改善退伍军人通过“我的健康兽医”电子患者门户网站获取医疗服务的机会。
Improving Patient Access to the My HealthVet Electronic Patient Portal for Veterans.
作者信息
Roberto Corinne, Keiffer Melanie, Black Melanie, Williams-Suich Carol, Grunewald Karen
机构信息
Veterans Health Administration Community-Based Outpatient Clinic, Bend, Oregon.
University of Vermont College of Nursing and Health Sciences Burlingoton.
出版信息
Fed Pract. 2022 Dec;39(12):476-481. doi: 10.17288/fp.0331. Epub 2022 Dec 13.
BACKGROUND
The US Department of Veterans Affairs My HealthVet (MHV) patient portal is a secure online tool that provides patients access to personal health information. Although facilitators exist to encourage veteran registration, barriers to both adoption and use among veterans persist. This quality improvement project sought to improve veteran access to MHV.
OBSERVATIONS
Using Plan-Do-Study-Act (PDSA) methodology, we identified barriers to registration, evaluated processes for enrollment, and integrated a process improvement champion into a rural primary care clinic workflow. After 3 PDSA cycles, the integration of new processes resulted in increased enrollment and engagement with MHV. Fourteen veterans registered for MHV at the point-of-care in a 3-month time frame.
CONCLUSIONS
Use of a connected electronic health record platform and implementation of an MHV champion in the outpatient primary care setting improved rural veteran access to personal health information. Audit and feedback on processes that provide access to health information is an important strategy to narrow the gap between veterans who access patient portals and those who do not.
背景
美国退伍军人事务部的“我的健康退伍军人”（MHV）患者门户网站是一个安全的在线工具，可让患者访问个人健康信息。尽管存在促进退伍军人注册的因素，但退伍军人在采用和使用该网站方面的障碍依然存在。这个质量改进项目旨在改善退伍军人对MHV的访问。
观察结果
我们采用计划-执行-研究-行动（PDSA）方法，确定了注册障碍，评估了注册流程，并将一名流程改进负责人纳入农村初级保健诊所的工作流程。经过3个PDSA循环，新流程的整合使MHV的注册人数和参与度有所增加。在3个月的时间内，有14名退伍军人在医疗点注册了MHV。
结论
在门诊初级保健环境中使用连接的电子健康记录平台并设立MHV负责人，改善了农村退伍军人对个人健康信息的访问。对提供健康信息访问的流程进行审核和反馈是缩小使用患者门户网站的退伍军人与未使用的退伍军人之间差距的重要策略。
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