Download Cleveland Clinic Mychart

Conclusions: Patients undergoing endourology procedures who use MyChart make fewer telephone calls and are significantly less likely to have an unscheduled clinic/emergency department visit or a complication.

Patients may be billed for MyChart messages with Cleveland Clinic physicians, nurse practitioners, physician assistants, clinical nurse specialists and optometrists based in Ohio, Nevada, Cleveland Clinic Weston and Cleveland Clinic Indian River, the health system said.

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It will bill for messages that require more provider clinical time and expertise, including those regarding changes to medications or a long-term condition, new symptoms, check-ups on long-term conditions and requests to complete medical forms.

WHY IT MATTERS

The tool, built using de-identified retrospective clinical data from more than 11,000 Cleveland Clinic patients in Ohio and Florida, is designed to help manage limited healthcare resources by enabling patients to make more informed decisions about when to seek care.

THE LARGER TREND

Dr. Jehi was hired for the newly-created role of CRIO at Cleveland Clinic in January, tasked with innovating its network infrastructure and digital deployments and optimizing its IT to enable more innovative clinical research.

She's helped develop many algorithms for clinical decision support that are being used and expanded at providers around the world. Epic has also worked with other organizations to develop COVID-19 clinical decision support models and distribute them to its customers.

ON THE RECORD

"With MyChart, patients can now determine the likelihood that they have COVID-19 using a trustworthy, clinically validated calculator," said Trevor Berceau, director of MyChart R&D at Epic. "These risk scores are shared automatically with healthcare providers, who can then follow up with patients as needed. Cleveland Clinic's model helps their patients, and they are sharing it with health systems throughout the global Epic community."

The Clinic will not charge for all messages, "just those messages that require a provider to make a clinical assessment or medical decision, order a test or medication, or review medical history in order to respond to the patient," a hospital spokesperson wrote in an email.

Someone with Medicare would probably pay between $3 and $8 for a message, said a clinic spokesperson. If someone has Medicare but also carries secondary insurance would likely pay nothing. Most private insurances cover these messages, but if a patient has a deductible or if these messages aren't covered by their plan they could owe between $33 and $50.

Patients complete a short self-assessment in MyChart, documenting information like symptoms they are experiencing and potential exposure to COVID-19. The model uses that information, as well as clinical and demographic data already in their electronic chart, to calculate their score. Patients with high risk for having COVID-19 are advised to receive a test, and their care team members can be automatically notified of a high-risk score.

Now at least seven other health systems nationwide have also started billing patients for some types of messages sent over patient portals, including those about new symptoms, prescription issues, and those that require extensive time from a clinician to review a patient's medical history.

At Cleveland Clinic, patients with a deductible (over half of private-sector Americans in 2020) and those without insurance (26.4 million people in 2022) face charges of up to $50. A spokesperson for Ohio State University Wexner Medical Center in Columbus told cleveland.com that some patients could face charges of up to $160.

While UH has not yet determined the costs associated with the billable messaging feature, it noted that the system may replace scheduled virtual or in-person appointments. (Washington, cleveland.com, 11/15)

Download PDFs of council reports that advocate policies on emerging delivery systems that protect and foster the patient/physician relationship. Key Council reports on this topic have addressed patient-centered medical homes, precision medicine, APMs, telemedicine, and retail and store-based health clinics.

Working in partnership with Epic, through which it will be delivered, the Cleveland Clinic has released a new COVID-19 risk prediction model drawing on both patient entered data and clinical information.

Researchers at the Cleveland Clinic developed and tested the model using clinical data from more than 11,000 of its patients. The Clinic used retrospective patient data from patients tested for COVID-19 at locations in Northeast Ohio and Florida. Data scientists then transformed the data into a statistical risk-prediction model.

The predictive model pulls this information into the mix with clinical and demographic data already in the chart to calculate their risk score. When patients receive a high-risk score, they are advised to receive a test and their care team members can be notified.

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They can also utilize the MyChart portal (online or by downloading the app) to check out their data as well as schedule appointments, request medication renewals, message their clinicians and view physician notes. 2351a5e196