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

Journal: Applied Clinical Informatics
ISSN: 1869-0327
DOI: https://doi.org/10.4338/ACI-2016-11-RA-0194
Issue: Vol. 8: Issue 1 2017
Pages: 265-278

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

Research Article

M. M. Kelly (1, 2), S. M. Dean (1), P. Carayon (2, 3), T. B. Wetterneck (2, 3, 4), P. L. T. Hoonakker (2)

(1) Department of Pediatrics, University of Wisconsin School of Medicine and Public Health; (2) Center for Quality and Productivity Improvement, University of Wisconsin-Madison; (3) Department of Industrial and Systems Engineering, University of Wisconsin-Madison; (4) Department of Medicine, University of Wisconsin School of Medicine and Public Health

Keywords

Pediatrics, Health information technology, inpatient, engagement, and personal health record

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.

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