Healthcare Team Perceptions of a Portal for Parents of Hospitalized Children Before and After Implementation

Michelle M. Kelly; Shannon M. Dean; Pascale Carayon; Tosha B. Wetterneck; Peter L.T. Hoonakker

doi:10.4338/ACI-2016-11-RA-0194

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2017; 08(01): 265-278
DOI: 10.4338/ACI-2016-11-RA-0194

Research Article

Schattauer GmbH

Healthcare Team Perceptions of a Portal for Parents of Hospitalized Children Before and After Implementation

Authors

Michelle M. Kelly

¹Department of Pediatrics, University of Wisconsin School of Medicine and Public Health

²Center for Quality and Productivity Improvement, University of Wisconsin-Madison
Shannon M. Dean

¹Department of Pediatrics, University of Wisconsin School of Medicine and Public Health
Pascale Carayon

²Center for Quality and Productivity Improvement, University of Wisconsin-Madison

³Department of Industrial and Systems Engineering, University of Wisconsin-Madison
Tosha B. Wetterneck

²Center for Quality and Productivity Improvement, University of Wisconsin-Madison

³Department of Industrial and Systems Engineering, University of Wisconsin-Madison

⁴Department of Medicine, University of Wisconsin School of Medicine and Public Health
Peter L.T. Hoonakker

²Center for Quality and Productivity Improvement, University of Wisconsin-Madison

Abstract

Summary

Background. Patient electronic health record (EHR) portals can enhance patient and family engagement by providing information and a way to communicate with their healthcare team (HCT). However, portal implementation has been limited to ambulatory settings and met with resistance from HCTs.

Objective. We evaluated HCT perceptions before and 6-months after implementation of an inpatient EHR portal application on a tablet computer given to parents of hospitalized children. Methods. This repeated cross-sectional study was conducted with HCT members (nurses, physicians, ancillary staff) on a medical/surgical unit at a quaternary children’s hospital. From December 2014-June 2015, parents of children <12 years old were given a portal application on a tablet computer. It provided real-time vitals, medications, lab results, schedules, education, HCT information and a way to send the HCT messages/requests. HCT members completed surveys pre- and post-implementation regarding their portal perceptions. Pre-post differences in HCT perceptions were compared using chi-squared, Mann-Whitney and Kruskall Wallis tests.

Results. Pre-implementation, HCT respondents (N=94) were generally optimistic about the benefits of a portal for parents; however, all anticipated challenges to portal use. Over the next 6-months, 296 parents used the portal, sending 176 requests and 36 messages. Post-implementation, HCT respondent (N=70) perceptions of these challenges were significantly reduced (all p<0.001), including: parents (will) have too many questions (69 vs. 3%, pre-post), parents (will) know results before the HCT (65 vs. 1%), staff (would be/are) skeptical (43 vs. 21%) and there (will be/is) not enough technical support (28 vs. 1%).

Conclusions. All HCT respondents anticipated challenges in providing a portal to parents of hospitalized children; however, these concerns were minimized after implementation.

Keywords

Inpatient - pediatrics - engagement - health information technology - personal health record

Volltext

Referenzen

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