Barriers faced by patients with diabetes can prevent them from adhering to their prescribed plan of care. An aspect of the clinical encounter that detracts from patient-provider engagement is the work required for a provider to collect and document a patientâs interval medical history. A workflow that allows patients to complete a computerized Before Visit Questionnaire (BVQ) prior to their clinic visit can support communication during a clinical encounter by highlighting the patient's barriers to adherence and using the patient's responses to facilitate provider documentation. We created a patient facing BVQ to collect information about patientsâ histories and barriers in a format that could generate a summary note for their provider. Patients agreed that the BVQ helped prepare them for their clinic visit (79%) and improved their clinic visit (80%). All providers agreed it was beneficial to review a generated interval summary prior to their patient encounter. Analysis of notes produced by the providers before and after their patients completed BVQs reveals that use of BVQs increased provider documentation about patient adherence problems and barriers. Providers that incorporated the generated summaries into their clinic notes did 50% less additional typing to document histories. This research demonstrates that a workflow that supports the practice of using patient completed BVQs to produce provider documentation is agreeable to both providers and patients. Patient completed questionnaires to generate provider documentation is an effective method of supporting communication and facilitating care.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-09232017-161200 |
| Date | 25 September 2017 |
| Creators | Kumah-Crystal, Yaa A |
| Contributors | Qingxia (Cindy) Chen, Ph.D., Laurie Novak Ph.D., M.H.S.A., S. Trent Rosenbloom, M.D., M.P.H. |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-09232017-161200/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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