Patient Portals: Socially Wired to Future Health Care

In Mark Ryan’s recent post, “How Social Media Can Enhance Medical Practice,” he suggested that the Patient-Centered Medical Home (PCMH) model would allow doctors to provide e-care (e.g. texts and email) because it enhances the communication between doctor and patient.  In a serendipitous coincidence, Gisela Nehring, Manager of Information Technology at the Cleveland Clinic, recently composed an insightful blog on what her organization is doing in harnessing patient portals and how they are actually improving patient satisfaction, lowering costs and reducing physician workloads (Read it here:  Patient Portals). Many aspects of the Cleveland Clinic program are a wish list of services that would make any patient not in their system envious. As it is presently constructed, the Cleveland Clinic offers around-the-clock access online to health summaries (including procedures), test results (except for the most sensitive which are conveyed directly by the physician), medication lists, allergy lists, immunization lists, problem lists, prevention reminders and health trends (a feature that allows patients to graph their weight, blood pressure, pulse, respirations and lab results). On the horizon, the institution will offer remote monitoring, patient scheduling  and anesthesia risk analysis.

The idea of remote monitoring got all of us here at HCSM blog central brainstorming ideas we’d like to see Cleveland Clinic and all other health care providers consider.  We offer a short list of additional services that would work well within the patient portal framework:

  • Support Groups: Linking patients together as an opt-in function would allow new opportunities for sharing and support between patients, founded on the trusted relationship with the health organization.  One example could be for patients to pair up as buddies who are seeking mutual goals (e.g. weight loss or improved dietary adherence). This notion is supported by a recent study from UCSD researchers on the effect social networks have on obesity. Other conditions also appear to be affected (Read here).
  • Patient Co-mentoring:  Patients who have triumphed over their diseases (e.g. cancer survivors) are in a unique position to offer support and insight on coping with disease to the newly diagnosed. Expanding access to this portal to veteran patients to reach out to new patients would add a great deal of value to patients who understand “where they come from.”
  • Group Visits: If the portal model could allow for live hosting of group visits, then general information in a larger group setting could be supported. Such visits would be led by a doctor, and perhaps even recorded for later viewing. Broad disease topics could be entertained in these forums. Individual visits would not be held in this setting.
  • Public Conversations: If there were a way to hold public forums on prevention or current health issues as webinars through such portals, we see new bonds that could be established between health care providers and their communities.
  • External Discussion Groups, Led by Physicians: Building off the Group Visit idea, physicians could lead discussions among related patient-oriented audiences (e.g. caregivers, children of patients, etc.) to explore how improved care can envelop these social networks.
  • Physician /Hospital Alliances: If an organization, like the Cleveland Clinic, opened its portal to neighboring physicians, such a relationship could mutually support the interests of both parties while advancing improved care for the patient.
  • Data Mining:  While the current model expressed by the Cleveland Clinic mentions the use of data to build trending graphs, we urge a greater use of data mining to perform needs assessment and gap analysis. These twin activities would help health care providers identify changing needs while improving treatment strategies.
  • Provider Knowledge Library:  We also believe there is untapped potential in opening access to the database among patients for broader health care learning, serving as a trusted “WebMD.” The source could be enhanced by other general health care information, vetted and validated by the health care provider’s medical librarian. The  medical library would provide reliable content and enhance a patient’s ability to critically evaluate medical information.

These are just our initial thoughts, so we invite you for your ideas on how to make patient portals more social to enhance health care delivery and outcomes.

7 Responses to Patient Portals: Socially Wired to Future Health Care

  1. […] This post was mentioned on Twitter by KentBottles, bacigalupe, Carmen Gonzalez, Carmen Gonzalez, John Novack and others. John Novack said: RT @crgonzalez: Patient Portals: Socially Wired to Future Health Care http://bit.ly/a0PsEt […]

  2. richmonddoc says:

    Thanks for the post, Carmen. I wanted to note that I think patient portals could actually find a way to allow true group visits. If patients agree to share information within a secure portal, physicians could moderate true groups visits with follow-up e-visits to allow for the necessary one-on-one care.

    I think as portals become more established and in broader use, they will offer great opportunities to enhance care–including offering care to underserved communities.

  3. Our practice has been using a Practice Portal for several years now. It was created by Kryptiq and powered by Sage Software. All of our doctors would agree having a patient portal has been the most sigificant change we have made in the past few years. Nothing has changed our workflow more. We are able to communicate lab results immediately to the patient. We attach prescripted lab explanations to each results including links back to our website to make sure the patient has alot of information on the plan. We have eliminated most lab letters which saves time and money. We have dramatically reduced phone calls for prescription refills and easy questions which can be addressed by secure messaging. Patients enjoy having online access to their chart and being able to schedule appts online. It is not for everyone but imagine reducing phone calls by only 10%. This can make a huge impact on office efficiency.

  4. richmonddoc says:

    Jeff: What do you see as a future potential role for portals? Do you see the roles expanding to provide other types of encounter/services through portals?

  5. Marksphone says:

    Dr. Livingston: Have you seen any change in the behavior, HC knowledge, or outcomes since you’ve put this portal in place? And, are you using this portal as an opportunity to educate patients?

    Mark

  6. […] portals: Carmen presented a review and look at the Mayo Clinic patient portal ‘Patient Portals: Socially Wired to Future Health […]

  7. I don’t know about behavior change specifically but it certainly helps patients be more engaged. Honestly, it just makes logical sense. I like to think of patient portals in terms of banks. When I was younger the idea of having online access to your bank account was unheard of. Now it is industry standard and if you went to a bank that did not have online access you would change banks. I expect in time the same will be true in health care.

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