt / le Pharmageek from mHealth: Patient Centered Care-Clinical Tools-Targeting Chronic Diseases |
Connected Health, leveraging technology and data for patient engagement, care collaboration
There is growing evidence that effective patient education can impact patient outcomes as well as improve patient engagement and satisfaction. Providing these tools for patients, whether remote or local, as part of a risk sharing agreement or through traditional reimbursement, is an effective approach to patient engagement.
By Sherri Dorfman Sherri Dorfman is CEO, Stepping Stone Partners
@HIMSS
Blog makes reference to other resources:
Resources
Stage 2 Meaningful Use patient-specific education resources (PDF)
Mercy Hospital Center of Excellence program
Patient-Specific Education Resources from HealthIT.gov
Patient Education Materials from AHRQ
Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes – Canadian Journal of Diabetes
Rescooped by Lionel Reichardt / le Pharmageek from Digitized Health |
Doctors at Massachusetts General Hospital are working on ways to help patients better understand their chances of suffering heart attacks and surgical complications.
Karen Sepucha. runs the Health Decisions Sciences Center at Boston's Massachusetts General Hospital. A few years ago she surveyed primary care physicians, and asked how confident they were in their ability to talk about numbers and probabilities with patients.
"What we found surprised us a little bit," Sepucha says. "Only about 20 percent of the physicians said they were very comfortable using numbers and explaining probabilities to patients."
Doctors, including Leigh Simmons, typically prefer words. Simmons is an internist and part of a group practice that provides primary care at Mass General. "As doctors we tend to often use words like, 'very small risk,' 'very unlikely,' 'very rare,' 'very likely,' 'high risk,' " she says.
But those words can be unclear to a patient.
"People may hear 'small risk,' and what they hear is very different from what I've got in my mind," she says. "Or what's a very small risk to me, it's a very big deal to you if it's happened to a family member."
Simmons and her colleagues are working on ways to involve their patients in shared decision-making. The initiative at Mass General gives patients online, written and visual information to help them. One of the goals is to make risk understandable — bridging the gap between percent probabilities and words.
Rescooped by Lionel Reichardt / le Pharmageek from Patient Self Management |
The term "patient engagement" is at risk of becoming a vague buzzterm, as it lacks a shared definition. This paper aims to pinpoint the key conceptualizations of "patient engagement" from recent academic literature, in order to deepen understanding of the term.
Read it - and think about what you "mean" when you talk about "patient angagement" - Informative!
The Challenges of Conceptualizing Patient Engagement in Health Care
Rescooped by Lionel Reichardt / le Pharmageek from Better Safety |
Today in the highly digital world that we have come to live in, the experience has to be extended to the consumer’s devices: namely mobile phones, tablets and personal computers delivered on the backbone of the World Wide Web.
So in this era where consumers have come to expect more from their brands, are patients correct in demanding a better user experience from their care providers?
Healthcare organizations are aware of this expectation and they are also aware that physicians and their allied co-workers need a better medium to communicate and collaborate among them. This not only leads to a better experience for all but also is critical as hospitals continue to drive better clinical outcomes.
One of the aspects of digital engagement is providing an exceptional web experience, whether it is providing physicians with real time data and reports on the cases they are following or engaging patients with education that can help them manage their health better.
The digital experience can help in achieving the following
1) Provide a platform for better collaboration between physicians. Also this helps in increasing consultations between experts who are not necessarily collocated but still need a visual to make a better diagnosis.
2) Accentuates the sharing of information between hospitals and even between various departments of the same hospital.
3) Leveraging the existing hospital information to give a visual picture to the patients on education and how they can leverage the hospital and its facilities to the best of its ability.
4) Running extensive 360 degree programs involving various departments like surgery, nutrition and physiotherapy.
5) Providing a mechanism for better healthcare management.
scooped and summarized from http://insights-on-business.com/healthcare/healthcare-moving-towards-better-patient-experience-is-digital-the-answer/
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Without a doubt patient engagement is one of the more important trends in healthcare and health IT right now. Over the past few years the tools that look to enable patient engagement between providers and patients have changed markedly. It is important to note, however, that the tools themselves are just a small part of the story — they can go a long way toward improving patient engagement, though. The drivers of the patient engagement buzz are varied, but one big one is the federal government’s Office of the National Coordinator’s (ONC) Meaningful Use (MU) program, which is beginning to include requirements for very basic patient engagement services.
ONC’s MU Stage II requirements include at least three patient engagement related deliverables of providers. To meet Stage II, providers must give patients clinical summaries after each visit. They must use electronic secure messaging to communicate with patients on relevant health information with a minimum of 5 percent of their patients during the review period. They must also provide patients with the ability to view online, download and transmit information about a hospital admission and give them access to any health information about that patient the providers receives — within four days of receiving it.
Read more: http://mobihealthnews.com/29985/in-depth-a-brief-history-of-digital-patient-engagement-tools/
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Improvements in healthcare information technology in the last decade have led to a fundamental shift in the way healthcare providers operate. The use of electronic health records is now widespread and healthcare professionals have access to immense amounts of data. While technology has improved clinical performance in many ways, patient engagement has certainly suffered a setback.
Today’s healthcare professionals are tied to technology. Whether documenting care at a computer terminal or looking up patient history on a tablet, clinicians are left with less time to engage directly with patients. In fact, data entry can take up to one-third of a clinician’s day.
Clinicians want to spend more time interacting with patients versus engaging with technology, and patients deserve it. By increasing the time spent working with and educating patients, clinicians can improve patient satisfaction, increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS®) survey scores, and provide a better overall patient experience.
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Being a medical professional, Glass Explorer and the co-founder of a healthcare data company, when a new technology is launched I immediately think… How can we use this to improve healthcare? How can we use the data and the information the technology enables to better connect the healthcare community?
The launch of Google Glass had myself – and many other healthcare professionals - asking just these questions. It’s been exciting to watch the uptake of Glass in the medical space. Despite the privacy concerns people are exploring ways to use the technology to improve healthcare.
InCrowd is active in the patient engagement space; we have been asking our Crowds of healthcare professionals and health consumers to share their feedback on the current state of patient engagement. The findings have been eye opening and I think point to the need for significant change in the way healthcare is provided. Technology will certainly play a role in these changes, as will digital natives who can easily envision a tech enabled future.
Our work in the patient engagement space naturally lead me to wonder how Google Glass could be used as a tool to enhance engagement. As I thought about the feedback shared by the Millennials and Gen Xers, I put together a list of ways I could see Glass enhancing patient engagement.
Read more: http://www.incrowdnow.com/2014/02/google-glass-and-patient-engagement-a-match-made-in-heaven/
Rescooped by Lionel Reichardt / le Pharmageek from Co-creation in health |
I recently came across an interview with Stephen Beck, MD, Chief Medical Information Officer (CMIO) at Catholic Health Partners. Dr. Beck was being interviewed on the subject of patient portals and...
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Patient engagement today is often being used as a technology initiative, whether it be through a CRM or an integrated marketing campaign using traditional and digital means, or even with outbound surveys and risk assessments given to patients regarding their care. No matter how you slice it, it seems that the conversation of “patient engagement” is more about the tool than the technique.
It is with a humble approach to listening, learning from, and understanding how and when patients need information, resources, and care–and then delivering the right message and support along the way which fosters better patient engagement.
The Irony of Patient Engagement
It’s almost ironic that we use the words “patient engagement” to increase the interaction “they” have with their respective healthcare providers and plans. Patients are engaged. They are engaged with their families, they are engaged with their work-life balance, and they are engaged with their care. However, for a number of years, many health institutions and insurance plans did not interact with their patients and members unless it was initiated by the patient or care provider, such as “Dr. Mom.”
Read more: http://loyalty360.org/loyalty-today/article/engaging-patients-vs.-patient-engagement
Rescooped by Lionel Reichardt / le Pharmageek from Health Care Business |
By Donna Roach
For providers who want to involve patients in their own care and form closer ties with consumers, now might be the best time in years to implement this strategy.
The Pew Research Center's Internet & American Life Project recently reported that 69% of U.S. adults track a health indicator for themselves or a loved one. The California HealthCare Foundation reported that, “Patients pay more attention and become more engaged in their health and medical care when they have easy access to their health information online.”
Although there is clear data supporting the need for providers to offer effective and user-engaging patient portals, many systems launched to date have fallen short of meeting patients' needs. Providers have made a commitment to discovering why this is the case, driven by pressures to meet the expectations of patients and communities.
A patient portal is a secure online website that offers consumers convenient 24-hour access to personal health information and medical records through an Internet connection. A portal should be a starting point for other sites, provide the capability to usher in new applications and technology and streamline processes. A patient portal should also engage the users and encourage them to regularly access their information.
So why aren't patient portals more common?
Other consumer-friendly portals provide ready examples of how to facilitate interactions and engage users. For example, Pinterest is the fastest-growing social network, accessed by 15% of American Internet users. Pinterest is a pinboard-style photo-sharing website that enables users to create and manage their own image collections or events, interests and hobbies. Each “pin” posted to the site serves as a portal into a personal web collection or other themed sites.
On the other hand, Facebook and Twitter provide more up-to-date content and real news information than most standard news sites. And ESPN.com provides access to a variety of sports portals for up-to-date content. These sites have one thing in common—users interact with the sites many times a day, returning multiple times to access new content.
This type of engagement should be the ultimate goal for patient portals.
To achieve that goal, patient portals must include secure messaging linking patients and the provider, prescription refills, lab results and online bill payment. In my organization, we offer a patient portal that is directly integrated with the enterprise electronic health record. Additional features include appointment requests and verification; demographic information updates; laboratory results and patient education materials; clinical record summaries; continuity of care document downloads; discharge information and online bill payment.
We introduced the portal in March 2013, and it now has 13,000 active users. That growth was driven by efforts to increase awareness of the portal's benefits among our patients and community, and their realization that the portal's benefits go far beyond general convenience. The portal is helping to alleviate follow-up phone calls to physician offices. In the past year, we also introduced the portal to inpatients, offering them access to discharge information and follow-up patient care instructions. As the portal evolves, we're planning improvements and upgrades.
The portal also has served as a successful measurement for meaningful use Stage 1. Stage 2 also sets objectives for patient engagement for which portals could prove effective. Overall, the most significant benefit of the portal has been the opportunity to offer an accessible, effective engagement tool to patients and the community.
Our patient portal is much more than just an online tool; it supports a strategy focused on enhancing patient engagement within our community and with our providers. As the industry becomes more focused on ambulatory care, the portal is another way to strengthen our ambulatory presence and reach more individuals beyond hospital walls. The patient portal can also be an efficient and effective method of communicating with patients outside of the office. The most pronounced portal benefit, however, is the improvement in healthcare quality it encourages, stemming from patients' active engagement in their health and healthcare.
Great Intention and surprising action, just to step ahead from an health insitution in the world of online health activities. It seems to be a good example, but I wished to be enabled to a closer inspection ;-)
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
More than 15 million Americans undergo surgery each year, but there's growing recognition that some elective operations may be more about the surgeon's preference than about the patient's need for the procedure. Researchers at the Dartmouth Institute for Health Policy & Clinical Practice released a report last year showing that some doctors routinely send their patients to surgery more often than other physicians do. For instance, Medicare patients in Casper, Wyo., were found to be more than seven times as likely to get elective back surgery for back pain as Medicare patients in Honolulu.
When surgeons develop expertise at a particular procedure, they can begin to see every patient as a potential candidate, says Rosemary Gibson, an editor for the journal JAMA Internal Medicine and the author of “The Treatment Trap.” One physician she interviewed for the book described how a hospital that specializes in heart bypass surgery performed operations on people whose condition did not require them. “They had a production line and were just racking them up,” he told her.
So how do you make sure that when your doctor suggests surgery, it's the best decision for you?
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Experiences of health interactions after diabetes patient education: a qualitative patient-led study
Abstract
Objective
To explore the impact of patient education on the lives of people with diabetes, including the effect on interactions with doctors and other healthcare professionals.
Design
Qualitative user-led study using longitudinal interviews and 146 h of participant observation. Data were analysed using a narrative approach.
Participants
21 patients with type 1 diabetes, those either about to attend a patient education course or those who had completed the course in the previous 10 years.
Setting
Established patient education centres in three UK teaching hospitals teaching the Dose Adjustment for Normal Eating (DAFNE) course.
Results
Both postcourse and several years later, most participants spoke of the experience of taking part in education as life-changingly positive. It helped them understand how to gain control over a very complex disease and freed them from dependence on medical advice and restrictive regimes. However, interactions within the health system following patient education could be fraught. Participants emerged from the course with greater condition-specific knowledge than many of the healthcare professionals they encountered. When these professionals did not understand what their patients were trying to do and were uncomfortable trusting their expertise, there could be serious consequences for these patients' ability to continue effective self-management.
Conclusions
Patients who have in-depth knowledge of their condition encounter problems when their expertise is seen as inappropriate in standard healthcare interactions, and expertise taught to patients in one branch of medicine can be considered non-compliant by those who are not specialists in that field. Although patient education can give people confidence in their own self-management skills, it cannot solve the power imbalance that remains when a generalist healthcare professional, however well meaning, blocks access to medication and supplies needed to manage chronic diseases successfully. There is a role for those involved in primary and hospital care, including those supporting and training healthcare professionals, to recognise these problems and find ways to acknowledge and respect chronic patients' biomedical and practical expertise.
Read more at: http://bmjopen.bmj.com/content/3/11/e003583.full
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Much is being made of the meaningful use requirement to use secure online messaging to communicate with patients about relevant health information. The new Stage 2 measure requires that more than 5% of unique patients seen by the eligible professional during the reporting period were sent a secure message using the electronic messaging function of certified EHR technology.
But to meet that goal, we have to get our patient population engaged and using our patient portal. Worries about that very thing abound in medical practices of all specialties across all communities.
Like so much in life, we think about the “other guy” in an adversarial role — what we can control and how we can influence others. We complain about patients who just won’t do what we tell them. We get annoyed when patients won’t take the medicines we prescribe for them. We get frustrated when patients don’t show up for follow-up appointments or don’t follow through on ancillary tests we’ve scheduled for them.
But those attitudes, as natural as they might be, don’t help us get to where we need to be. We need to figure out how providers and staff at medical practice can engage our patients. How can we help them?
Read more at: http://www.kevinmd.com/blog/2013/11/improve-patient-engagement.html
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
Leana Wen’s Who’s My Doctor? campaign is an important step to help health care. She endorses a total transparency manifesto where physicians can describe their sources of revenue and other potential conflicts of interest. It’s an effort to build trust.
We can’t fix health care without patients’ help. A quick look at the numbers for chronic disease are compelling enough– half of Americans have at least one chronic disease, and it accounts for 75% of all health care costs. If we don’t make an impact there, we really won’t make an impact at all.
The trouble with chronic disease is that it depends so heavily on behavior — eat well, exercise, don’t smoke, and take your meds every day. Until we can truly engage patients, we will struggle.
How do we engage patients? How do we get them to literally restructure how they live their lives? How do we get them to agree that they have a disease, that they need to swallow pills every day and risk the side effects, that they need to fit in time for exercise, that they need to arrange with family and friends and coworkers different ways to eat, to not smoke? If we truly want them to get better, we’re truly asking the world. We’re asking them to adopt our world, on our say so. Doctor’s orders.
We simply can’t do it if they don’t trust us.
Read more at: http://www.kevinmd.com/blog/2013/12/treat-patients-trust.html
Rescooped by Lionel Reichardt / le Pharmageek from Patient Centered Healthcare |
TECH-SAVVY patients at a Sutton Coldfield hospital are now able to give feedback on their treatment and stay via smartphone.
Heart of England NHS Foundation which runs Good Hope Hospital in Sutton Coldfield Trust has released a new HEFT Patient Feedback app for Apple iPhones and an Android app available via the Google Play store.
The app is free to install and is designed to enable patients to get in touch with the hospital and give their thoughts immediately at the click of a button on visiting an area of the hospital or staying on a ward.
They can rate the ward on their experience, offer their thoughts and suggestions and even get in touch with Trust Board members.
The message, which is anonymous, will be addressed and responded to within 48 hours as part of the hospital's commitment to openness and transparency.
The response will then appear within the app.
Simon Jarvis, head of patient engagement at Heart of England NHS Foundation Trust, said: "We're always looking for ways to improve how we receive feedback because the patient experience really matters to us.
"The app enables us to gather feedback in a way that our patients and families want to give it so we know immediately what we are getting right and what we need to improve to make their time with us the best it can be."
The app also allows you to scan QR codes positioned around the hospital – a special barcode that can be read within the smartphone app – which auto-fills a form for leaving comments, with the relevant location details.
IT also allows for comments on other HEFT sites in Solihull and Heartlands.
The HEFT patient safety app has been entirely created by the Trust's digital media and patient safety teams.
The app is available to download from the Apple App store at: http://bit.ly/IoFdkH and the Google Play store at http://bit.ly/1etAolQ
Rescooped by Lionel Reichardt / le Pharmageek from Healthcare, Social Media, Digital Health & Innovations |
Collette Johnson, businesses development manager medical at Plextek Consulting, said that digital health providers will find it easier to convince the NHS to buy into their innovations if they first drive consumer demand for those services. She said consumer lobbying can help drive the NHS to open itself up to digital health adoption.
Johnson was speaking at an event hosted by Pinsent Masons, the law firm behind Out-Law.com, on mobile health (m-health) opportunities. Johnson has been involved in encouraging m-health adoption within the NHS.
Consumers are likely to be more engaged with the concept of digital health if the focus is on improving their 'wellbeing' rather than on treating sickness and illness, David Priestly, sales director at insurer Pru Health, said. Channelling focus in this direction can improve consumer tolerance for digital health solutions, improve health outcomes and ultimately help tackle the "huge problem in our society" posed by chronic diseases, he said.
Rescooped by Lionel Reichardt / le Pharmageek from healthcare technology |
45% of U.S. adults live with chronic disease
Living with a chronic disease has an independent effect on people’s technology adoption and health behavior
72% of U.S. adults living with chronic conditions use the internet
7 in 10 track weight, diet, exercise routine, or symptoms
67% of U.S. adults living with high blood pressure are internet users
69% of U.S. adults living with asthma or other lung conditions are internet users
56% of U.S. adults living with diabetes are internet users
59% of U.S. adults living with heart conditions are internet users
70% of U.S. adults living with a chronic condition other than those specified in the report are internet users.
Surprisingly, only 11% of U.S. adults living with one or more chronic conditions have consulted online rankings or reviews of hospitals or other medical facilities.
People living with chronic conditions are more likely than others to fact check with a medical professional what they find online
The findings of this report presents a great opportunity of engaging patients with chronic conditions using internet and social media
Si bien las estadísticas pertenecen a los Estados Unidos, marcan una tendencia, que ya fue advertida por otros estudios (You share, We care). En América Latina tenemos que avanzar en e-Health porque los pacientes están ya en esa conversación!