scholarly journals A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation

2015 ◽  
Vol 23 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Anuj K Dalal ◽  
Patricia C Dykes ◽  
Sarah Collins ◽  
Lisa Soleymani Lehmann ◽  
Kumiko Ohashi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Preliminary Evaluation ◽  
Test Results ◽  
Barriers To Adoption ◽  
Health Care Proxy ◽  
Patient Centered ◽  
Web Based ◽  
Average System ◽  
Patient Provider Communication ◽  
Medical Intensive Care

Abstract We implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). The most common reason for not approaching the patient was our inability to identify a health care proxy when a patient was incapacitated. Significantly more caregivers were enrolled in medical intensive care units compared with oncology units (75% vs 32%; P < .01). Of the 239 patient/caregivers, 158 (66%) and 97 (41%) inputted a daily and overall goal, respectively. Use of educational content was highest for medications and test results and infrequent for problems. The most common clinical theme identified in 291 messages sent by 158 patients/caregivers was health concerns, needs, preferences, or questions (19%, 55 of 291). The average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable. From analysis of feedback, we identified barriers to adoption and outlined strategies to promote use.

scholarly journals A web-based and mobile patient-centered ‘‘microblog’’ messaging platform to improve care team communication in acute care

2016 ◽  
Vol 24 (e1) ◽  
pp. e178-e184 ◽  
Author(s):  
Anuj K Dalal ◽  
Jeffrey Schnipper ◽  
Anthony Massaro ◽  
John Hanna ◽  
Eli Mlaver ◽  
...  
Keyword(s):  
Acute Care ◽  
Medical Intensive Care Unit ◽  
Care Team ◽  
Health Record ◽  
Barriers To Adoption ◽  
Patient Centered ◽  
Web Based ◽  
Team Collaboration ◽  
Team Members ◽  
Medical Intensive Care

Communication in acute care settings is fragmented and occurs asynchronously via a variety of electronic modalities. Providers are often not on the same page with regard to the plan of care. We designed and developed a secure, patient-centered “microblog” messaging platform that identifies care team members by synchronizing with the electronic health record, and directs providers to a single forum where they can communicate about the plan of care. The system was used for 35% of patients admitted to a medical intensive care unit over a 6-month period. Major themes in messages included care coordination (49%), clinical summarization (29%), and care team collaboration (27%). Message transparency and persistence were seen as useful features by 83% and 62% of respondents, respectively. Availability of alternative messaging tools and variable use by non-unit providers were seen as main barriers to adoption by 83% and 62% of respondents, respectively. This approach has much potential to improve communication across settings once barriers are addressed.

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