Patient Portals are becoming a part of the ecosystem of care. Many policymakers and health advocates believe increased use of patient portals will empower patients to engage in better management of their care, and this will result in healthier populations and lower costs. Despite the interest in and proliferation of ambulatory patient portals, little is known about what motivates patients to adopt and continue to use portals, and what functionalities patients consider important for self-management of conditions. At the same time, research on patient engagement through health information technology (HIT) in the inpatient setting has only included small-scale qualitative case studies examining limited technological parameters such as access to medication records or care team information. In 2013, Ohio State University Wexner Medical Center (OSUWMC) was the first academic medical center in the United States to experiment with wide-scale deployment of inpatient portals through the MyChart Bedside tablet-based application. Our proposed three-arm study is focused on evaluating Usability, Use and Experience with MyChart Bedside to gain a greater understanding of the process, content and context in which this tool is embedded and continues to evolve. Our intent in this Portals in Inpatient Care (PIC) study is to explore how the tool affects use, how use shapes the experience, and why individuals have varied experiences. In addition, we will develop a logic model framing our understanding of the dynamics that inpatient portals create within the hospital care environment to facilitate future research studies as well a inform the efforts of other health systems.

Public Health Relevance

Portals in Inpatient Care (PIC) will be the first study to examine the role that the new technology of inpatient portals can play to transform the way care is delivered. This work will help providers and health systems integrate patient portals into practice, and ultimately improve care quality. Results of this study will facilitate future researc and increase understanding about HIT innovations and implementation for health systems.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21HS024349-01
Application #
9019857
Study Section
Healthcare Information Technology Research (HITR)
Program Officer
Bernstein, Steve
Project Start
2015-09-30
Project End
2017-09-29
Budget Start
2015-09-30
Budget End
2017-09-29
Support Year
1
Fiscal Year
2015
Total Cost
Indirect Cost
Name
Ohio State University
Department
Family Medicine
Type
Schools of Medicine
DUNS #
832127323
City
Columbus
State
OH
Country
United States
Zip Code
43210
Walker, Daniel M; Menser, Terri; Yen, Po-Yin et al. (2018) Optimizing the User Experience: Identifying Opportunities to Improve Use of an Inpatient Portal. Appl Clin Inform 9:105-113
Yen, Po-Yin; Walker, Daniel M; Smith, Jessica M Garvey et al. (2018) Usability evaluation of a commercial inpatient portal. Int J Med Inform 110:10-18