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Design and Implementation of Patient Portal-Based Advance Care Planning Tools.
J Pain Symptom Manage. 2019 01; 57(1):112-117.e2.JP

Abstract

BACKGROUND

Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA).

MEASURES

MDPOA documentation and System Usability Scale were assessed.

INTERVENTION

Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives.

OUTCOMES

A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable.

CONCLUSIONS/LESSONS LEARNED

Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal.

Authors+Show Affiliations

Rocky Mountain Regional VA Geriatric Research Education and Clinical Center, Denver, Colorado, USA; Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA. Electronic address: Hillary.lum@ucdenver.edu.Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.Department of Family Medicine, Adult and Child Consortium for Health Outcomes and Delivery Science (ACCORDS), University of Colorado School of Medicine, Aurora, Colorado, USA.Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA; Data Science to Patient Value Program, University of Colorado School of Medicine, Aurora, Colorado, USA.Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA; Data Science to Patient Value Program, University of Colorado School of Medicine, Aurora, Colorado, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30595147

Citation

Lum, Hillary D., et al. "Design and Implementation of Patient Portal-Based Advance Care Planning Tools." Journal of Pain and Symptom Management, vol. 57, no. 1, 2019, pp. 112-117.e2.
Lum HD, Brungardt A, Jordan SR, et al. Design and Implementation of Patient Portal-Based Advance Care Planning Tools. J Pain Symptom Manage. 2019;57(1):112-117.e2.
Lum, H. D., Brungardt, A., Jordan, S. R., Phimphasone-Brady, P., Schilling, L. M., Lin, C. T., & Kutner, J. S. (2019). Design and Implementation of Patient Portal-Based Advance Care Planning Tools. Journal of Pain and Symptom Management, 57(1), 112-e2. https://doi.org/10.1016/j.jpainsymman.2018.10.500
Lum HD, et al. Design and Implementation of Patient Portal-Based Advance Care Planning Tools. J Pain Symptom Manage. 2019;57(1):112-117.e2. PubMed PMID: 30595147.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Design and Implementation of Patient Portal-Based Advance Care Planning Tools. AU - Lum,Hillary D, AU - Brungardt,Adreanne, AU - Jordan,Sarah R, AU - Phimphasone-Brady,Phoutdavone, AU - Schilling,Lisa M, AU - Lin,Chen-Tan, AU - Kutner,Jean S, Y1 - 2018/10/25/ PY - 2018/09/05/received PY - 2018/10/18/revised PY - 2018/10/18/accepted PY - 2019/1/1/entrez PY - 2019/1/1/pubmed PY - 2019/6/19/medline KW - Advance care planning KW - advance directive KW - electronic health record KW - health information technology KW - patient portal KW - surrogate decision maker SP - 112 EP - 117.e2 JF - Journal of pain and symptom management JO - J Pain Symptom Manage VL - 57 IS - 1 N2 - BACKGROUND: Electronic health record-based portal tools may help patients engage in advance care planning (ACP). We designed and implemented portal-based ACP tools to enable patients to create a medical durable power of attorney (MDPOA). MEASURES: MDPOA documentation and System Usability Scale were assessed. INTERVENTION: Stakeholder-informed portal-based ACP tools include an electronic MDPOA form, patient educational webpage, online messaging, and patient access to completed advance directives. OUTCOMES: A total of 2814 patients used the tools over 15 months. Patients had a mean age 45 years (17-98 years) and 69% were women. Eighty-nine percent completed an MDPOA form, 2% called or sent online messages, and 8% viewed the MDPOA form but did not complete it. The tools were rated highly usable. CONCLUSIONS/LESSONS LEARNED: Patients demonstrated willingness to use the portal to complete an MDPOA and rated the new ACP tools as highly usable. Future work will optimize population-based outreach strategies to engage patients in ACP through the portal. SN - 1873-6513 UR - https://www.unboundmedicine.com/medline/citation/30595147/Design_and_Implementation_of_Patient_Portal_Based_Advance_Care_Planning_Tools_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0885-3924(18)31047-9 DB - PRIME DP - Unbound Medicine ER -