How to optimize a patient portal for Meaningful Use Stage 3

Federal regulations for the program require more use and interaction, and providers will need to work harder—and smarter—to make get patients engaged.


Most healthcare organizations offer patient portals that enable patients to schedule appointments, easily access their medical information, pay bills, request prescription refills and even message their physicians. They are also becoming increasingly important to providers in preparing to meet the latest Meaningful Use requirements.

Patient portal requirements for Meaningful Use Stage 1 were fairly minimal, but Stage 2 presented a tougher task. Organizations now needed patients to actually use their portals, and immediately it became clear that some patients were hesitant.

This wasn’t a technology issue, but an education issue, both within and beyond hospitals’ walls. Caregivers weren’t brought up to speed and therefore could not effectively educate patients on the benefits of being engaged. Patients were expected to enroll on their own, and then did not. These issues still remain and hamper adoption.

Now, as providers prepare for Meaningful Use Stage 3, they are at a new crossroads. Stage 3 requires a great deal more portal usage and interaction, and for this to be successful, even more work lies ahead.

But this shouldn’t be so difficult. When baby boomers have been polled in recent years, the majority of them say they would absolutely use patient portals to schedule appointments, review test results and ask their physicians questions. This is encouraging news. When the aging population aligns with the millennials already accessing this technology, the path to success is much clearer—that is, if they get help signing up and with ultimately understanding how the portal benefits them.

Meaningful Use Stage 3 provides both a carrot and a stick, but it is clear neither should be the impetus for portal use. Simply put, overall patient engagement is the right thing to do. Patient populations want to be more involved in their health, to be the center of their care team, and there is every reason to support them in this endeavor.

Before providers start educating patients on the portal, they need to make sure it is providing them with the tools they want and need. The tools have to combine a high level of the functionality patients want, with a user-friendly interface. The more complex and overly complicated a portal is, the less likely it is that patients will stay engaged with them. Online scheduling and access to health data are two of the top functions that patients want to have included in their portal.

Providers must develop a two-fold education approach to get patients on the portal and engage in meaningful care collaboration. First, an organization needs to implement an internal education strategy that puts its entire staff on the same page, followed by an external education plan to reach patients.

Educating your team
\A basic knowledge of what your patient portal can do might seem elementary, but you may be surprised how often the full breadth of functionality isn’t on your team’s radar. For caregivers to be diligent in promoting the portal, they need to be knowledgeable on what the portal can actually be used for. What are your patients going to see when they log in? What are the key areas patients will want to access? How can your physicians respond back to patient inquiries?

Nurses are your first line of communication here, as they have the most face time with patients. We all know how busy nurses are, but even something as simple as a quarterly education session for nursing staff to learn the basics of your portal can help empower nurses to share the resource with their patients.

Physicians and executives should also be in the trenches advocating the portal. When physicians suggest the portal, or even help set the portal up, it gives the patient an extra layer of confidence in the technology. Furthermore, patients are more likely to access labs or send messages through the portal when a physician suggests that they do so and actually responds to messages sent via the portal.

Educating your patients
Now is the time for staff-driven efforts to make the difference. Nurses can be your biggest assets for promoting the portal in your hospitals and clinics. Showing a patient where in their portal lab results can be found, or even something as simple as writing the portal’s URL on the whiteboard of the patient room, can increase patient interest and have an impact on adoption.

With your clinicians on board, next you can get your marketing team involved. You can start with a signage campaign, by strategically hanging posters anywhere in your physical space patients might be: entryways, waiting areas or where blood is drawn. What about your reception staff? Staff at the intake desk can wear buttons bearing the question “Have you signed into your patient portal yet? Ask me!” and it really works.

If you hold regular wellness fairs for the larger community, caregivers can show off the portal and actually help patients sign up, then guide them through the features. This one-on-one personal touch will get people using the portal.

Creating a more dynamic patient experience can only help. Patient engagement is now being taught in nursing school. The upcoming generation of caregivers and patients are expecting communication channels like patient portals, and by catering to that now, and for the right reasons, providers can benefit as well.

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