Evaluating an Electronic Health Record Intervention for Management of Heart Failure Among Veterans

Dang, Stuti; Siddharthan, Kris; Ruiz, Diana; Gomez-Orozco, Carlos; Rodríguez, Remberto; Gómez-Marı́n, Orlando

doi:10.1089/tmj.2017.0307

Cited by 7 publications

(33 citation statements)

References 21 publications

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“…[17][18][19] The last study was described as both a study and a quality improvement project; this project was considered a research translation and is congruent with the purpose of our integrative review. 20…”

Section: Literature Searchmentioning

confidence: 99%

“…22 The last study was described as a quality improvement project by the author. 20 As such, the Quality Improvement Minimum Quality Criteria Set was utilized to appraise the project. 23 All of the criteria were met, making this quality improvement project of high quality.…”

Section: Data Evaluationmentioning

confidence: 99%

“…Nine of the 12 studies identified the impact of health as a contributing factor for PP use by the adult with HF. [9][10][11][12][13][16][17][18]20 Two studies 10,11 identified the impact of physical health on PP use with the Kansas City Cardiomyopathy Questionnaire (KCCQ) and one team with the Medical Outcomes Short Form 12. 9 By contrast, only three studies identified the impact of mental health and mental status using the Patient Health Questionnaire (PHQ-8) for depression and the modified Mini-Mental State Examination.…”

Section: Health Zonementioning

confidence: 99%

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Patient Portal Use by Adults With Heart Failure

Kallmerten

Chia²,

Jakub³

et al. 2021

CIN: Computers, Informatics, Nursing

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Heart failure is a chronic condition affecting many with an emphasis on self-management to improve outcomes and decrease the cost of care. A potential strategy to improve the self-management of heart failure includes the use of a patient portal. The purpose of this integrative review is to synthesize what is known about patient portal use by adults with heart failure to identify contributing factors for use and areas for future research. Within the three zones of the Health Information Technology Acceptance Model, predominant themes contributing to patient portal use were identified. Within the health zone, the predominant themes were physical and mental health, quality of life, and social interaction. Within the information zone, the predominant themes included knowledge about heart failure and self-care, information sharing, and communication. Within the technology zone, the predominant themes include the barriers and facilitators of patient portal use and overall usability. Overall, the patient perceptions of the patient portal can lead to the acceptance and use of the technology that can enhance self-management. Healthcare providers should partner with adults with heart failure to maximize the features of the patient portal to support self-management.

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Section: Literature Searchmentioning

confidence: 99%

Section: Data Evaluationmentioning

confidence: 99%

Section: Health Zonementioning

confidence: 99%

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Patient Portal Use by Adults With Heart Failure

Kallmerten

Chia²,

Jakub³

et al. 2021

CIN: Computers, Informatics, Nursing

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“…Patients can also schedule appointments and request prescription refills on My HealtheVet. 8 Patient portals offer a promising approach to improve patient knowledge and outcomes in their chronic conditions such as heart failure 9 and diabetes. 10 However, the use of patient portals for menopause and to improve shared decision-making is yet to be explored.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Women Enrolled in a Patient Portal Intervention for Menopause

Lamba¹,

Muralidhar

Jain

et al. 2020

Women's Health Reports

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Background: We developed a 6-month educational intervention addressing menopause and management of menopausal symptoms called ''My HealtheVet to Enable And Negotiate for Shared decision-making'' or MEANS. MEANS is offered through secure messaging via the My HealtheVet patient portal system. Materials and Methods: Women veterans aged 45-60 years registered at the Miami, West Palm Beach, and Orlando Veterans Affairs Healthcare Systems (VAHS). Intervention group: women in the Miami VAHS enrolled in My HealtheVet who were sent an invitation, agreed to participate, and completed the baseline survey. Comparison group: women from the Miami, West Palm Beach, and Orlando VAHS who responded to the baseline survey. Results: The intervention group enrolled 269 women at Miami VAHS: average age 53.2 years; 42.4% white, 43.1% black, and 24.2% Hispanic; 95.9% already used My Healthe Vet. The Comparison group had 590 women: average age 53.8 years; 70.8% white, 20.7% black, and 10.2% Hispanic; 57.6% already used My Healthe Vet. Conclusions: The differences between the intervention and comparison groups likely represent the regional demographic variations and the disparate recruitment techniques adopted for the two groups. Using within-and betweengroup comparisons at the end of the 6-month intervention, this novel project will evaluate the feasibility of a patient portal intervention on knowledge and shared decision-making regarding menopause among racially and ethnically diverse women. The study highlights the scalable and enormous potential for patient portals in nonurgent chronic disease management and shared decision-making, important in the existing health care climate, wherein ''meaningful use' ' of electronic health records is mandated. Because of the COVID-19 pandemic, medical care has abruptly changed to telehealth and this approach to patient education is more relevant now than ever before. This quality improvement project's registration number is ClinicalTrials.gov ID: NCT03109145.

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“…12 After entering a username and password, most portals typically enable patients to also exchange secure messages (SM) with their health care team, schedule appointments, or request prescription refills. 13 Patient portals offer a promising approach to educate patients and have been shown to improve patient knowledge and outcomes in other chronic conditions such as heart failure 14 and diabetes. 15 However, little work has been done to explore how patient portals can be used to improve SDM.…”

Section: Introductionmentioning

confidence: 99%

A Patient Portal Intervention for Menopause Knowledge and Shared Decision-Making

Dang

Thavalathil

Ruiz

et al. 2019

Journal of Women's Health

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Background: Menopause is a time often fraught with changes and symptoms, which may require difficult choices and decision-making. During this period, women would benefit from a better understanding and indepth discussions with providers regarding menopause, associated conditions, and appropriate therapy. Patient portals offer a potential means to improve knowledge and shared decision-making (SDM) about menopause. Materials and Methods: This protocol article explores the feasibility of using the secure messaging (SM) function of the Veterans Affairs (VA) Patient Portal, ''My HealtheVet'' to implement an educational intervention and measure its impact on knowledge and SDM in the management of menopause. Results: This is a quality improvement pilot study in which women veterans of menopausal age in the Miami VA are offered an educational intervention via a patient portal, while women veterans in two neighboring VA facilities are not. Intervention participants receive weekly SMs with information on menopause symptoms, and treatment. After 6-months, all participants are surveyed on menopause knowledge, SDM, and satisfaction with the program. Conclusion: This study is among the first to assess the impact of an innovative patient portal intervention to improve knowledge and SDM between patients and providers regarding menopause. If successful, our program will add to the ''meaningful use'' of patient portals and offer a scalable and timely resource for SDM about menopause.

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Evaluating an Electronic Health Record Intervention for Management of Heart Failure Among Veterans

Abstract: EHR-based interventions have potential for HF monitoring and case management, and may be feasible in improving QoL for patients.

Cited by 7 publications

References 21 publications

Patient Portal Use by Adults With Heart Failure

Patient Portal Use by Adults With Heart Failure

Characteristics of Women Enrolled in a Patient Portal Intervention for Menopause

A Patient Portal Intervention for Menopause Knowledge and Shared Decision-Making

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