Education Research: Electronic patient portal enrollment and no-show rates within a neurology resident clinic

Shah, Kavit; Alshammaa, Abdullah; Affan, Muhammad; Schultz, Lonni; Walbert, Tobias; Zaman, Iram

doi:10.1212/wnl.0000000000006685

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…The incidence of T‐tube‐related complications, including T‐tube obstruction/biliary tract infection and related skin issues, was significantly lower in the TCP group, indicating a positive impact of the TCP on clinical prognosis. In addition, the rate of scheduled clinic visits was higher in the TCP group, indicating that the TCP is effective in enhancing patient compliance and enabling patients to cooperate better and provide feedback on treatment (Shah et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Application of a nurse‐led transitional care programme for patients discharged with T‐tubes after biliary surgery

Wang

Hua

et al. 2023

Nursing Open

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In recent decades, the use of Kehr's tube, more commonly known as the T-tube, has decreased significantly due to advances in biliary surgery (Padmore et al., 2021). It has been suggested that routine placement of a T-tube is unnecessary in common bile duct explorations for simple bile duct stones (Zhu et al., 2021) or in liver transplantation (Zhao et al., 2021). However, for select complex hepatobiliary stones, biliary tumours and biliary tract repair surgeries, intraoperative placement of a T-tube remains a common procedure (Jabłonska, 2014;Padmore et al., 2021). In such cases, T-tube placement can reduce the incidence of bile leakage due to high bile duct pressures (Strücker et al., 2013), provide structural support to the bile duct thereby preventing biliary stenosis (Nagino et al., 2007) and facilitate post-operative retrieval of residual stones through the sinus of the drainage tube (Mori et al., 2006;Wen et al., 2018).T-tubes are typically left in place for 4-8 weeks. In some patients with residual stones or biliary pathological abnormalities, the removal of the T-tube must be deferred for up to 3 months or more (Zhang et al., 2015). According to reports, the average length of stay (LOS) for biliary surgery is approximately 6-11 days (Noba

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Section: Discussionmentioning

confidence: 99%

Application of a nurse‐led transitional care programme for patients discharged with T‐tubes after biliary surgery

Wang

Hua

et al. 2023

Nursing Open

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“…The health system perspective was explored by 15 peer-reviewed [45,48,49,59,65,[69][70][71][128][129][130][131][132][133][134]] and 3 gray literature [106,109,135] studies, which focused on the impact of patient portals on the potential for reducing costs. The studies varied in data collection approaches (prospective observational, n=4; retrospective observational, n=9; survey methods, n=2; and mixed methods, n=3), and the evaluated portal components (portal in general, n=11; viewing laboratory results, n=1; OpenNotes, n=1; secure messaging, n=4; appointments, n=2; and care plan, n=1).…”

Section: Health System Perspective (Reduced Per Capita Cost Of Health Care)mentioning

confidence: 99%

“…Studies evaluating the possible impact of patient portals on no-show appointments compared the pre-post no-show appointment rates and established that portal users had a lower rate of no-show appointments compared with nonusers; however, there was no difference in appointment cancellation rates [48,69,70,129,130]. Mendel et al [130] found portal enrollment increased once the clinic staff promoted the portal as a tool for appointment reminders, which was also associated with increased patient satisfaction [130].…”

Section: Decrease In No-show Appointmentsmentioning

confidence: 99%

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Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review (Preprint)

Avdagovska¹,

Menon²,

Stafinski³

2020

Preprint

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BACKGROUND Electronic patient portals are secure websites tied to an institutional electronic health record system from which patients can view their medical information. These types of records are populated with a person’s lifetime health history. Despite the continuing extensive research in this area, measuring patient portal impact continues to be a convoluted process. OBJECTIVE To explore what is known about patient portal evaluations and provide recommendations for future endeavours. The focus was on mapping what measures are used to assess the impact of patient portals on the four specific dimensions (patient, population, healthcare workforce, and health system perspectives) of the Quadruple Aim Framework, and what components from the Benefits Evaluation Framework were most commonly evaluated to measure impact. METHODS A scoping review was conducted using the methodological framework of Arksey and O’Malley. Reporting was guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A systematic and comprehensive search using the OVID platform, the following databases were searched: Ovid MEDLINE® ALL, including Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Embase, and PsycINFO. CINAHL on the Ebsco platform and Web of Science were also searched for studies published between 2015 and June 2020. A systematic grey literature search was conducted using the Google search engine in Edmonton, Alberta, Canada between February 13 and February 25, 2020. A data extraction form was developed and reviewed to categorize the literature into themes and areas of interest, which varied by study type. Two frameworks for analysis were incorporated, the Quadruple Aim and the Canada Health Infoway’s Benefits Evaluation Frameworks. Extracted data were tabulated based on a coding template developed to categorize the literature into themes and areas of interest, which varied by study type and QA perspective. Furthermore, the evaluated patient portal functions were mapped onto the Benefits Evaluation Framework. A descriptive, analytical approach was used to summarize the outcomes of the studies. In addition, a list of the various terms/outcomes/variables that were used to describe ‘impact’ was compiled. RESULTS In total, 96 studies were included for data extraction. The studies were categorized based on the Quadruple Aim dimensions, with strict adherence to the definitions for each dimension(1,2). From the patient perspective, we identified that most evaluations focused on benefits and barriers to access, access to test results, medication adherence, condition management, medical notes, and secure messaging. From the population perspective, the evaluations focused on increase in population outreach, decrease in disparities related to access of care services, and improvement in quality of care. From the healthcare workforce perspective, the evaluations focused on impact of patients accessing medical records, impact on workflow, impact of bi-directional secure messaging, and virtual care. From the health system perspective, the evaluations focused on decrease in no-show appointments, impact on office visits and telephone calls, impact on admission and readmission rates and emergency department visits, and impact on healthcare utilization. Altogether, 77 peer-reviewed studies were mapped on the expanded version of the BE Framework. The mapping was done by sub-dimension to create a more precise representation about the areas that are currently explored when studying patient portals. Most of the studies evaluated more than one sub-dimension. CONCLUSIONS Despite the extensive and existing research in the area of patient portals, the evidence from this scoping review suggests that impact research is available, but it lacks multidimensionality. The Quadruple Aim and the Benefits Evaluation Frameworks provided guidance in identifying the gaps in the current literature by providing a way to show how impact was assessed. This review highlights the need to appropriately plan how impact will be assessed and how the findings will be translated into effective adaptations. If the how and what are not properly planned, the generalizability of patient portals studies will continue to elude researchers and implementation teams.

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Reduction of No-Show Rate for New Patients in a Pediatric Neurology Clinic

Set¹,

Bailey²,

Kumar³

2022

The Joint Commission Journal on Quality and Patient Safety

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Education Research: Electronic patient portal enrollment and no-show rates within a neurology resident clinic

Cited by 6 publications

References 14 publications

Application of a nurse‐led transitional care programme for patients discharged with T‐tubes after biliary surgery

Application of a nurse‐led transitional care programme for patients discharged with T‐tubes after biliary surgery

Capturing the Impact of Patient Portals Based on the Quadruple Aim and Benefits Evaluation Frameworks: Scoping Review (Preprint)

Reduction of No-Show Rate for New Patients in a Pediatric Neurology Clinic

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