Bongiovi, Jamie, LCSW

Correll, Julia R, BA

Dylewski, David, MS

Kaufmann, Michael, MD

Norris, Edward R, MD, FAPA, FAPM

Stern, Gail, MSN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of PsychiatryEvaluating Psychiatric Patients’ Attitudes of aShared Electronic Medical RecordEdward R. Norris MD, FAPA, FAPMLehigh Valley Health Network, edward.norris@lvhn.orgJulia R. Correll BALehigh Valley Health NetworkJamie Bongiovi LCSWJamie.Bongiovi@lvhn.orgDavid Dylewski MSDave.Dylewski@lvhn.orgGail Stern MSNGail.Stern@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/psychiatryPart of the Psychiatry Commons, and the Psychiatry and Psychology CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtNorris, E., Correll, J., Bongiovi, J., Dylewski, D., Stern, G., & Kaufmann, M. (2012, November 15). Evaluating psychiatric patients'attitudes of a shared electronic medical record. Poster presented at: The Academy of Psychosomatic Medicine 2012 Annual Meeting,Atlanta, GA.AuthorsEdward R. Norris MD, FAPA, FAPM; Julia R. Correll BA; Jamie Bongiovi LCSW; David Dylewski MS; GailStern MSN; and Michael Kaufmann MDThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/psychiatry/6Lehigh Valley Health Network, Allentown, PAEvaluating Psychiatric Patients’ Attitudes of a Shared Electronic Medical RecordPurposeEdward Norris, MD; Julia Correll, BA; Jamie Bongiovi, LCSW; David Dylewski, MS; Gail Stern, MSN; Michael Kaufmann, MDAs our large regional health network engages in the transition from a private behavioral health record to an integrated electronic medical record, as required by the Affordable Care Act, opportunities arise to assess patients’ perception of this process.  As part of ongoing quality improvement, the Department of Psychiatry surveyed mental health outpatients in “integrated” primary care medical practices about their perceptions of a shared electronic medical record.ConclusionsDuring a transition from a private mental health record to a shared electronic medical record, mental health patients were generally ResultsMethodsAn eight-question survey was distributed to outpatients in a variety of primary care settings where mental health services were performed including both specialty and primary care offices.  Patients provided basic demographic information including gender and age range.  The questions were scored on a four point Likert scale from (1) I disagree completely to (4) I agree completely.  Higher scores indicated greater agreement.  Questions focused on patients’ awareness of the shared record, patients’ comfort level with sharing of mental health information, and patient concerns about stigma and privacy.Results95 surveys were completed.  Respondents were 57% female, 27% male and 16% did not disclose gender.  There were no differences from a gender standpoint.  Patient’s ages were grouped and 3% of patients were age 18-20, 7% were age 20-29, 14% were age 30-39, 23% were age 40-49, 41% were 50 or older and 11% did not disclose age range.  Independent sample t-tests were used to examine differences between age and gender categories.  There were no statistically significant differences between groups.  The References:1	 	Ennis,	L.,	Rose,	D.,	Callard,	F.,	Denis,	M.,	&	Wykes,	T.	(2011).	Rapid	progress	or	lengthy	process?	Electronic	personal	health	records	in	mental	health.	BMC	Psychiatry,	11,	117.2	 	Gaylin,	D.,	Moiduddin,	A.,	Mohamoud,	S.,	Lundeen,	K.,	&	Kelly,	J.	(2011).	Public	attitudes	about	health	information	technology,	and	its	relationship	to	health	care	quality,	costs,	and	privacy.	Health	Services	Research,	46(3),	920-938.Mean Scorehighest mean score was 3.73 (SD = 0.66) for “I am comfortable with my mental health records being shared with my primary care physician.”  The two lowest average scores were 2.69 (SD = 1.15) for “I am (not) worried about mental health stigma as it relates to the electronic medical record,” and 3.14 (SD = 1.03) for “I am now (not) more selective about what I tell my provider with a shared electronic record.” Table 1. DemographicsDemographics NumberFemale 54Male 26Did not disclose 15Age 18-19 3Age 20-29 7Age 30-39 13Age 40-49 22Age 50+ 39Did not disclose 11 Table 2. Attitude QuestionnaireQuestion N Agreed N Disagreed1. I was already aware that my physician’s office   was using a “shared” electronic Record 77% 23%2. I can appreciate how important it is for my personal health to share all medical records 94% 6%3. I am comfortable with my mental health records being shared with my primary care physician 95% 5%4. I am comfortable with my mental health records being shared with the Emergency Room Physicians when I need urgent care. 93% 7%5. I am comfortable with my mental health records being shared with all my specialists (ie. Cardiologist, OB-GYN, etc.) 85% 15%6. I am (not) worried about mental health stigma as it relates to the electronic medical record. 55% 45%7. I am now (not) more selective about what I tell my provider with a shared electronic record. 71% 29%8. I am comfortable with the new electronic medical record in my physician’s office. 88% 12%9. My physician appears comfortable with the new electronic medical record. 98% 2%1 1.5 2 2.5 3 3.5 4I disagree completely I agree completely1. I was already aware thatmy physician’s ocewas using a“shared” electronic medical record.2. I can appreciate howimportant it is for my personal health toshare all medical records.3. I amcomfortablewithmymental health records being sharedwithmy primary care physician.4. I amcomfortablewithmymental health records being sharedwith the Emergency RoomPhysicians when I needurgent care.5. I amcomfortablewithmymental health records being sharedwith all my specialists (ie. Cardiologist, OB-GYN, etc.).6. I am(not) worried aboutmental health stigma as it relates to theelectronic medical record.7. I amnow(not) more selectiveaboutwhat I tell my provider witha shared electronic record.8. I amco fortablewith the newelectronic medical record inmyphysician’s oce.9. My physician appears comfortablewith the newelectronicmedical record.comfortable with the idea of and transition to a shared electronic medical record.  Answers to stigma and privacy concerns scored slightly lower than other questions but still indicate patients’ overall agreement with a shared medical record.I disagree completely I agree completely

Evaluating Psychiatric Patients’ Attitudes of a Shared Electronic Medical Record

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Evaluating Psychiatric Patients’ Attitudes of a Shared Electronic Medical Record

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