Improving Patient Portal Activation for Newborns in the Well Baby Nursery.

Autor:	Sriraman S; Department of Pediatrics, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, New York.; Department of Pediatrics, New York City Health and Hospital, Kings County, Brooklyn, New York., Saadoon R; Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, Illinois., Bochner R; Department of Pediatrics, New York City Health and Hospital, Harlem, New York, New York., Khandakar S; Department of Pediatrics, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, New York.; Department of Pediatrics, New York City Health and Hospital, Kings County, Brooklyn, New York.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2024 Jul 01; Vol. 154 (1).
DOI:	10.1542/peds.2023-063274
Abstrakt:	Background: Patient portals provide parents access to their child's health information and direct communication with providers. Our study aimed to improve portal activation rates of newborns during nursery hospitalization to >70% over 6 months. Secondarily, we describe the facilitators and barriers to portal use. Methods: The study design used a mixed-methodology framework of quality improvement (QI) and cross-sectional analyses. The Model for Improvement guided QI efforts. The primary outcome was the proportion of portals activated for newborns during nursery hospitalization. Interventions included portal activation algorithm, staff huddles, and documentation templates. Telephone interviews were conducted with a randomized sample of mothers of infants who activated the portal. These mothers were divided into portal "users" and "nonusers." We examined sociodemographic variables and health care utilization outcomes in the 2 groups. Results: Portal activation increased from 12.9% to 85.4% after interventions. Among 482 mothers with active portals, 127 (26.3%) were interviewed. Of those, 70% (89 of 127) reported using the portal, and 85.4% (76 of 89) found it useful. Reasons for accessing the portal included checking appointments and reviewing test results. Lack of knowledge of portal functionality was the main barrier to portal use (42.1%). Portal users were less likely to have a no-show to primary care appointments compared with nonusers (44.9% versus 78.9%, P < .001). Conclusions: Portal activation rates increased after QI interventions in the nursery. Most parents accessed the portal and found it useful. Portals can improve health care delivery and patient engagement in the newborn period. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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