Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care
Building upon our experience with a very sophisticated preventive services prompt and reminder system, the Preventive Services Reminder System (PSRS), the investigators propose to conduct a systematic three-year study with the following aims:
- To develop, field test, and refine an Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary care practices;
- To determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the behavior and experiences of both patients and providers and the degree to which recommended services are individualized; and
- To develop model Wellness Portal practices and disseminate the Wellness Portal technology and knowledge derived from Aims 1 and 2 findings.
|Patient-centered Care||Other: Implementation of a secure web-based patient Wellness Portal|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care|
- Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services [ Time Frame: 9 months run per practice / 12 months total ]
- a) Assess the impact of the Wellness Portal on patient-centered care b) Describe utilization and implementation of the Wellness Portal [ Time Frame: 09/01/2007 - 08/31/2010 ]
|Study Start Date:||September 2007|
|Study Completion Date:||August 2010|
|Primary Completion Date:||July 2008 (Final data collection date for primary outcome measure)|
Experimental: Wellness Portal Intervention
Wellness Portal Intervention: patients have access to the portal in the course of the study.
Other: Implementation of a secure web-based patient Wellness Portal
Patients in intervention practices will review and update their wellness records, risk factor information, allergy and contraindication profile, and personal preferences through the Wellness Portal before they visit their primary care provider.
No Intervention: Wellness Portal Control
Control patients don't have access to the Wellness Portal in the course of the study.
Project Aim 1: Develop, field test, and further refine an Internet-based Wellness Portal for use by patients seen in primary care settings to facilitate patient-centered, preventive care.
- Assemble an Advisory Committee of clinicians, office staff, patients, and national HIT experts and develop a patient Wellness Portal that can be accessed by patients through the Internet and also in the provider's office via computer kiosks;
- Field test the Wellness Portal in two OKPRN practices and collect patient and provider satisfaction data via surveys and personal feedback to improve and refine the Wellness Portal and its integration into the comprehensive care delivery process.
Project Aim 2: Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services.
Assess the impact of the Wellness Portal on patient-centered care:
- Assess the impact of the Wellness Portal on patient activation and the medical home;
- Understand the impact of Wellness Portal use, the role of activated patients, and the concept of medical home on the provision of patient-centered care;
- Measure the impact of the Wellness Portal on the individualization of preventive services that are recommended and delivered based upon individual risk factors and patient preferences;
- Describe utilization and implementation of the Wellness Portal, capture and analyze documented decisions on opting out from evidence-based recommendations, and assess the impact of the portal on missed opportunities for delivering preventive care.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01520662
|United States, Oklahoma|
|University of Oklahoma HSC Department of Family and Prevetive Medicne|
|Oklahoma City, Oklahoma, United States, 73104|
|Principal Investigator:||James W Mold, MD, MPH||University of Oklahoma HSC Department of Family and Preventive Medicine|