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Bridging the integration gap between patient-generated blood glucose data and electronic health records.

Publication ,  Journal Article
Lewinski, AA; Drake, C; Shaw, RJ; Jackson, GL; Bosworth, HB; Oakes, M; Gonzales, S; Jelesoff, NE; Crowley, MJ
Published in: J Am Med Inform Assoc
July 1, 2019

Telemedicine can facilitate population health management by extending the reach of providers to efficiently care for high-risk, high-utilization populations. However, for telemedicine to be maximally useful, data collected using telemedicine technologies must be reliable and readily available to healthcare providers. To address current gaps in integration of patient-generated health data into the electronic health record (EHR), we examined 2 patient-facing platforms, Epic MyChart and Apple HealthKit, both of which facilitated the uploading of blood glucose data into the EHR as part of a diabetes telemedicine intervention. All patients were offered use of the MyChart platform; we subsequently invited a purposive sample of patients who used the MyChart platform effectively (n = 5) to also use the Apple HealthKit platform. Patients reported both platforms helped with diabetes self-management, and providers appreciated the convenience of the processes for obtaining patient data. Providers stated that the EHR data presentation format for Apple HealthKit was challenging to interpret; however, they also valued the greater perceived accuracy the Apple HealthKit data. Our findings indicate that patient-facing platforms can feasibly facilitate transmission of patient-generated health data into the EHR and support telemedicine-based care.

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Published In

J Am Med Inform Assoc

DOI

EISSN

1527-974X

Publication Date

July 1, 2019

Volume

26

Issue

7

Start / End Page

667 / 672

Location

England

Related Subject Headings

  • Telemedicine
  • Systems Integration
  • Self Care
  • Physicians
  • Patient Generated Health Data
  • Medical Informatics
  • Humans
  • Electronic Health Records
  • Diabetes Mellitus, Type 2
  • Communication
 

Citation

APA
Chicago
ICMJE
MLA
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Lewinski, A. A., Drake, C., Shaw, R. J., Jackson, G. L., Bosworth, H. B., Oakes, M., … Crowley, M. J. (2019). Bridging the integration gap between patient-generated blood glucose data and electronic health records. J Am Med Inform Assoc, 26(7), 667–672. https://doi.org/10.1093/jamia/ocz039
Lewinski, Allison A., Connor Drake, Ryan J. Shaw, George L. Jackson, Hayden B. Bosworth, Megan Oakes, Sarah Gonzales, Nicole E. Jelesoff, and Matthew J. Crowley. “Bridging the integration gap between patient-generated blood glucose data and electronic health records.J Am Med Inform Assoc 26, no. 7 (July 1, 2019): 667–72. https://doi.org/10.1093/jamia/ocz039.
Lewinski AA, Drake C, Shaw RJ, Jackson GL, Bosworth HB, Oakes M, et al. Bridging the integration gap between patient-generated blood glucose data and electronic health records. J Am Med Inform Assoc. 2019 Jul 1;26(7):667–72.
Lewinski, Allison A., et al. “Bridging the integration gap between patient-generated blood glucose data and electronic health records.J Am Med Inform Assoc, vol. 26, no. 7, July 2019, pp. 667–72. Pubmed, doi:10.1093/jamia/ocz039.
Lewinski AA, Drake C, Shaw RJ, Jackson GL, Bosworth HB, Oakes M, Gonzales S, Jelesoff NE, Crowley MJ. Bridging the integration gap between patient-generated blood glucose data and electronic health records. J Am Med Inform Assoc. 2019 Jul 1;26(7):667–672.
Journal cover image

Published In

J Am Med Inform Assoc

DOI

EISSN

1527-974X

Publication Date

July 1, 2019

Volume

26

Issue

7

Start / End Page

667 / 672

Location

England

Related Subject Headings

  • Telemedicine
  • Systems Integration
  • Self Care
  • Physicians
  • Patient Generated Health Data
  • Medical Informatics
  • Humans
  • Electronic Health Records
  • Diabetes Mellitus, Type 2
  • Communication