Technology-Enabled Consumer Engagement: Promising Practices At Four Health Care Delivery Organizations

Tai–Seale, Ming; Downing, N. Lance; Jones, Veena G.; Milani, Richard V.; Zhao, Beiqun; Clay, Brian; Sharp, Christopher; Chan, Albert; Longhurst, Chris

doi:10.1377/hlthaff.2018.05027

Cited by 33 publications

(24 citation statements)

References 25 publications

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“…Increasing evidence is now available for the effectiveness of digital solutions in supporting integrated care, improving health outcomes and changing management of social and health systems, while increasing accessibility and sustainability (Lionis et al, 2016;Menon et al, 2019;Mitchell and Kan, 2019;Tai-Seale et al, 2019;Turkki et al, 2019). Most importantly, to create this integration, consumers and those with NCCD need to be involved in the technological developments and policy generation.…”

Section: Reference Regions and Twinningmentioning

confidence: 99%

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

Tziraki

Grimes

Ventura

et al. 2020

Prim Health Care Res Dev

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Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key ‘bottlenecks’: inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.

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Section: Reference Regions and Twinningmentioning

confidence: 99%

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

Tziraki

Grimes

Ventura

et al. 2020

Prim Health Care Res Dev

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“…Unfortunately, we are unable to separate the different obstetrics/gynecology patients in the current analysis. Although RC apps may increase inpatient portal usage [5], we are unable to track the usage of other apps on the tablet at this time. In addition, we do not have granular data of RC app usage, such as average daily use length and specific features accessed.…”

Section: Discussionmentioning

confidence: 99%

“…Although outpatient portals are becoming more common, challenges persist in the widespread adoption of inpatient portals [4]. However, it has been shown that colocation of the inpatient portal with a room control (RC) app on a tablet can increase patient utilization of the inpatient portal [5] and may increase patient engagement [6].…”

Section: Introductionmentioning

confidence: 99%

Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study

Zhao¹,

Tai–Seale²,

Longhurst³

et al. 2019

JMIR Mhealth Uhealth

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Background Patient portals tethered to electronic health records can improve patient experience, activation, and outcomes. However, adoption of inpatient portals has been challenging. One way to potentially increase inpatient portal usage is to integrate it with a room control (RC) app on a common tablet computer. Objective The aim of this study was to perform a retrospective analysis of patient usage of an RC app provided on tablet computers in patient rooms of our new inpatient tower. Methods We identified all patients who were admitted for >24 hours to our new inpatient tower over a 90-day period from September 1 to November 30, 2017. After excluding newborn patients from our analysis, we then identified patients who used the RC app at least one time during their admission. We linked these data to patient demographics (including age, sex, and race) and admitting service. We then performed univariable and multivariable logistic regression to assess patterns of RC app usage. Results A total of 3411 patients were admitted over the course of the study period; 2242/3411 (65.73%) used the RC app during their hospitalization. Compared with white patients, other/mixed/unknown race and Asian, Hawaiian, Pacific Islander, American Indian race were significantly associated with increased use of the RC app in a multivariable analysis. Increasing age was significantly associated with increased usage of the RC app. Usage of the RC app also varied by admitting services. Compared with general medicine, bone marrow transplant and general surgery patients had increased usage of the RC app. Conversely, critical care, medical specialties, neurology, surgical subspecialties, and obstetrics/gynecology were all associated with decreased usage of the RC app. Conclusions Our study shows that one-third of patients are not using the RC app for critical room functions. Future initiatives to increase RC usage should take these populations into consideration. Contrary to common belief, older patients may use tablet-enabled RCs just as often, if not more often, than younger patients. Certain admitting services, such as neurology and surgical subspecialties, may have had lower usage rates owing to accessibility issues. Our study allows hospitals to tailor support for specific patient populations to increase RC app usage.

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“…Hospitals are increasingly recognizing the potential of patient-facing technology to facilitate patient engagement and experience. 1,2 Inpatient portals are one technological tool that hospitals can use to transform their healthcare to become more patient-centered and, in turn, improve health outcomes. [3][4][5] Inpatient portals are applications specifically designed for the acute-care setting that offer a patient access to their health information during a hospital admission.…”

Section: Background and Significancementioning

confidence: 99%

Facilitating Organizational Change to Accommodate an Inpatient Portal

et al. 2019

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Background Patient portals are becoming more commonly used in the hospital inpatient setting. While the potential benefits of inpatient portals are acknowledged, there is a need for research that examines the challenges of portal implementation and the development of best practice approaches for successful implementation. Objective We conducted this study to improve our understanding of the impact of the implementation of an inpatient portal on care team members in the context of a large academic medical center. Our study focused on the perspectives of nursing care team members about the inpatient portal. Methods We interviewed care team members (n = 437) in four phases throughout the 2 years following implementation of an inpatient portal to learn about their ongoing perspectives regarding the inpatient portal and its impact on the organization. Results The perspectives of care team members demonstrated a change in acceptance of the inpatient portal over time in terms of buy-in, positive workflow changes, and acknowledged benefits of the portal for both care team members and patients. There were also changes over time in perspectives of the care team in regards to (1) challenges with new technology, (2) impact of the portal on workflow, and (3) buy-in. Six strategies were identified as important for implementation success: (1) convene a stakeholder group, (2) offer continual portal training, (3) encourage shared responsibility, (4) identify champions, (5) provide provisioning feedback, and (6) support patient use. Conclusion Inpatient portals are recognized as an important tool for both patients and care team members, but the implementation of such a technology can create challenges. Given the perspectives care team members had about the impact of the inpatient portal, our findings suggest implementation requires attention to organizational changes that are needed to accommodate the tool and the development of strategies that can address challenges associated with the portal.

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Technology-Enabled Consumer Engagement: Promising Practices At Four Health Care Delivery Organizations

Cited by 33 publications

References 25 publications

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study

Facilitating Organizational Change to Accommodate an Inpatient Portal

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