Careyva, B. Shaak, K. Mills, G. Johnson, M. Goodrich, S. Stello, B. Wallace, L. (2016, Nov). Implementation of Technology-Based Patient Engagement Strategies within Practice-Based Research Networks. Poster Presented at: North American Primary Care Research Group, Colorado Springs, CO

Careyva, Beth, M.D.

Goodrich, Samantha A.

Johnson, Melanie B, MPA

Mills, Geoffrey, MD, PhD

Shaak, Kyle, BS

Stello, Brian, MD

Wallace, Lorraine S, PhD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Family MedicineImplementation of Technology-based PatientEngagement Strategies within Practice-BasedResearch Networks (Poster)Beth Careyva M.D.Lehigh Valley Health Network, beth_a.careyva@lvhn.orgKyle Shaak BSLehigh Valley Health Network, Kyle.Shaak@lvhn.orgGeoffrey Mills MD, PhDMelanie B. Johnson MPALehigh Valley Health Network, Melanie_B.Johnson@lvhn.orgSamantha A. GoodrichLehigh Valley Health Network, Samantha_A.Goodrich@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/family-medicinePart of the Family Medicine 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 AtCareyva, B., Shaak, K., Mills, G., Johnson, M. B., Goodrich, S. A., Stello, B., & Wallace, L. S. (2016). Implementation of Technology-based Patient Engagement Strategies within Practice-Based Research Networks (Poster). LVHN Scholarly Works. Retrieved fromhttps://scholarlyworks.lvhn.org/family-medicine/346AuthorsBeth Careyva M.D.; Kyle Shaak BS; Geoffrey Mills MD, PhD; Melanie B. Johnson MPA; Samantha A.Goodrich; Brian Stello MD; and Lorraine S. Wallace PhDThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/family-medicine/346© 2016 Lehigh Valley Health NetworkFigure 1:  Percentage of PBRN’s Studies that used Technology-Based Patient Engagement StrategiesOBJECTIVES:•  To explore availability and usage of technology-based patient engagement strategies in PBRNs•  To identify potential barriers and facilitators to implementation of patient-facing technologies in practice-based researchMETHOD:Data collected as part of omnibus Council of Academic Family Medicine Educational Research Alliance’s (CERA) 2015 PBRN Director SurveySTUDY DESIGN:An original 10-question survey was developed. Questions addressed: •  Current use of technology-based patient engagement strategies•  Barriers to use of technology•  Factors impacting recruitment of participant practicesDATA COLLECTION AND ANALYSIS:AHRQ’s PBRN registry identified 102 PBRN directors.  Six individuals were excluded from the sample. In total, 56% (54/96) of PBRN directors completed the CERA survey. Data was analyzed with SPSS+, Version 22.0.  Analysis included descriptive statistics and chi square tests.•  Technology for patient engagement (such as patient portals to transmit decision aids, texting to transmit blood glucose) is increasingly available; it is unclear how much is being incorporated into practice-based research  •  Use of these strategies may promote patient-centered care and improve health-related outcomes•  PBRN directors have a unique vantage to provide insight into the use of technology within PBRNs.RESULTS:•  76% of PBRNs surveyed were >5 years old; 80% had >50 clinician members; 77% had >20 practices.•  61% of PBRNs had experience with conducting studies using technology-based patient engagement strategies.•  No differences were found in use of patient-facing technologies based on size or scope of PBRN.•  47% of PBRNs had access to patient portals in >50% of their practices. •  No differences were found in use of patient-facing technologies in PBRNs based on portal access.DISCUSSION:•  Current use of technology-based patient engagement strategies for research is minimal in most PBRNs.•  Technology-based patient engagement strategies are most often used for administering risk assessments and decision aids.•  Diverse barriers to incorporating technology-based patient engagement strategies into practice were reported, with lack of IT support being the most frequent concern.•  Opportunities exist for enhanced use of patient portals to engage patients.•  Perceived concerns regarding patient privacy and patient safety were reported to be least likely to impact recruitment of participant practices.NEXT STEPS:Further study is needed to investigate best practices for implementing technology-based patient engagement strategies in practice-based research.  PBRNs have an opportunity to inform more widespread adaptation of these technologies within clinical practice.Figure 2:  Barriers to Incorporating Technology-Based Patient Engagement Strategies into Practice**  Respondents ranked top 3 barriersFigure 3:  Factors that may Affect Physician Participation in Studies including Technology-Based Patient Engagement StrategiesFigure 4:  PBRN Use of Technology-Based Patient Engagement Strategies in the Past 5 Years**  Results based upon responses from 39/54 PBRN directors reporting use of technology-based patient engagement strategies.  PBRN directors identified all strategies used in the past five years.1-25% of studies, 2026-50% of studies, 751-75% of studies, 176-99% of studies, 1 100% of studies, 10% of studies, 19232018 181615 154320510152025Informationtechnology supportLow rates of portalenrollment amongpatientsLack of practicechampionsTools that interfacewith medical recordsCost of healthcaretechnologyStaff comfort withuse of technologyPatient willingness touse technologyLack of patientportals withinelectronic medicalrecordsAccess tosmartphonesAvailability of tools inmultiple languages05101520253035404550Comfort with Technology Training Practice Concerns about Workload orTimeConcerns about Patient Safety Concerns about PatientPrivacySustainability of IntervenetionsExtremely Unlikely/Unlikely Neutral Likely/Extremely Likely1Lehigh Valley Health Network, Allentown, PA; 2Thomas Jefferson University, Philadelphia, PA; 3Ohio State University, Columbus, OHImplementation of Technology-based Patient Engagement Strategies within Practice-Based Research NetworksBeth Careyva MD1, Kyle Shaak BS1, Geoffrey Mills, MD2, Melanie Johnson MPA1, Samantha Goodrich PhD1, Brian Stello MD1, Lorraine S. Wallace PhD32013 13 131097430510152025Web-based riskasessments or decisionaidsWaiting room kioskcomputers/tablets forrisk assessments ordecision aidsSmartphones/personaltablet computerapplications for riskassessments ordecision aidsEmail Electronic transmissionor vital signs or clinicaldata (blood pressure,weights, blood glucost,etc.)Texting to patients(reminders, educationalmaterials, etc.)EMR portal-based riskassessments ordecision aidsPatient visits withprimary care physiciansremotely by audio-videoTexting from patients(transmission of vitalsigns or clinical data)BACKGROUNDRESULTS

Implementation of Technology-based Patient Engagement Strategies within Practice-Based Research Networks (Poster)

BACKGROUND: Technology-based patient engagement strategies (such as patient portals) are increasingly available, yet little is known about current use and barriers within practice-based research networks (PBRNs). PBRN directors have unique opportunities to inform the implementation of patient-facing technology and to translate these findings into practice.
METHODS: PBRN directors were queried regarding technology-based patient engagement strategies as part of the 2015 CAFM Educational Research Alliance (CERA) survey of PBRN directors. A total of 102 PBRN directors were identified via the Agency for Healthcare Research and Quality\u27s registry; 54 of 96 eligible PBRN directors completed the survey, for a response rate of 56%.
RESULTS: Use of technology-based patient engagement strategies within PBRNs was limited, with less than half of respondents reporting experience with the most frequently named tools (risk assessments/decision aids). Information technology (IT) support was the top barrier, followed by low rates of portal enrollment. For engaging participant practices, workload and practice leadership were cited as most important, with fewer respondents noting concerns about patient privacy.
DISCUSSION: Given limited use of patient-facing technologies, PBRNs have an opportunity to clarify the optimal use of these strategies. Providing IT support and addressing clinician concerns regarding workload may facilitate the inclusion of innovative technologies in PBRNs

Careyva, Beth, MD

Wallace, Lorraine S., PhD

Implementation of Technology-based Patient Engagement Strategies within Practice-based Research Networks.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1358&context=family-medicine

Implementation of Technology-based Patient Engagement Strategies within Practice-Based Research Networks (Poster)

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network: LVHN Scholarly Works