Alberta’s Personal Health Record Platform
www.MyHealth.Alberta.ca
eHealth 2013
May 27, 2013
Agenda
• Current Status
• User Engagement
• Communications
• Personal Health Record Solution
• Benefits Evaluation
• Demonstration
• Q&A
2
Personal Health Portal Vision
“MyHealth.Alberta is the Alberta source for trusted
health information and secure on-line health
services that will empower Albertans in managing
their health and wellness”
3
Program Goals
• The Alberta Personal Health Portal (MyHealth.Alberta.ca) is intended
to provide the following benefits to Albertans, their health care
providers and the health care system:
– Albertans will have an improved ability to proactively manage their
wellness and health.
– Albertans will have an improved ability to access the health services
available to them.
– Patients and clinicians will have an improved ability to interact with one
another.
– Patients can more effectively participate in managing their treatment.
– Albertans can more effectively engage the support of, and assist others,
in treatment.
– Health system efficiencies will be increased.
– The health system will be more informed of Albertan’s health care
experience.
Current Usage
120000
Monthly Visits
100000
80000
2012
60000
2013
2011
40000
20000
0
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
User Engagement
Multiple ways to provide feedback
6
Reporting
Public Advisory Group
• Governance Review
• Competitive Process
• Open to all Albertans
• First meeting April 4th, 2013 in Edmonton
• Demographic Coverage
8
Clinical Engagement
• Integrated Clinical Working Group – PHP Subgroup
– Physicians, Nurses, Specialists, Pharmacists, Physiotherapists, Clinic
Managers, HealthLink Representation
• Personal Health Portal Steering Committee
– Alberta Medical Association, College of Physicians and Surgeons,
College of Alberta Registered Nurses, Alberta College of Pharmacists
9
Communications Strategy
• Public and Provider messages
• Awareness of EHR
• Patient rights and responsibilities
• Leading up to public availability of PHR
10
MyHealth.Alberta.ca Personal Health
Record
• A collection of Common Off The Shelf (COTS) products
Instant
PHR
Healthvault
Integrator
Netcare
EHR
HealthVault
11
MyHealth.Alberta.ca Personal Health
Record – Identity and Authorization
• Current Environment
Albertan
Microsoft
Account
Identity
Service
HealthVault
SharePoint 2010
12
MyHealth.Alberta.ca Personal Health
Record – Identity and Authorization
• Future Environment
Albertan
GoA
Identity
HealthVault
SharePoint 2010
Trust
Relationship
13
Benefits Evaluation
- Framework
Functionality
Performance
Security
Use
•
•
•
Use Behaviour /
Pattern
Self Reported Use
Intention to Use
Information Quality
•
•
Content
Availability
User Satisfaction
•
•
•
Service Quality
•
Quality
•
•
System Quality
•
•
•
Net Benefits
Responsiveness
Competency
User Satisfaction
Ease of Use
•
Patient Safety
Appropriateness/Effecti
veness
Health Outcomes
Access
•
•
Ability of
Patients/Providers to
Access Services
Patient and Caregiver
Participation
Productivity
•
•
•
Efficiency
Care Coordination
Net Cost
Organizational and Context Factors: Strategy, Culture, and Business Process – Out of Scope
14
PHP BE embedded throughout the
development and deployment lifecycle.
15
BE Multi-Methods
• Pre-Design:
• Persona development / circle of care models
• Design:
• Usability testing and Usability inspection
• Deployment:
• Patient interviews and discussion groups: patient experience
with use of PHR
• Provider discussion groups: experience / impact of PHR on
practice
• PHR usage statistics: to confirm which widgets are used and
frequency / timing of use
16
Multi-methods to assess from early
adoption to later adoption benefits
17
Phase 1 Evaluation
MyHealth.Alberta.ca Knowledge Portal
General Albertan Survey
– Assessment of MyHealth.Alberta.ca Awareness
– Baseline snapshot of Alberta general population health information seeking
and internet behaviour
– Summer of 2011
– 396 Participants
Results:
• 93% used the Internet to look up
health-related information
• 72% agreed that online health
resources provided answers more
quickly than other means
• 75% agreed that online health
resources increased knowledge of
a health condition
18
Phase 1 Evaluation
MyHealth.Alberta.ca Knowledge Portal
Alberta PHP Embedded Web Survey
– Assessment of Use and Experience
– Rank MyHealth.Alberta.ca pages from 1 to 5 and answer three
questions to assess visitor experience:
1. Did this page provide you with the information you needed?
2. Do you feel this information will help you make better health choices?
3. Will this information help you when talking with your doctor or other health care
professional?
Results:
•
•
•
•
•
•
September, 2012 – Present
Feedback tools used 4,925 times by 4,695 unique visitors (to date)
Overall page ranking: 3.59 out of 5
Question 1 ranking: 68%
Question 2 ranking: 70%
Question 3 ranking: 69%
19
Phase 2 Evaluation
Usability
• Usability Inspection
– Cardiac Persona
• User Acceptance Testing
– Part of internal evaluation
• Usability Testing
– 14 Victoria participants (no previous exposure to PHR)
– 7 PHP participants (previously involved in PHR activities)
• Focus Group
– 14 PHP participants
20
Phase 2 Evaluation
Usability Results
• Five key areas of improvement identified:
1.
2.
3.
4.
5.
Information Architecture
Missing Content / Functionality
Presentation
Functionality of Existing Content
Login Process
21
Phase 2
Deployment Evaluation
• Cardiac Wellness Institute of Calgary
–
–
–
–
User experience interviews
User experience discussion groups
Provider discussion group
Follow-up user experience interviews
22
What’s Next
• Improve:
•
•
•
•
Login and registration process
User Experience within PHR
Search and content presentation
Personal medical device connectivity
• Develop
•
•
•
Strategy for verification of users
Communication strategy
Mobile device support
23
Demonstration
24