Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3

This study uses a newly published, evidence-based conceptual model to study the determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an asthma portal, MyAsthma, in the national, Agency for Health Care Research and Quality(AHRQ)-funded, Center for Pediatric Practice Research and Learning. Technically, the portal will be implemented with 2 innovative approaches that facilitate rapid cycle evaluation in multiple Electronic Health Records (EHRs). Although many patient portals are simple vehicles for transferring information about upcoming appointments, test results or laboratory findings, the asthma portal in this project extends this basic functionality to provide asthma education, collect patient-reported outcomes, evaluate medication use and side effects, and track parents' preferences and goals. Because asthma is an AHRQ priority condition which addresses three AHRQ priority criteria (children, low income, and special health care needs), our study will use this population to focus on stage 3 Meaningful Use (MU3) objectives. It is the hope that by conducting this study, translational knowledge will be gained to make recommendations for practice implementation and actionable policy statements.

Inclusion criteria

For Parents/Guardians:

• Parent/guardian of a child who:

• Is between the ages of 6-12 years old
• Has a diagnosis of asthma on his/her problem list at the time of recruitment
• Has had an office visit with asthma as a diagnosis within the past 12 months
• Must be able to speak and read English

Exclusion criteria

For Parents/Guardians:

• Child has not had an office visit for asthma with in the last 12 months
• Parent or guardian does not speak or read English