Design and Implementation of Patient Portal-Based Advance Care Planning Tools.
Advance care planning
advance directive
electronic health record
health information technology
patient portal
surrogate decision maker
Journal
Journal of pain and symptom management
ISSN: 1873-6513
Titre abrégé: J Pain Symptom Manage
Pays: United States
ID NLM: 8605836
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
05
09
2018
revised:
18
10
2018
accepted:
18
10
2018
entrez:
1
1
2019
pubmed:
1
1
2019
medline:
19
6
2019
Statut:
ppublish
Résumé
Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA). MDPOA documentation and System Usability Scale were assessed. Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives. A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable. Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal.
Sections du résumé
BACKGROUND
Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA).
MEASURES
MDPOA documentation and System Usability Scale were assessed.
INTERVENTION
Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives.
OUTCOMES
A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable.
CONCLUSIONS/LESSONS LEARNED
Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal.
Identifiants
pubmed: 30595147
pii: S0885-3924(18)31047-9
doi: 10.1016/j.jpainsymman.2018.10.500
pmc: PMC6314208
mid: NIHMS1510731
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
112-117.e2Subventions
Organisme : NIA NIH HHS
ID : K76 AG054782
Pays : United States
Organisme : NCRR NIH HHS
ID : UL1 RR025780
Pays : United States
Informations de copyright
Published by Elsevier Inc.
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