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https://www.readbyqxmd.com/read/28089764/promoting-weight-maintenance-with-electronic-health-record-tools-in-a-primary-care-setting-baseline-results-from-the-maintain-pc-trial
#1
Molly B Conroy, Cindy L Bryce, Kathleen M McTigue, Dana Tudorascu, Bethany Barone Gibbs, Diane Comer, Rachel Hess, Kimberly Huber, Laurey R Simkin-Silverman, Gary S Fischer
Maintaining weight loss is a significant challenge in combating obesity. The goal of Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care (MAINTAIN-pc) is to evaluate the use of tools delivered through an electronic health record (EHR) and patient portal, with or without health coach support, to help primary care patients maintain weight loss. EHR tools include flowsheets, standardized surveys, and secure patient messaging. Inclusion criteria were age 18-75years, voluntary 5% weight loss in the past 2years with prior BMI≥25kg/m(2), and no bariatric procedures in past 5years...
January 12, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28062272/disclosing-genetic-risk-for-coronary-heart-disease-attitudes-toward-personal-information-in-health-records
#2
Sherry-Ann Brown, Hayan Jouni, Tariq S Marroush, Iftikhar J Kullo
INTRODUCTION: Incorporating genetic risk information in electronic health records (EHRs) will facilitate implementation of genomic medicine in clinical practice. However, little is known about patients' attitudes toward incorporation of genetic risk information as a component of personal health information in EHRs. This study investigated whether disclosure of a genetic risk score (GRS) for coronary heart disease influences attitudes toward incorporation of personal health information including genetic risk in EHRs...
January 3, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28048750/su-f-j-26-performance-of-2-5mv-portal-imaging-in-comparison-with-kv-x-ray-and-6mv-and-flattening-filter-free-6mv-portal-imaging
#3
J Duan, Y Yang, A Faught, E Subashi, Q Wu, F Yin
PURPOSE: To assess image quality and imaging dose of 2.5MV electronic portal imaging in comparison to kV imaging and 6MV and Flattening-Filter-Free 6MV (6MVFFF) portal imaging using a DMI imager. METHODS: Quantitative assessment of image quality was performed with Leeds and Las Vegas test phantoms in conjunction with qualitative evaluation of clinical patient images for kV imaging and 2.5MV, 6MV and 6MVFFF portal imaging. High and low contrast resolutions were evaluated and imaging doses were measured using these x-rays...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28030459/implementation-and-sequencing-of-practice-transformation-in-urban-practices-with-underserved-patients
#4
Denise D Quigley, Zachary S Predmore, Alex Y Chen, Ron D Hays
BACKGROUND: Patient-centered medical home (PCMH) has gained momentum as a model for primary-care health services reform. METHODS: We conducted interviews at 14 primary care practices undergoing PCMH transformation in a large urban federally qualified health center in California and used grounded theory to identify common themes and patterns. RESULTS: We found clinics pursued a common sequence of changes in PCMH transformation: Clinics began with National Committee for Quality Assurance (NCQA) level 3 recognition, adding care coordination staff, reorganizing data flow among teams, and integrating with a centralized quality improvement and accountability infrastructure...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030374/patient-centered-personal-health-record-and-portal-implementation-toolkit-for-ambulatory-clinics-a-feasibility-study
#5
Eun-Shim Nahm, Catherine Diblasi, Eva Gonzales, Kristi Silver, Shijun Zhu, Knar Sagherian, Katherine Kongs
Personal health records and patient portals have been shown to be effective in managing chronic illnesses. Despite recent nationwide implementation efforts, the personal health record and patient portal adoption rates among patients are low, and the lack of support for patients using the programs remains a critical gap in most implementation processes. In this study, we implemented the Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit in a large diabetes/endocrinology center and assessed its preliminary impact on personal health record and patient portal knowledge, self-efficacy, patient-provider communication, and adherence to treatment plans...
December 28, 2016: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/27965416/a-patient-feedback-reporting-tool-for-opennotes-implications-for-patient-clinician-safety-and-quality-partnerships
#6
Sigall K Bell, Macda Gerard, Alan Fossa, Tom Delbanco, Patricia H Folcarelli, Kenneth E Sands, Barbara Sarnoff Lee, Jan Walker
BACKGROUND: OpenNotes, a national movement inviting patients to read their clinicians' notes online, may enhance safety through patient-reported documentation errors. OBJECTIVE: To test an OpenNotes patient reporting tool focused on safety concerns. METHODS: We invited 6225 patients through a patient portal to provide note feedback in a quality improvement pilot between August 2014 and 2015. A link at the end of the note led to a 9-question survey...
December 13, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27919369/informing-the-development-of-an-internet-based-chronic-pain-self-management-program
#7
Amédé Gogovor, Regina Visca, Claudine Auger, Lucie Bouvrette-Leblanc, Iphigenia Symeonidis, Lise Poissant, Mark A Ware, Yoram Shir, Natacha Viens, Sara Ahmed
BACKGROUND: Self-management can optimize health outcomes for individuals with chronic pain (CP), an increasing fiscal and social burden in Canada. However, self-management is rarely integrated into the regular care (team activities and medical treatment) patients receive. Health information technology offers an opportunity to provide regular monitoring and exchange of information between patient and care team. OBJECTIVE: To identify information needs and gaps in chronic pain management as well as technology features to inform the development of an Internet-based self-management program...
January 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27908846/the-effectiveness-of-web-based-asthma-self-management-system-my-asthma-portal-map-a-pilot-randomized-controlled-trial
#8
Sara Ahmed, Pierre Ernst, Susan J Bartlett, Marie-France Valois, Tasneem Zaihra, Guy Paré, Roland Grad, Owis Eilayyan, Robert Perreault, Robyn Tamblyn
BACKGROUND: Whether Web-based technologies can improve disease self-management is uncertain. My Asthma Portal (MAP) is a Web-based self-management support system that couples evidence-based behavioral change components (self-monitoring of symptoms, physical activity, and medication adherence) with real-time monitoring, feedback, and support from a nurse case manager. OBJECTIVE: The aim of this study was to compare the impact of access to a Web-based asthma self-management patient portal linked to a case-management system (MAP) over 6 months compared with usual care on asthma control and quality of life...
December 1, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27903489/finding-important-terms-for-patients-in-their-electronic-health-records-a-learning-to-rank-approach-using-expert-annotations
#9
Jinying Chen, Jiaping Zheng, Hong Yu
BACKGROUND: Many health organizations allow patients to access their own electronic health record (EHR) notes through online patient portals as a way to enhance patient-centered care. However, EHR notes are typically long and contain abundant medical jargon that can be difficult for patients to understand. In addition, many medical terms in patients' notes are not directly related to their health care needs. One way to help patients better comprehend their own notes is to reduce information overload and help them focus on medical terms that matter most to them...
November 30, 2016: JMIR Medical Informatics
https://www.readbyqxmd.com/read/27899338/high-touch-and-high-tech-ht2-proposal-transforming-patient-engagement-throughout-the-continuum-of-care-by-engaging-patients-with-portal-technology-at-the-bedside
#10
Ann Scheck McAlearney, Cynthia J Sieck, Jennifer L Hefner, Alison M Aldrich, Daniel M Walker, Milisa K Rizer, Susan D Moffatt-Bruce, Timothy R Huerta
BACKGROUND: For patients with complex care needs, engagement in disease management activities is critical. Chronic illnesses touch almost every person in the United States. The costs are real, personal, and pervasive. In response, patients often seek tools to help them manage their health. Patient portals, personal health records tethered to an electronic health record, show promise as tools that patients value and that can improve health. Although patient portals currently focus on the outpatient experience, the Ohio State University Wexner Medical Center (OSUWMC) has deployed a portal designed specifically for the inpatient experience that is connected to the ambulatory patient portal available after discharge...
November 29, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27888947/an-asynchronous-online-collaboration-between-radiologists-and-patients-harnessing-the-power-of-informatics-to-design-the-ideal-patient-portal
#11
Tessa S Cook, Arun Krishnaraj, Marc H Willis, Christine Abbott, James V Rawson
No abstract text is available yet for this article.
December 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27876686/encouraging-patient-portal-use-in-the-patient-centered-medical-home-three-stakeholder-perspectives
#12
Gemmae M Fix, Timothy P Hogan, Daniel J Amante, D Keith McInnes, Kim M Nazi, Steven R Simon
BACKGROUND: Health care organizations are increasingly offering patients access to their electronic medical record and the ability to communicate with their providers through Web-based patient portals, thus playing a prominent role within the patient-centered medical home (PCMH). However, despite enthusiasm, adoption remains low. OBJECTIVE: We examined factors in the PCMH context that may affect efforts to improve enrollment in a patient portal. METHODS: Using a sociotechnical approach, we conducted qualitative, semistructured interviews with patients and providers from 3 primary care clinics and with national leaders from across a large integrated health care system...
November 22, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27869582/implementing-and-using-a-patient-portal-a-qualitative-exploration-of-patient-and-provider-perspectives-on-engaging-patients
#13
Bridget L Ryan, Judith Belle Brown, Amanda Terry, Sonny Cejic, Moira Stewart, Amardeep Thind
BACKGROUND: The use of portals might be expected to rise; however, adoption has been slow. Development of portals has occurred with limited patient involvement. This paper fills a need for literature concerning perspectives regarding the value of portals, how best to organize and provide portals, and critically how to seek patient involvement in implementation.ObjectiveThe objective was to explore the feelings, ideas, and expectations of patients and primary care providers concerning the implementation and use of patient portals...
July 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/27852556/a-web-based-patient-portal-for-mental-health-care-benefits-evaluation
#14
Sarah Kipping, Melanie I Stuckey, Alexandra Hernandez, Tan Nguyen, Sanaz Riahi
BACKGROUND: Treatment for mental illness has shifted from focusing purely on treatment of symptoms to focusing on personal recovery. Patient activation is an important component of the recovery journey. Patient portals have shown promise to increase activation in primary and acute care settings, but the benefits to tertiary level mental health care remain unknown. OBJECTIVE: To conduct a benefits evaluation of a Web-based portal for patients undergoing treatment for serious or persistent mental illness in order to examine the effects on (1) patient activation, (2) recovery, (3) productivity, and (4) administrative efficiencies...
November 16, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27846287/a-large-scale-initiative-inviting-patients-to-share-personal-fitness-tracker-data-with-their-providers-initial-results
#15
Joshua M Pevnick, Garth Fuller, Ray Duncan, Brennan M R Spiegel
BACKGROUND: Personal fitness trackers (PFT) have substantial potential to improve healthcare. OBJECTIVE: To quantify and characterize early adopters who shared their PFT data with providers. METHODS: We used bivariate statistics and logistic regression to compare patients who shared any PFT data vs. patients who did not. RESULTS: A patient portal was used to invite 79,953 registered portal users to share their data. Of 66,105 users included in our analysis, 499 (0...
2016: PloS One
https://www.readbyqxmd.com/read/27821606/understanding-internet-access-and-use-to-facilitate-patient-portal-adoption
#16
Prudence W Dalrymple, Michelle Rogers, Lisl Zach, Anthony Luberti
Understanding the information-seeking preferences and Internet access habits of the target audiences for a patient portal is essential for successful uptake. The resource must deliver culturally and educationally appropriate information via technology that is accessible to the intended users and be designed to meet their needs and preferences. Providers must consider multiple perspectives when launching a portal and make any needed adjustments once the launch is underway. We report results of a study of 270 parents and caregivers of paediatric patients in a major health system during the process of implementing a patient portal...
November 6, 2016: Health Informatics Journal
https://www.readbyqxmd.com/read/27748736/a-qualitative-exploration-of-the-informed-consent-process-in-hematopoietic-cell-transplantation-clinical-research-and-opportunities-for-improvement
#17
M Raj, S W Choi, J Platt
Informed consent (IC) struggles to meet the ethical principles it strives to embody in the context of hematopoietic cell transplantation (HCT). Patients often participate in multiple clinical trials making it difficult to effectively inform the participants and fulfill complex regulations. The recent Notice of Proposed Rule Making would make major changes to federal requirements, providing a timely opportunity to evaluate existing practice. Twenty health care professionals within a Midwest Academic Medical Center involved in obtaining IC in the HCT clinic or involved in patient care during or after the IC process were interviewed to understand: (1) how they approached the IC process; (2) how they described a 'successful' IC process; and (3) opportunities for innovation...
October 17, 2016: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/27736688/use-of-an-on-line-patient-portal-in-a-depression-collaborative-care-management-program
#18
Jennifer Pecina, Frederick North, Mark D Williams, Kurt B Angstman
BACKGROUND: Evidence for patient portals on health outcomes is still accumulating. METHODS: We performed a retrospective study of patients in a depression collaborative care management (CCM) program comparing dropout rates and outcomes at six months in patients who used the portal with their CCM managers versus those who did not use the portal for this purpose. RESULTS: 1769 patients were analyzed, of which 272 (15.4%) used the portal to connect with their CCM managers...
January 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27727028/meaningful-use-of-the-electronic-patient-portal-virginia-mason-s-journey-to-create-the-perfect-online-patient-experience
#19
Norifumi Kamo, A James Bender, Kavitha Kalmady, C Craig Blackmore
We present a case study of Virginia Mason Medical Center's successful implementation of the online patient portal. The organization exceeded its Meaningful Use 2 View/Download/Transmit targets and national benchmarks, with over 70% of unique patient encounters being provided timely online access to their health information, over 50% viewing, downloading, and transmitting health information electronically, and potential cost savings to the institution. Key lessons learned in our implementation process were.
October 7, 2016: Healthcare
https://www.readbyqxmd.com/read/27726644/the-veteran-initiated-electronic-care-coordination-a-multisite-initiative-to-promote-and-evaluate-consumer-mediated-health-information-exchange
#20
Dawn M Klein, Kassi Pham, Leila Samy, Adam Bluth, Kim M Nazi, Matthew Witry, J Stacey Klutts, Kathleen M Grant, Adi V Gundlapalli, Gary Kochersberger, Laurie Pfeiffer, Sergio Romero, Brian Vetter, Carolyn L Turvey
INTRODUCTION: Information continuity is critical to person-centered care when patients receive care from multiple healthcare systems. Patients can access their electronic health record data through patient portals to facilitate information exchange. This pilot was developed to improve care continuity for rural Veterans by (1) promoting the use of the Department of Veterans Affairs (VA) patient portal to share health information with non-VA providers, and (2) evaluating the impact of health information sharing at a community appointment...
October 11, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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