EHRs of more than 44,000 patients at two geographically diverse pediatric specialty clinics were analyzed to identify 1) patients approached for patient portal access and 2) activated the portal. There were moderate activation rates (19.3%); primary language, race/ethnicity, and site were significantly associated with portal adoption (p<0.001). As patients and relatives are increasingly responsible for scheduling their appointments, following laboratory results, and communicating with their providers electronically, it is critical that we address engagement barriers so patients and their caregivers are able to meaningfully utilize the health information technology.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Participants will gain greater understanding of the lack of uniformity of pediatric patient portal activation in two large pediatric health systems as well as demographic variables associated with activation patterns. Participants will see how EHR audit data was combined across multiple sites to examine portal activation and patient engagement patterns. Finally, the presentation will also consider ongoing logistics and legal issues retarding and restricting data sharing, which curtail the use of the EHR data for clinical improvement and research.


Ruth Bush (Presenter)
Rady Children's Hospital

Vijaya M. Vemulakonda, Children's Hospital Colorado
Andrew Richardson, Rady Children's Hospital
Sara Deakyne Davies, Children's Hospital Colorado
George J. Chiang, Rady Children's Hospital

Presentation Materials: