Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal

Turvey, Carolyn; Klein, Dawn M.; Fix, Gemmae M.; Hogan, Timothy P.; Woods, Susan; Simon, Steven R.; Charlton, Mary E.; Vaughan-Sarrazin, Mary; Zulman, Donna M.; Dindo, Lilian; Wakefield, Bonnie J.; Graham, Gail; Nazi, Kim M.

doi:10.1136/amiajnl-2014-002723

Cited by 132 publications

(144 citation statements)

References 37 publications

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“…Lack of awareness regarding the availability of these capabilities has been identified as a barrier, along with poor usability. 23,24 Second, physicians may worry that patient portals might generate a large volume of clinical issues that require responses (time for which the physician cannot bill). 25 And finally, some providers are concerned that accessing these data might make patients confused or worried.…”

Section: Exhibitmentioning

confidence: 99%

Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

et al. 2014

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The United States is making substantial investments to accelerate the adoption and use of interoperable electronic health record (EHR) systems. Using data from the 2009-13 Electronic Health Records Survey, we found that EHR adoption continues to grow: In 2013, 78 percent of office-based physicians had adopted some type of EHR, and 48 percent had the capabilities required for a basic EHR system. However, we also found persistent gaps in EHR adoption, with physicians in solo practices and non-primary care specialties lagging behind others. Physicians' electronic health information exchange with other providers was limited, with only 14 percent sharing data with providers outside their organization. Finally, we found that 30 percent of physicians routinely used capabilities for secure messaging with patients, and 24 percent routinely provided patients with the ability to view online, download, or transmit their health record. These findings suggest that although EHR adoption continues to grow, policies to support health information exchange and patient engagement will require ongoing attention.A ccelerating the adoption of health information technology (IT) has been recognized as a national policy priority for more than a decade. HITECH's goals are to promote the adoption and use of interoperable electronic health records (EHRs) and health information exchange (HIE), which can serve as the foundation for improvements in the cost and quality of the US health care delivery system. 3 In particular, modernizing the country's health IT infrastructure enables broader efforts to pursue new models of care delivery. To help move the country toward this goal, beginning in 2011 the Centers for Medicare and Medicaid Services (CMS) began making incentive payments to eligible professionals who demonstrated the regular use of specific computerized capabilities that meet meaningful-use objectives. 4Early evidence on the impact of HITECH suggested that its investments had accelerated the rate of EHR adoption. From 2010 to 2012 adoption of basic EHR systems and specific meaningful-use capabilities grew rapidly among US ambulatory care physicians. 5Physicians who previously had significantly lower rates of adoption, 6 including those who were older or worked in rural areas or areas with high rates of poverty, had the highest relative gains.

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Section: Exhibitmentioning

confidence: 99%

Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

et al. 2014

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“…Stage 1 of meaningful use required that providers offer patients timely electronic access to their health information, while stage 2 mandated that providers allow patients to view, download, and transmit their health information and to securely message their providers electronically (24,25). Many providers have adopted patient portals to accomplish these objectives (26). Portals are personalized health record applications tethered to a provider's EHR.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Jhamb

Cavanaugh

Bian

et al. 2015

Clinical Journal of the American Society of Nephrology

126

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Background and objectives Electronic health record (EHR) patient portals allow individuals to access their medical information with the intent of patient empowerment. However, little is known about portal use in nephrology patients. We addressed this gap by characterizing adoption of an EHR portal, assessing secular trends, and examining the association of portal adoption and BP control (,140/90 mmHg).Design, setting, participants, & measurements Patients seen between January 1, 2010, and December 31, 2012, at any of four university-affiliated nephrology offices who had at least one additional nephrology follow-up visit before June 30, 2013, were included. Sociodemographic characteristics, comorbidities, clinical measurements, and office visits were abstracted from the EHR. Neighborhood median household income was obtained from the American Community Survey 2012.Results Of 2803 patients, 1098 (39%) accessed the portal. Over 87% of users reviewed laboratory results, 85% reviewed their medical information (e.g., medical history), 85% reviewed or altered appointments, 77% reviewed medications, 65% requested medication refills, and 31% requested medical advice from their renal provider. ConclusionWhile portal adoption appears to be increasing, greater attention is needed to understand why vulnerable populations do not access it. Future research should examine barriers to the use of e-health technologies in underserved patients with CKD, interventions to address them, and their potential to improve outcomes.

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“…These publications evaluated a Blue Button feature – a US federal initiative that allows consumers to download their medical information,20 a PHR tool to support consumer medication reconciliation21 and the information sharing features of an existing PHR 22 Table 1. displays the publication features, and the demographics of the PHRs were evaluated in each publication.…”

Section: Resultsmentioning

confidence: 99%

Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

Kneale

Demiris

2017

jhi

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Background Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users. Objective We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study participants to identify their self-reported needs. Method We searched Medline, CINAHL, PsycINFO and Embase for PHR evaluation studies that involved older adult participants. Results 1017 abstracts were identified, and 179 publications went through full text review. Ten publications met inclusion criteria. These publications described studies conducted in three countries, and evaluated seven PHRs. Homogeneity was found in the study populations and participant opinions of the systems. Discussion Many PHR evaluations do not include diverse older adult participants. This may lead to consistency in outcomes, but it also may create gaps in identifying user needs. Additional studies, specifically targeting diverse older adult participants, are needed to gain a more comprehensive understanding of the opinions of older adults on PHRs and how these systems could benefit older adult healthcare consumers. Conclusion The body of research shows that older adults are highly satisfied using PHRs. These outcomes may not be generalizable because most PHR evaluation studies do not include diverse older adult participants. This lack of participant diversity may be contributing to the disparities observed in PHR adoption rates.

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Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal

Abstract: This study contributes to the understanding of early Blue Button adoption and use of this feature for patient-initiated sharing of health information. Educational efforts are needed to raise awareness of the Blue Button and to address usability issues that hinder adoption.

Cited by 132 publications

References 37 publications

Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics

Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature

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