Patient Portal lecture to facilitate discussion of patient portal research ideas with SAFTINet research team. Teleconference. 17 April 2013.

1. April 17, 2013
Patient Portals, Meaningful Use and
Patient-Generated Data

2. Patient Portals
• Online applications that allow patients to interact with their
healthcare providers through
– exposing individual patient health information in a secure
manner online
– allowing patients to interact in some way with providers (many
portals)
• schedule appointments
• request refills on medications
• look at lab and other test results
• communicate with providers
• fill out patient forms
• pay medical bills
• Key tool to help providers meet meaningful use
requirements

3. Patient Portals
• Available online 24/7
• Various formats
– Stand-alone websites that sell services to
providers
– Integrated into the existing website of a provider
– Modules added to (or components of) the
provider’s existing EHR

4. Meaningful Use (MU) Stage 2 Related to Patient Portal

5. MU Stage 2 Related to Patient Portal
• Eligible professionals (EPs) must provide >50%
of patients notification of online timely access
to their medical records
• > 5% of EPs patients must
– send practice a secure electronic message through
the portal
– view, download or transmit their health
information

6. MU Stage 3 (proposed) Related to Patient Portal
• Eligible professionals (EPs) must provide 10%
of patients the option to submit patient-
generated data (EPs would choose what data
to request)
• EPs must provide patients with the ability to
request amendments to their record

7. Patient-Generated Data
• Could be entered into portal via forms (online,
mobile, IVR)
• Can link to personal technology: apps,
sensors, iPads

8. Patient-Generated Data: Example
• Breathe-Easy (RTI International and Virginia
Commonwealth University)
• Asthma self-management
• Smartphone application captured
– use of controller and rescue medications
– symptom levels
– quality of life
– smoking
• Clinicians utilized online dashboard to
– view the patients’ data
– evaluate their health statuses
– communicate changes in treatment or monitoring

9. Patient-Generated Data: Example
• iN Touch (San Francisco State University)
• Obesity management among young low-income
adults
• Used Mobile iPod Touch app and other
technologies popular among young people to
– monitor physical activity, food intake, socialization and
mood
– share the data with their health coaches and clinical
care teams
– to help set health goals and track their progress

10. Patient-Generated Data
• Mobile phones:
– 11% of all mobile phone users and 19% of smartphone
users have at least one health app (2012)
• 38% tracked exercise, fitness or heart rate
• 31% tracked diet or food
• 12% tracked weight
• Wireless sensors:
– blood sugar levels
– number of steps taken a day
– sleep cycles

11. Questions about Portals and Patient-Generated Data
• Where is your organization in the planning
process?
• What information would be most valuable to
receive electronically from patients? Why?
• What information do your patients want?
• Can SAFTINet help with
collection/management of patient-generated
data? How?