Inpatient Experiences with MyChart Bedside

Winstanley, Erin L.; Burtchin, Michelle; Zhang, Yifan; Campbell, Paula; Pahl, Jodi; Beck, Stephanie; Bohenek, Wayne

doi:10.1089/tmj.2016.0132

Cited by 24 publications

(21 citation statements)

References 9 publications

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“…[14][15][16][17][18][19] Vendors now offer portals intended specifically for in-hospital use, such as MyChart Bedside from Epic Systems Corporation. 20 Institutions use inpatient portals to address patients' information needs, engage patients in decision making, facilitate patient-provider communication, improve transparency, provide health education, increase patient safety, and enable transitions of care. 14,15 Research suggests that inpatient portals may improve patient safety and satisfaction.…”

Section: Background and Significancementioning

confidence: 99%

Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use

et al. 2019

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Background Disadvantaged populations, including minorities and the elderly, use patient portals less often than relatively more advantaged populations. Limited access to and experience with technology contribute to these disparities. Free access to devices, the Internet, and technical assistance may eliminate disparities in portal use. Objective To examine predictors of frequent versus infrequent portal use among hospitalized patients who received free access to an iPad, the Internet, and technical assistance. Materials and Methods This subgroup analysis includes 146 intervention-arm participants from a pragmatic randomized controlled trial of an inpatient portal. The participants received free access to an iPad and inpatient portal while hospitalized on medical and surgical cardiac units, together with hands-on help using them. We used logistic regression to identify characteristics predictive of frequent use. Results More technology experience (adjusted odds ratio [OR] = 5.39, p = 0.049), less severe illness (adjusted OR = 2.07, p = 0.077), and private insurance (adjusted OR = 2.25, p = 0.043) predicted frequent use, with a predictive performance (area under the curve) of 65.6%. No significant differences in age, gender, race, ethnicity, level of education, employment status, or patient activation existed between the frequent and infrequent users in bivariate analyses. Significantly more frequent users noticed medical errors during their hospital stay. Discussion and Conclusion Portal use was not associated with several sociodemographic characteristics previously found to limit use in the inpatient setting. However, limited technology experience and high illness severity were still barriers to frequent use. Future work should explore additional strategies, such as enrolling health care proxies and improving usability, to reduce potential disparities in portal use.

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Section: Background and Significancementioning

confidence: 99%

Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use

et al. 2019

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“…While there may be certain advantages to an inpatient-only mode for portals, there may be tradeoffs as well, such as having to "re-learn" how to navigate a different layout and set of functionalities after discharge. Studies of this platform to date have focused on provider experience 35 or patient satisfaction, 36 but have not yet examined patient usage or outcomes. Indeed, while national data are lacking, our experience networking with peer institutions suggests that most are still using a single portal designed primarily for outpatient use without a separate inpatient version or adaptive portal that has an inpatient view (such as MyChart Bedside).…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial to improve engagement of hospitalized patients with their patient portals

Greysen

Harrison

Rareshide

et al. 2018

Journal of the American Medical Informatics Association

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Objectives To test a patient-centered, tablet-based bedside educational intervention in the hospital and to evaluate the efficacy of this intervention to increase patient engagement with their patient portals during hospitalization and after discharge. Materials and Methods We conducted a randomized controlled trial of adult patients admitted to the hospitalist service in one large, academic medical center. All participants were supplied with a tablet computer for 1 day during their inpatient stay and assistance with portal registration and initial login as needed. Additionally, intervention group patients received a focused bedside education to demonstrate key functions of the portal and explain the importance of these functions to their upcoming transition to post-discharge care. Our primary outcomes were proportion of patients who logged into the portal and completed specific tasks after discharge. Secondary outcomes were observed ability to navigate the portal before discharge and self-reported patient satisfaction with bedside tablet use to access the portal. Results We enrolled 97 participants (50 intervention; 47 control); overall 57% logged into their portals ≥1 time within 7 days of discharge (58% intervention vs. 55% control). Mean number of logins was higher for the intervention group (3.48 vs. 2.94 control), and mean number of specific portal tasks performed was higher in the intervention group; however, no individual comparison reached statistical significance. Observed ability to login and navigate the portal in the hospital was higher for the intervention group (64% vs. 60% control), but only 1 specific portal task was significant (view provider messaging tab: 92% vs. 77% control, P = .04). Time needed to deliver the intervention was brief (<15 min for 80%), and satisfaction with the bedside tablet to access the portal was high in the intervention group (88% satisfied/very satisfied). Conclusion Our intervention was highly feasible and acceptable to patients, and we found a highly consistent, but statistically non-significant, trend towards higher inpatient engagement and post-discharge use of key portal functions among patients in the intervention group.

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“…There is growing literature on factors influencing patient engagement and use of electronic health record (EHR) patient portals, especially in the ambulatory setting [1] , [2] , [3] , [4] , [5] , [6] . More recent research has focused on patient portal use in the acute care [7] , emergency care [8] , and inpatient settings [9] , [10] , [11] , [12] , [13] , [14] . In the United States, a federal mandate known as the Cures Act will dictate that health systems release all medical notes and diagnostic test reports to patients when they are available [15] .…”

Section: Data Descriptionmentioning

confidence: 99%

Data on the activation and utilization of an electronic health record patient portal in an adult inpatient population at an academic medical center

Allard

Krasowski

2021

Data in Brief

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Electronic health record patient portals allow patients to access their own health data online and interact with the healthcare team. Many studies have focused on use of patient portals in the outpatient setting. Relatively less is known about use of patient portals for hospitalized patients. The data in this article include analysis of patient portal activation and utilization for adults hospitalized in 2018 at an academic medical center in a Midwestern state in the United States. Activation was assessed by percentage of patients who had activated their patient portal by the time of data review. Utilization of the patient portal was determined by whether patients or their legal proxies accessed one or more reports from diagnostic testing ordered during inpatient encounter(s) in 2018. The data include 826,843 diagnostic tests on 40,640 unique patients. Patient characteristics include sex, age, whether outpatient diagnostic tests were also performed in 2018, preferred language (English or non-English), health insurance status (private, public, or uninsured), self-declared race (White or non-White), and whether there was a legal proxy for the patient. Association of these covariates with patient portal activation and utilization were analyzed.

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Inpatient Experiences with MyChart Bedside

Abstract: The study found that the majority of patients were satisfied with MyChart Bedside, and they reported that it helped them learn more about their medications, as well as communicate with their care team.

Cited by 24 publications

References 9 publications

Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use

Technology Access, Technical Assistance, and Disparities in Inpatient Portal Use

A randomized controlled trial to improve engagement of hospitalized patients with their patient portals

Data on the activation and utilization of an electronic health record patient portal in an adult inpatient population at an academic medical center

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