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Patient Access to Online Health Action Plans Enhances Rate of Preventive Care

A large study demonstrated that health plan members who accessed their health information online and received timely alerts about potential gaps in care were more likely to receive preventive tests and screenings than those who did not use the service. The Kaiser Permanente study was published in the American Journal of Preventive Medicine.

In the study, researchers analyzed the EHRs of 838,638 Kaiser Permanente members in Southern California. About 40% of these members were users of the online Patient Action Plan, or oPAP, a secure, Web-based system that provides access to personalized health information and e-mails members if they need preventive care. For example, the online tool flags the date of a patient's last colorectal cancer screening and the date of the next recommended screening. It also provides information about specific health conditions, such as links to smoking-cessation programs for smokers and to weight-management materials for members with elevated body mass index.

Researchers found that members who had online access to their health information were more likely to participate in certain preventive measures. For example, patients who used the online tool were 9% more likely to receive a mammogram and be screened for colorectal cancer than nonregistered members. In addition, they were 6% more likely to receive a Pap smear and 12% more likely to schedule complete routine HbA1c testing for diabetes.

"Making sure patients receive appropriate tests and screenings is a critical part of providing high-quality health care, but it can be challenging and time-consuming to get patients to follow through due to a variety of reasons," says the study's lead author Shayna L. Henry, PhD, of the Kaiser Permanente Southern California Department of Research & Evaluation. "Our study demonstrates that by creating a customized and personalized communication to patients about their care needs, health care providers can directly engage patients and close important gaps in care, particularly for preventive screenings for cancer."

The online tool is part of My Health Manager, Kaiser Permanente's online portal that provides members access to their health information and tools such as online appointment scheduling, prescription refill, and secure e-mail messaging with doctors. Kaiser Permanente patients in Southern California using the online Patient Action Plan tool logged more than 4 million page views in 2015.

"The success of the online tool is encouraging for the development of patient-enabled health-management tools within Kaiser Permanente and other health systems," Henry says.

Other authors of the study include Ernest Shen, PhD, and Michael K. Gould, MD, with Kaiser Permanente Southern California Department of Research & Evaluation in Pasadena, California; and Andre Ahuja, MS, and Michael H. Kanter, MD, of Kaiser Permanente Southern California Permanente Medical Group Clinical Operations in Pasadena.

Source: Kaiser Permanente