July JAMIA Journal Club Webinar

July 13, 2017
3:00PM
4:00PM
EST
Fee: 
Free for AMIA members and students of Academic Forum member institutions; Others: $50
Presenters: 
Sara L. Ackerman, PhD, MPH

Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California

Sara L. Ackerman will discuss this month's JAMIA Journal Club selection:

Sara L. Ackerman, Urmimala Sarkar, Lina Tieu, Margaret A. Handley, Dean Schillinger, Kenneth Hahn, Mekhala Hoskote, Gato Gourley, Courtney Lyles. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. Am Med Inform Assoc ocx015. DOI: https://doi.org/10.1093/jamia/ocx015

Presenter

Sara L. Ackerman, PhD, MPH
Assistant Professor
Department of Social and Behavioral Sciences
University of California, San Francisco, School of Nursing
San Francisco, CA

Sara L. Ackerman has been Assistant Professor at the UCSF SON’s Department of Social and Behavioral Sciences since 2014. She is the 2013 recipient of the AMIA Diana Forsythe Award, honoring her work on the paper “Benefit or burden? A sociotechnical analysis of diagnostic computer kiosks in four California hospital emergency departments.” The award honors content that best exemplifies the spirit and scholarship of Diana Forsythe’s work at the intersection of informatics and social science.

Dr. Ackerman’s research focuses on the sociocultural and ethical implications of emerging technologies and their translation into clinical practice. Her interests include medical anthropology, science and technology studies, genetics and genomics, community-engaged research, ethnography, and mixed methods.
 

Format

  • 40-minute discussion between the authors and the JAMIA Student Editorial Board moderators including salient features of the published study and its potential impact on practice.
  • 20-minute discussion of questions submitted by listeners via the webinar tools.

Interactive/Evaluations

  • Follow @AMIAinformatics and #JAMIAJC for Journal Club information.
  • Participants also receive short feedback surveys to evaluate the JAMIA JC webinar.

Managers

JAMIA Journal Club managers are JAMIA Student Editorial Board members:

Daniel R. Schlegel, PhD, Visiting Assistant Professor in the Computer Science Department at SUNY Oswego, Oswego, NY.


Mattias Georgsson, Doctoral Student, Blekinge Institute of Technology, Sweden


Citation

The PubMed citation for the paper under discussion is:

Sara L. Ackerman, Urmimala Sarkar, Lina Tieu, Margaret A. Handley, Dean Schillinger, Kenneth Hahn, Mekhala Hoskote, Gato Gourley, Courtney Lyles. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. Am Med Inform Assoc ocx015. DOI: https://doi.org/10.1093/jamia/ocx015 

Students who are not AMIA members, but whose academic institutions are members of the Academic Forum, are eligible for a complimentary JAMIA Journal Club registration. Please contact Susanne Arnold at susanne@amia.org for the discount code. In the email, please include: full name, Academic Department, and the primary Academic Forum representative of that Academic Department. Note that AMIA Student memberships are $50, which allow access to JAMIA, all JAMIA Journal Clubs, and other webinars of interest to the biomedical informatics community. 

Statement of Purpose

CMS modified Meaningful Use rules for the EHR Incentive programs to include the core objective to “provide patients with the ability to view online, download, and transmit their health information…” The intended result was that patients would access portals, increasing engagement with their health care, ultimately resulting in improved provider workflow and better patient outcomes. These goals made sense with a tech-savvy population.

However, this first known study of the use of patient portals in safety net health systems revealed the unintended consequences of this MU initiative. Barriers to achieving MU’s assumptions of improved quality of care included English-only EHRs, patient populations with limited English or health literacy, limited proficiency with digital technologies, and limited patient trust in the system’s ability to keep their information, eg, about immigration status, confidential.

Lead author Sara Ackerman discusses how MU’s assumptions about patients’ pent-up demand for electronic access to health information posed unique barriers to patient portal integration with safety net health system patients and providers.

Target Audience

The target audience for this activity is professionals and students interested in biomedical and health informatics.

Learning Objective

After this live activity, the participant should be better able to:

  • Describe the impact of federal Meaningful Use incentives on EHR patient portal implementation activities at community clinics serving low-income populations in California
  • Explain why Meaningful Use benchmarks were achieved without significant uptake of patient portal services among patients
  • Design potential solutions that aim to narrow the digital divide for patient populations in the safety net health system setting

Faculty

Sara L. Ackerman, PhD, MPH
Assistant Professor
Department of Social and Behavioral Sciences
University of California, San Francisco, School of Nursing
San Francisco, CA

Accreditation Statement

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

The American Medical Informatics Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Criteria for Successful Completion

Completion of this live activity is demonstrated by:

  • Viewing the live webinar
  • Optional submission of questions via webinar feature; option to follow @AMIAinformatics and tweet via #JAMIAJC
  • Completion of the evaluation survey emailed at the webinar's conclusion, and 
  • Verification of attendance through the participant's electronic report through the individual login to AMIA Central at www.amia.org. 

The physician participant will be able to generate a CME certificate through the AMIA automated system. 
For a certificate of completion, contact Pesha@amia.org.

Commercial Support

No commercial support was received for this activity.

Disclosure Policy

As a provider accredited by the ACCME, AMIA requires that everyone who is in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest for 12 months prior to the educational activity.

The ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an individual with no relevant financial relationship(s), the participants must be informed that no conflicts of interest or financial relationship(s) exist.

AMIA uses a number of methods to resolve potential conflicts of interest, including: limiting content of the presentation to that which has been reviewed by one or more peer reviewers; ensuring that all scientific research referred to conforms to generally accepted standards of experimental design, data collection, and analysis; undertaking review of the educational activity by a content reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicators of integrity, and absence of bias; monitoring the educational activity to evaluate for commercial bias in the presentation; and/or reviewing participant feedback to evaluate for commercial bias in the activity.

Disclosures for this Activity

These faculty, planners, and staff who are in a position to control the content of this activity disclose that they and their life partners have no relevant financial relationships with commercial interests: 

JAMIA Journal Club planners: Daniel R. Schlegel, Mattias Georgsson
AMIA staff: Susanne Arnold, Pesha Rubinstein
Faculty: Sara L. Ackerman

JAMIA Journal Club planner Michael Chiang discloses the following relevant financial relationships with commercial interests that have occurred within the previous 12 months:
Grants/Research Support: Research to Prevent Blindness; National Institutes of Health
Other Financial or Material Support: Clarity Medical Systems (unpaid member of Scientific Advisory Board)
Consultant: Novartis

Instructions for Claiming CME/CE Credit

CME site (MyAMIA) works best with IE 8 or above version, Chrome, Safari, and Firefox.

  • Login to your account at amia.org; in upper right hand corner, click on AMIA Central
  • Go to “My Events" under Membership/Activities
  • Click “Apply for Credits" for this webinar
  • Follow the instructions on the Credit Registration page. Be sure both drop-down menus say “physician”
  • To print out your certificate, go to "My CME/CE Credits" under Membership/Activities.
  • Physicians will be able to print out or save their CME certificates.
  • Other attendees: if you require a certificate of participation, please contact pesha@amia.org

Contact Info

For questions about content or CE, email pesha@amia.org.