Addressing Hospital Patient Information Needs Using a PHR Portal

DESCRIPTION (provided by applicant): A focus of the Agency for Healthcare Research and Quality (AHRQ) is promoting patient-centered care and consumer participation in healthcare decision-making. Although evidence indicates that better-informed, more engaged patients enjoy better health outcomes, information needs are often unaddressed. This is especially true in hospital settings, where there are over 36 million patient admissions each year in the United States. While consumer health advocacy groups are admonishing people to be active participants in their healthcare, the lack of information available to hospital patients and their families can make them feel anxious and disenfranchised. At New York-Presbyterian Hospital/Columbia University Medical Center, we have developed an inpatient personal health record (PHR) portal that provides medication lists, care team information, and educational content to patients and their caregivers. The application was pilot tested with five cardiothoracic surgery patients using Apple iPads, and the response of both patients and their clinician care providers was very enthusiastic. In the proposed study, we will enhance the existing inpatient PHR portal to allow patients to electronically document questions and concerns related to their care. These questions and concerns will be visible to members of the patients' care team within our commercial inpatient electronic health record (EHR). A randomized controlled trial is proposed to rigorously evaluate the impact of the inpatient PHR portal with patients from medical and surgical cardiac units at Columbia University Medical Center. We believe that the proposed research will demonstrate the potential for consumer health information technology to empower patients and caregivers as active participants in the inpatient care delivery process. It will advance scientific knowledge in the field of patient-clinician communication, demonstrate new technical capabilities for sharing information among patients and their care teams, and improve patient engagement and satisfaction.