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S. Brudnicki
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OS02 - Emerging Technologies - Block Chain / Genomics (ID 3)
- Event: e-Health 2018 Virtual Meeting
- Type: Oral Session
- Track: Clinical Delivery
- Presentations: 1
- Coordinates: 5/28/2018, 11:30 AM - 12:30 PM, Fairview V Room, Conference Level
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OS02.02 - Patient Control: How Blockchain Can Transform Health Care and Society (ID 536)
S. Brudnicki, UHN Digital, University Health Network; Toronto/CA
- Abstract
Purpose/Objectives: Health data is one of our most valuable assets that helps determine diagnosis and course of treatment, and expedites medical discovery. However, information silos, duplication of data, inaccurate data, and lack of interoperability remain a barrier to obtaining complete and accurate information. In addition, the growing trend of decentralized data to include personal health data as part of evolving consumer technologies contributes to the complexity of multiple and accurate data sources. Imagine a world where patients are able to take ownership and control of their own medical and personal health data; and decide what, where, and with whom they share their own health information. This session will examine blockchain technology and how it can transform health care and society, as patients gain control to improve their own health and wellness.
Methodology/Approach: Blockchain is described as the second era of the internet and has potential to transform health care and society as we know it. Our organization is in the early stages of examining the potential of blockchain in health care, re-inventing patient/citizen empowerment and engagement through patient control of data. Patient consent and control of primary and secondary use of data can help increase collaboration among public and private sector, and advance medical breakthroughs in a joint effort to benefit all participants, including patients, citizens, and care providers.
Finding/Results: Strategy considerations and planning range from examining and addressing identity management and authentication, trust, data governance, and legal and security implications to managing large-scale culture change as part of the transition to patient/citizen ownership and control of their own data. Considerations can be profound to impact not only each organization, but the nation. Real-life examples of blockchain in other industries will also be illustrated.
Conclusion/Implications/Recommendations: A collaborative public-private partnership between health care organizations, patients, government, and strategic partners can help advance strategic planning efforts to transform health care and society through the use of blockchain technology. By connecting the health ecosystem to a universal data infrastructure, blockchain becomes a connector to machine learning, predictive analytics and population health management. It can strengthen opportunities for collaboration between patients, providers and organizations; advance health ecosystem partnerships; accelerate innovation in medical research; and transition toward new standards for future large?scale implementation.
140 Character Summary: This session will examine blockchain technology and how it can transform health care and society, as patients gain control to improve their own health and wellness.
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OS20 - Patient Connectivity Goes Mainstream (ID 32)
- Event: e-Health 2018 Virtual Meeting
- Type: Oral Session
- Track: Health Business Process
- Presentations: 1
- Coordinates: 5/29/2018, 01:00 PM - 02:00 PM, Granville I Room, Conference Level
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OS20.01 - The Secret is Out: Achieving High Patient Portal Adoption (ID 177)
S. Brudnicki, UHN Digital, University Health Network; Toronto/CA
- Abstract
Purpose/Objectives: New patient portal implementations aimed to give patients access to their own electronic health record, along with added functions, achieve average adoption rates of 5-10%. This session will reveal secrets of our success in achieving and sustaining high adoption rates of 49%.
Methodology/Approach: Our Patient Portal is a Web-based solution that enables patients with real-time access to their personal health record so they can be informed partners in their care. Patients are able to see their appointments and receive appointment reminders; see lab results with links to patient education; see clinical documentation, such as assessments, discharge summaries, clinic notes, and reports (including sensitive information such as mental health notes and pathology reports); share their health information with others; and find programs, clinic information and patient education resources. Our Patient Portal was first made available to early adopter clinics in May 2015, and expanded to the rest of the organization in January 2017. Approaches to achieving and sustaining high adoption rates will be discussed. This includes meeting the needs and priorities of patients and their caregivers; strategic alignment; organizational change management; patient and staff engagement; and gaining public support.
Finding/Results: Patients told us that they want and need access to their online medical records and health data to become informed partners in care. Patient sign-ups soared from 3,100 to 30,000+ within nine months of portal expansion. Adoption rates of 49% have been sustained for over two years. 84% of monthly log-ins are returning visitors. 53% of unique visitors log in 2-10 times per month.
Conclusion/Implications/Recommendations: Despite initial clinician reluctance to give patients real-time access to their personal health record, our organization put needs and priorities of patients and their caregivers first! A solid patient and staff engagement framework are necessary when planning, designing and delivering an enterprise Patient Portal in order to achieve and sustain high adoption rates. This includes meeting patient, caregiver and staff needs; and addressing challenges and concerns. As part of large-scale organizational culture change, processes need to be well-integrated into clinical care and at point-of-care. This includes administrative staff engagement with patients as part of patient check-in, admitting and registration; along with education and support for the multi-disciplinary team of physicians and health professions.
140 Character Summary: This session will reveal secrets of our success in achieving and sustaining high adoption rates of 49% for a new patient portal implementation.
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OS25 - Understanding Patient-Centred Care Amidst Digital Health Era (ID 49)
- Event: e-Health 2018 Virtual Meeting
- Type: Oral Session
- Track: Clinical Delivery
- Presentations: 1
- Coordinates: 5/30/2018, 10:30 AM - 12:00 PM, Fairview II Room, Conference Level
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OS25.02 - Delivering Results as Patients Access Their Online Medical Records (ID 176)
S. Brudnicki, UHN Digital, University Health Network; Toronto/CA
- Abstract
Purpose/Objectives: Patients told us they want real-time access to their health information so they can be informed partners in care! Our enterprise patient portal was designed and built in collaboration with patients and their caregivers. This session will provide insight into the value and benefits of patient access to their online medical records. Successes, challenges and key learnings will be discussed.
Methodology/Approach: Patients prioritized their need for timely access to their online medical records. Our Patient Portal enables them to see their appointments and receive appointment reminders; see lab results with links to patient education; see clinical documentation, such as assessments, discharge summaries, clinic notes, and reports (including sensitive information such as mental health notes and pathology reports); share their health information with others; and find programs, clinic information and patient education resources. Medical records are released to patients at the same time information is made available to their care providers. Our Patient Portal was first made available to early adopter clinics in May 2015, and expanded to the rest of the organization in January 2017. Successes, challenges and key learnings will be presented and discussed.
Finding/Results: Real-time patient access to their online medical records was shown to improve the patient experience and reduce preventable harm. 94% of patients report being more prepared for their appointments; 94% report better communication with their care team; and 91% said that online access helps them make decisions about their care. 10% of patients report that their information was out of date or incorrect (n=9827), which could have implications to their patient experience or patient safety. 94% of patients prefer to look at results as soon as they are ready, even if they could be worrisome. 92% prefer to see results even if they have to wait until their next appointment to understand what they mean. Prior to roll-out, 86% of staff supported the idea of patient access; however, access to information in real-time was challenged. Staff concerns include real-time release of sensitive reports (e.g. mental health notes and pathology), potential impacts to clinic call volumes, and fear of increased patient anxiety.
Conclusion/Implications/Recommendations: Patients prefer timely release of information. Engaging patients in all stages of planning, design and delivery of patient portals is key to delivering value for patients. Although 86% of staff support the idea of patient access to their online medical records, real-time access and access to sensitive reports were challenged. Management of large-scale organizational culture change through staff engagement and education, supported by senior-level leadership are critical to success.
140 Character Summary: This session will provide insight into the value of real-time patient access to online medical records. Successes, challenges and learnings will be discussed.
