Patient-centered Care Clinical Trial
Official title:
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:
1. 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;
2. 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
3. To develop model Wellness Portal practices and disseminate the Wellness Portal
technology and knowledge derived from Aims 1 and 2 findings.
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.
Specific Objectives:
- 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.
Specific Objectives:
- Assess the impact of the Wellness Portal on patient-centered care:
1. Assess the impact of the Wellness Portal on patient activation and the medical
home;
2. 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;
3. 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.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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