Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity

Authors

DOI:

https://doi.org/10.30953/thmt.v9.462

Keywords:

Digital Health Navigator, digital health technologies, hospital, patient portal, telehealth

Abstract

Background: The implementation of telemedicine and digital health technologies in healthcare has increased, but patients still need help adopting and utilizing these technologies. To address this, a Digital Health Navigator (DHN) program was implemented to evaluate the benefits of improving patients’ adoption.

Objectives: To alleviate digital equity within hospitals, we introduced a holistic digital health navigator program designed to promote the utilization of digital tools among hospitalized patients.  To implement a DHN program to improve patient adoption of digital portals to engage in healthcare. To learn from the program to further develop patient-facing portal education for hospitalized patients to expand to other hospitals.

Methods: Over a period of thirty days, the DHN program conducted patient visits in two hospitals, on portal usage, collecting data, and adapting protocols based on patient feedback.

Results: Feedback from patients indicated 98% of patients found the education and the DHN to be helpful. 92% recommend the UPMC Central PA Portal for accessing their healthcare information. The DHN program proves beneficial in promoting portal usage and addressing technological barriers experienced by patients. We provide strategies and recommendations on how to implement such a program.

Discussion: We successfully implemented a digital health navigator program for hospitalized patients across two hospitals. Patients reported a positive perception and satisfaction with digital health navigator visits . Notably, our model overcomes challenges related to limited internet access and mitigates technology-related anxiety during hospital stays. The DHN program proved beneficial in promoting hospital portal usage and addressing technological barriers experienced by patients. Implementation and sustained adoption of digital technologies across a large healthcare organization can be achieved through a well-coordinated, team-based, and systematic approach with a DHN. We provide strategies and recommendations on how to implement such a program

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References

of a digital navigator in behavioral health: a systematic review.

Lancet Digit Health. 2023 Dec;5(12):e925–32. doi: 10.1016/

S2589-7500(23)00152-8

Carini E, Villani L, Pezzullo AM, et al. The impact of digital

patient portals on health outcomes, system efficiency, and

patient attitudes: updated systematic literature review. J Med

Internet Res. 2021 Sep 8;23(9):e26189. doi: 10.2196/26189

Dendere R, Slade C, Burton-Jones A, et al. Patient portals facilitating

engagement with inpatient electronic medical records: a

systematic review. J Med Internet Res. 2019 Apr 11;21(4):e12779.

doi: 10.2196/12779

Tapuria A, Porat T, Kalra D, et al. Impact of patient access to their

electronic health record: systematic review. Inform Health Soc Care.

Jun 2;46(2):192–204. doi: 10.1080/17538157.2021.1879810

Grossman LV, Masterson Creber RM, Ancker JS, et al.

Technology access, technical assistance, and disparities in inpatient

portal use. Appl Clin Inform. 2019 Jan;10(1):40–50. doi:

1055/s-0038-1676971

Julien HM, Eberly LA, Adusumalli S. Telemedicine and the

forgotten America. Circulation. 2020 Jul 28;142(4):312–4. doi:

1161/CIRCULATIONAHA.120.048535

Blount MA, Douglas MD, Li C, et al. Opportunities and

challenges to advance health equity using digital health

tools in underserved communities in Southeast US: a mixed

methods study. J Prim Care Community Health. 2023 Jan-

Dec;14:21501319231184789. doi: 10.1177/21501319231184789

Walker DM, Hefner JL, Fareed N, et al. Exploring the digital divide:

age and race disparities in use of an inpatient portal. Telemed J E

Health. 2020 May;26(5):603–13. doi: 10.1089/tmj.2019.0065

Sharma AE, Lisker S, Fields JD, et al. Language-specific challenges

and solutions for equitable telemedicine implementation

in the primary care safety net during COVID-19. J Gen Intern

Med. 2023;38(14):3123–33. doi: 10.1007/s11606-023-08304-2

Blanc J, Hahn K, Oliveira B, et al. Bringing health care equity

to diverse and underserved populations in sleep medicine and

research through a digital health equity framework. Sleep Med

Clin. 2023 Sep;18(3):255–67. doi: 10.1016/j.jsmc.2023.05.009

Jacob C, Sezgin E, Sanchez-Vazquez A, et al. Sociotechnical

factors affecting patients’ adoption of mobile health tools: systematic

literature review and narrative synthesis. JMIR mHealth

uHealth. 2022;10(5):e36284. doi: 10.2196/36284

Zoorob D, Hasbini Y, Chen K, et al. Ageism in healthcare technology:

the older patients’ aspirations for improved online accessibility.

JAMIA Open. 2022 Oct;5(3):ooac061. doi: 10.1093/

jamiaopen/ooac061

Jacob C, Sanchez-Vazquez A, Ivory C. Social, organizational,

and technological factors impacting clinicians’ adoption of

mobile health tools: systematic literature review. JMIR Mhealth

Uhealth 2020;8(2):e15935. doi: 10.2196/15935

Baumel A, Muench F, Edan S, et al. Objective user engagement

with mental health apps: systematic search and panel-based usage

analysis. J Med Internet Res. 2019;21(9):e14567. doi: 10.2196/14567

Kichloo A, Albosta M, Dettloff K, et al. Telemedicine, the current

COVID-19 pandemic and the future: a narrative review and

perspectives moving forward in the USA. Fam Med Community

Health. 2020 Aug;8(3). doi: 10.1136/fmch-2020-000530

Patel SY, Mehrotra A, Huskamp HA, et al. Trends in outpatient

care delivery and telemedicine during the COVID-19 pandemic

in the US. JAMA Intern Med. 2021;181(3):388–91. doi: 10.1001/

jamainternmed.2020.5928

Healthcare Information and Management Systems Society

(HIMSS). Electronic Medical Record Adoption Model (EMRAM).

[cited 2023 Oct 18]. Available from: https://www.himss.org/

what-we-do-solutions/digital-health-transformation/maturity-

models/electronic-medical-record-adoption-model-emram

College of Healthcare Information Management Executives.

Digital health most wired 2023 [cited 2023 Oct 18]. Available

from: https://chimecentral.org/chime-most-wired-2/

Office of the National Coordinator for Health Information

Technology. The ONC Cures Act final rule. [cited 2020 May

. Available from: https://www.healthit.gov/sites/default/files/

cures/202003/TheONCCuresActFinalRule.pdf

Rodriguez JA, Clark CR, Bates DW. Digital health equity as

a necessity in the 21st century cures act era. JAMA. 2020 Jun

;323(23):2381–2. doi: 10.1001/jama.2020.7858

Anthony DL, Campos-Castillo C, Lim PS. Who isn’t using

patient portals and why? Evidence and implications from a

national sample of US adults. Health Aff (Millwood). 2018

Dec;37(12):1948–54. doi: 10.1377/hlthaff.2018.05117

Wisniewski H, Gorrindo T, Rauseo-Ricupero N, et al. The role

of digital navigators in promoting clinical care and technology

integration into practice. Digit Biomark. 2020 Winter;4(Suppl

:119–35. doi: 10.1159/000510144

Graetz I, Gordon N, Fung V, et al. The digital divide and patient

portals: internet access explained differences in patient portal

use for secure messaging by age, race, and income. Med Care.

;54(8):772–9. doi: 10.1097/MLR.0000000000000560

Chen C, Ding S, Wang J. Digital health for aging populations.

Nat Med. 2023;29(7):1623–30. doi: 10.1038/

s41591-023-02391-8

Rising CJ, Jensen RE, Moser RP, Oh A. Characterizing the

US population by patterns of mobile health use for health and

behavioral tracking: analysis of the National Cancer Institute’s

Health Information National Trends Survey Data. J Med

Internet Res 2020;22(5):e16299. doi: 10.2196/16299

Bertakis KD, Azari R, Helms LJ, et al. Gender differences

in the utilization of health care services. J Fam Pract. 2000

Feb;49(2):147–52.

Kurani N, Ranji U, Salganicoff A, et al. Health care coverage

and access for men, 2013–2015. JAMA. 2015;313(24):2414. doi:

1001/jama.2015.6551

Published

2024-02-28

How to Cite

Saiyed, MD, MBA, S., Ng, MD, W. L., Cherry, M., Khattab, S., & Pathan, H. (2024). Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity. Telehealth and Medicine Today, 9(1). https://doi.org/10.30953/thmt.v9.462

Issue

Section

Original Clinical Research