The Patient Portal—Help or Hindrance?

Posted by Becky, Volunteer Mentor @becsbuddy, Nov 1, 2022

We’ve always talked about quick access to all the information we want, when we want it. Gone are the days of ‘snail’ mail and encyclopedias. Now we have Patient Portals! And they are here to stay!

In 2016 the Cures Act went into effect, but the part that pertained to access to patient records wasn’t effective until April 2021. The Dept of Health and Human Services began enforcing the rule which declared that a hospital or doctor must allow access to a person’s health information. Failure to do so could result in fines for the doctor and hospital. Thus, the Patient Portal.

The result is that as soon as you have lab work, x-rays, CT scans, or a diagnostic test, YOU will receive the information (often before the doctor does.). This has led to much confusion and fright for many patients. A test result, read by a patient, out of context, or without a doctor’s explanation, can lead to confusion and anxiety and un-necessary emotional harm. I know this personally, when I received the results of my MRI well before my doctor. Seeing a report that stated “new lesions in areas of the brain,” really freaked me out!

In today’s world of instant gratification with computers, the emotional cost of instant access can be high.

- How have you been able to handle reports on the Patient Portal? What suggestions do you have for other members?

Interested in more discussions like this? Go to the Just Want to Talk Support Group.

Well, Nutmeg, you will be sadly surprised out there when you actually need care. Doctors and surgeons give us extremely limited time. If their nurses and staff can deal with us, you best believe they will. Gone are the days that you speak to your doctor directly. My friend has to wait 3 months to see her family doctor.

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I like having the instant gratification from the portal. I make notes to ask my doctor about.. but I do let the information marinate before digesting.

For me it’s a tool that allows me ease of communicating with my healthcare team..

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@ce1b

I like having the instant gratification from the portal. I make notes to ask my doctor about.. but I do let the information marinate before digesting.

For me it’s a tool that allows me ease of communicating with my healthcare team..

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@ce1b such a perfect use of the portal!

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@ellisaa

I totally agree. Sorry you and your husband are dealing with this. At least you are with the very best medical yeam in USA!! I will pray for each of you. HE IS ALWAYS HERE FOR US AND OUR DOCTORS. MAY HE BLESS EACH OF YOU!!!!!

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Hi ellisa!
Thank you for the kind comments and prayers! That was so nice of you! You are so right! God is there for us and our doctors always! We are not fortunate enough to be at the Mayo Clinic because we live in Edmonds, Washington. However we do go to a very good hospital, the University of Washington Medical Center in Seattle, Washington which is 15 miles south of Edmonds. It has great doctors there and my husband gets excellent care. However, I do research his cancer and treatment on the Mayo Clinic because I know I am getting the very best advice and I do! I also research my own physical problems such as incontinence on the Mayo Clinic website. We are so lucky to be able to do that! This forum has been great! I get good advice and suggestions and also get to meet nice people like you!
Thanks so much!
PML

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Yes the University of Washington is awesome. My sister in law was treated fo cancer there and they really took good care of her, 4 years later is doing great. I live in billings,mt. St. Vincent health care and billimgs clinic are well regarded. I will continue the prayers for both of you

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@sandybrogdon

When I got the appointment with my breast cancer surgeon, she sent a letter out giving her contact info as well as that of her nurse and two nurse practitioners. In the letter, she clearly stated that I would see her on the day of surgery but not after unless absolutely necessary. All of my follow ups have been with her staff.

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I hear you. I had a heart problem a few years back and was wearing a device to measure my heart. I had questions for my cardiologist and was told that he would answer all my concerns at my next appointment. I could only speak to the nurse there. Didn't really feel I was getting the level of care that would have put me at ease.

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I find the patient portal to be a wonderful tool for tracking and taking care of my health. How else can we be advocates for ourselves without this information! We need to be involved in our care so WE can make the best decisions after looking at all the facts.

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This is such a great topic and very important in regards to healthcare. Thanks for bringing this up.
I do not use a digital medical records account with any Dr or hospital. This is consistent with also not doing on-line banking. Despite what the public is told, there is no such thing as Internet Security. Years ago, every device, account+ communication of mine was hacked by a notorious hacker group. I lost a huge amount of assets AND my privacy was so exposed that it made me a target of other things.
I have informed my Dr that I want all seriously bad medical reports related to me in his office. Not even by telephone. I'm glad I did this when I got a phone call which started "About your MRI .." It was of the brain. I stopped him right there and said " I have an appointment in 5 days. I'll discuss it then please, not now. And I have to go now." Because I need to be in a situation where I can absorb the information, process it and gain stability thru dialog when the news is potentially disruptive to my life. WEBMD is great for many things but it doesn't take the place of a Drs judgment into a specific patient's status.
Digital records are good for intra- medical sharing such as if you show up in the ER. But they are not a benefit to me directly.

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@rsfcowgirl

This is such a great topic and very important in regards to healthcare. Thanks for bringing this up.
I do not use a digital medical records account with any Dr or hospital. This is consistent with also not doing on-line banking. Despite what the public is told, there is no such thing as Internet Security. Years ago, every device, account+ communication of mine was hacked by a notorious hacker group. I lost a huge amount of assets AND my privacy was so exposed that it made me a target of other things.
I have informed my Dr that I want all seriously bad medical reports related to me in his office. Not even by telephone. I'm glad I did this when I got a phone call which started "About your MRI .." It was of the brain. I stopped him right there and said " I have an appointment in 5 days. I'll discuss it then please, not now. And I have to go now." Because I need to be in a situation where I can absorb the information, process it and gain stability thru dialog when the news is potentially disruptive to my life. WEBMD is great for many things but it doesn't take the place of a Drs judgment into a specific patient's status.
Digital records are good for intra- medical sharing such as if you show up in the ER. But they are not a benefit to me directly.

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I have a question I guess really for the moderators. I have read you can opt out of automatic sharing for EHR, predominantly Epic, by notifying your regional health information exchange but can not find the way to do this. I find it disconcerting that a doctor may, for an opinion or diagnosis, base it on another doctor’s note in Epic that was from a different hospital system and for which I did not give him/her consent to do. Not to mention doctors notes I cannot see unless I specifically request these “hidden” notes. There is most likely a reason I am going to a different hospital system in the first place. Does anyone have any ideas about this?

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This is a great topic. Technology now gives us so many options.. all information from all over the world, on any topic is at our finger tips.
I love the patient portal. I love i can link it to the portals of my primary doctor or other providers.
I just love the convenience and the 24/7 access to my information.
I had no less than 6 tests and visits in 1 day. It was frightening. I was able to keep track of each step, got the results as they were available.
Ultimately the doctors still called me at the end of the day to give me details and explain next steps. Technology does not replace the human factor but completes it, enhances it.

Not all information is released automatically. This addresses critical updates that could cause untimely and sometimes unecessary anxiety.
I had a hysterectomy after a cancer diagnosis. Tissue was sent for detailed diagnosis on the type of cancer. I saw on the surgery notes that the doctors requested the results be released manually to them.
At first i was frustrated. But not all information can be absorbed and processed efficiently by just reading alone when you are directly impacted .. and lets be honest, when you are not medically trained.
I am glad i had to wait for the phone call and the explanations.

So .. yeaaaah go team patient portal … and yeeaaaah go team doctors.

I have to add … patients portals are not all the same across providers … and technology only works the way the “owners” decide to use it.
Mayo Clinic is i think doing a great job. My primary doctor’s network is pretty good too.
I cannot say the same for another provider i have seen for 25 years regularly. Nothing to say against the medical care.
Oh they have a portal .. you can log in. .. it just is empty… nothing except for the personal information you input yourself. I decided to formally request all my medical records from them. Ironically, they scanned documents and posted them on a totally different portal…. Go figure.

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