Journal article
The Veteran-Initiated Electronic Care Coordination: A Multisite Initiative to Promote and Evaluate Consumer-Mediated Health Information Exchange
Telemedicine journal and e-health, Vol.23(4), pp.264-272
04/01/2017
DOI: 10.1089/tmj.2016.0078
PMID: 27726644
Abstract
Introduction:
Information continuity is critical to person-centered care when patients receive care from multiple healthcare systems. Patients can access their electronic health record data through patient portals to facilitate information exchange. This pilot was developed to improve care continuity for rural Veterans by (1) promoting the use of the Department of Veterans Affairs (VA) patient portal to share health information with non-VA providers, and (2) evaluating the impact of health information sharing at a community appointment.
Materials and Methods:
Veterans from nine VA healthcare systems were trained to access and share their VA Continuity of Care Document (CCD) with their non-VA providers. Patients and non-VA providers completed surveys on their experiences.
Results:
Participants (n = 620) were primarily older, white, and Vietnam era Veterans. After training, 78% reported the CCD would help them be more involved in their healthcare and 86% planned to share it regularly with non-VA providers. Veterans (n = 256) then attended 277 community appointments. Provider responses from these appointments (n = 133) indicated they were confident in the accuracy of the information (97%) and wanted to continue to receive the CCD (96%). Ninety percent of providers reported the CCD improved their ability to have an accurate medication list and helped them make medication treatment decisions. Fifty percent reported they did not order a laboratory test or another procedure because of information available in the CCD.
Conclusions:
This pilot demonstrates feasibility and value of patient access to a CCD to facilitate information sharing between VA and non-VA providers. Outreach and targeted education are needed to promote consumer-mediated health information exchange.
Details
- Title: Subtitle
- The Veteran-Initiated Electronic Care Coordination: A Multisite Initiative to Promote and Evaluate Consumer-Mediated Health Information Exchange
- Creators
- Dawn M Klein - 2Department of Psychiatry, The University of Iowa Carver College of Medicine, Iowa City, IowaKassi Pham - 1Iowa City VA Health Care System, Comprehensive Access and Delivery Research and Evaluation Center, Iowa City, IowaLeila Samy - 3Department of Health and Human Services, Office of the National Coordinator, Washington, District of ColumbiaAdam Bluth - 4Department of Veterans Affairs, Office of Rural Health, Washington, District of ColumbiaKim M Nazi - 5Veterans and Consumers Health Informatics Office, Office of Connected Care, Veterans Health Administration, Washington, District of ColumbiaMatthew Witry - 6Department of Pharmacy Practice and Science, The University of Iowa College of Pharmacy, Iowa City, IowaJ. Stacey Klutts - 8Department of Pathology, The University of Iowa Carver College of Medicine, Iowa City, IowaKathleen M Grant - 10Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NebraskaAdi V Gundlapalli - 12University of Utah School of Medicine, Salt Lake City, UtahGary Kochersberger - 13Canandaigua VA Medical Center, Geriatrics and Extended Care, Canandaigua, New YorkLaurie Pfeiffer - 14Robert J. Dole VA Medical Center, Wichita, KansasSergio Romero - 16Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FloridaBrian Vetter - 17St. Cloud VA Health Care System, St. Cloud, MinnesotaCarolyn L Turvey - 2Department of Psychiatry, The University of Iowa Carver College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Telemedicine journal and e-health, Vol.23(4), pp.264-272
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/tmj.2016.0078
- PMID
- 27726644
- ISSN
- 1530-5627
- eISSN
- 1556-3669
- Language
- English
- Date published
- 04/01/2017
- Academic Unit
- Psychiatry; Epidemiology; Pathology; Pharmacy Practice and Science; Internal Medicine
- Record Identifier
- 9984046813902771
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