ENGAGING PATIENTS THROUGH THE EHR: AN EVALUATION FRAMEWORK TO MEASURE ENGAGMENT, OUTCOMES AND ACCESS Public

Abstract

Although a growing body of literature focuses on patient engagement, including some preliminary research on the EHR's capacity to increase patient engagement, there is relatively little research focused on how to evaluate patient engagement resulting from interaction with the EHR. Similarly, there is a wealth of diabetes research on methods to improve health outcomes and the important role of patient engagement. However, there is a knowledge gap regarding the role of the EHRs to increase patient engagement in this specific population. This thesis presents meta- analysis of the research around the three main topic areas (diabetes health outcomes, patient engagement and EHRs) and an evaluation framework for developing an evaluation plan. Included in the evaluation framework is an examination of possible indicators related to measuring improved health outcomes and patient engagement related to the electronic health record. The ultimate goal of the evaluation framework is to systematically identify those who could benefit from outreach and activities to increase engagement.

Table of Contents

Contents

Introduction: 9

Research Questions: 10

Problem Overview: 10

Study Purpose. 13

Chapter Two. 14

Overview.. 14

Why Study Patient Engagement?. 14

Measuring Patient Engagement. 16

The Role of Patient Engagement in Diabetes Care and Improving Health Outcomes. 17

EHR Background. 19

Patient Portal Access. 20

Secure Messaging. 22

Access to Medical Record/Physician Notes. 23

Chapter Three. 25

Evaluation Framework. 25

Hypothesis/Evaluation Objectives. 25

Evaluation Study Population. 26

Population Definition Diagram.. 27

Objective One: Is utilization of a patient portal associated with increased patient engagement?. 28

Objective One Proof of Impact: 29

Objective Two: Which features of the electronic health record available through the patient portal i.e. access to provider notes or after visit summaries are associated with increased patient engagement?. 29

Objective Two Proof of Impact: 30

Objective Three: Are diabetes patients with online access to EHRs likely to experience better health outcomes? 31

Objective Three Proof of Impact: 31

Evaluation Framework Summary. 32

Developing Comprehensive Indicators. 33

Summary. 34

Chapter Four. 36

Summary of Findings. 36

Conclusion. 40

References. 41

About this Master's Thesis

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School	Rollins School of Public Health
Department	Career Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Mot-clé	patient engagement electronic health record
Committee Chair / Thesis Advisor	Miner, Kathleen R, Emory University
Committee Members	Johnson-Morasch, Laura, non-Emory Conde, J Mark, Emory University Alperin, Melissa, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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