PATIENT PORTALS OF MERE MORTALS

Quality Symposium

Dunedin 27 July 2017

Dr Jeff Lowe

Ministry of Health data

Patient Portal – uptake trend March 2017

15,354 35,000 37,000 40,000 44,000

75,000 93,000

107,034 136,600

173,340

241,313

297,269

336,576

69 80 96

132

160

181 271

277

331

335

424 445

445

-

50

100

150

200

250

300

350

400

450

500

-

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000M

ar-1

4

Ap

r-1

4

May

-14

Jun

-14

Jul-

14

Au

g-14

Sep

-14

Oct

-14

No

v-1

4

Dec

-14

Jan

-15

Feb

-15

Mar

-15

Ap

r-1

5

May

-15

Jun

-15

Jul-

15

Au

g-15

Sep

-15

Oct

-15

No

v-1

5

Dec

-15

Jan

-16

Feb

-16

Mar

-16

Ap

r-1

6

May

-16

Jun

-16

Jul-

16

Au

g-16

Sep

-16

Oct

-16

No

v-1

6

Dec

-16

Jan

-17

Feb

-17

Mar

-17

Patient Portals

Number of patients registered with a patient portal Number of practices offering patient portals

The Manhattan Skyline

Cosine Primary Care Network

KARORI MEDICAL CENTRE LIMITED

Practice Profile

• Has Altered the way patients can comnicate with our and we can communicate with our patients

14,519 enrolled and funded

9% High needs

5% Maori 3% PI

16% Asian

8884 enrolled in MMH = 78.4 % , 6884 activated =

60.7%

KARORI MEDICAL CENTRE LIMITED

Staff

• Has Altered the way patients can comnicate with our and we can communicate with our patients

14 GPs (8.25 FTE)

8 Nurses

13 Support Staff(8.5FTE)

Counsellor (1FTE)

Practice Assistant

KARORI MEDICAL CENTRE LIMITED

History of Innovation

• Has Altered the way patients can comnicate with our and we can communicate with our patients

• 1976 established

• 1984 computerised

• 1987 capitated

• 1993 IPA

• 2002 PHO 35,000 patients

• 2016 Health Care Home

THE BEACONS ARE LIT!

MATT HANDLEYGroup Health, Seattle

PATIENT PORTALS

• IPAC CONFERENCE Wellington 2008

• Wellington 2012

Dr Tom Delbanco

IHI Conference,Paris 2014

FREQUENTLY ASKED QUESTIONS

• Patients Report:

• Better engaged

• Part of the team

• Better understanding

• Increased adherence to medication

• 77-87% report they feel more in control of their healthcare

• Better prepared for their next visit

• Able to share their records with family and cares

MEANWHILE BACK AT KMC

Patient Portal Culture

•

CLINICAL CHAMPION

COMMMITED TEAM

PATIENT PORTAL

• Has Altered the way patients can communicate with our and we can communicate with our patients

• Partners in care verses recipients of care

PARTNERSHIP

PATIENT PORTAL

• Breaks the Constraints of the 15 min face to face appointment

• Easier Access to timely advice

ACCESS

PATIENT PORTAL

• UNPLANNED CARE

• Getting further up the pipeline of acute demand

DEMAND

CAPACITY

PATIENT PORTAL

• PLANNED CARE

• Informed, Activated Patients

• Productive Interactions

PATIENT PORTAL

THE UPTAKE

THE ACTIVITY

THE ACTIVITY

THE ACTIVITY

THE ACTIVITY

WHAT PATIENTS THINK

• Brings the Patient much closer to the Doctor

• I feel much more part of the Medical Centre Team

• Builds trust between the Dr and Patient

• The ability to read your patient notes after a consultation because I don't always remember everything the Dr told me during the consultation

• Booking appointments is quicker and easier as you are able to see all the times available

WHAT PATIENTS THINK

• Getting lab results is way easier and less stressful than ringing the surgery

• I can log on any time I want without feeling like I am inconveniencing anyone.

• Saves travel time and money

• ManageMyHealth has made my experience at the Drs easier and faster

• Helps keep a feeling of control

WHAT PATIENTS THINK

THE COST

THE VALUE

THE FUTURE

• Activities based performance

30%

50%

THE FUTURE

• E-CONSULTATION

• VIRTUAL CONSULTATION

THE SYSTEM