Responsible Innovation in Digital Health
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Responsible Innovation in Digital Health

Empowering the Patient

Edited by Tatiana Iakovleva, Elin M. Oftedal and John Bessant

Powerful new approaches and advances in medical systems drive increasingly high expectations for healthcare providers internationally. The form of digital healthcare – a suite of new technologies offering significant benefits in cost and quality – allow institutions to keep pace with society’s needs. This book covers the need for responsible innovation in this area, exploring the issues of implementation as well as potential negative consequences to ensure digital healthcare delivers for the benefit of all stakeholders.
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Chapter 6: University of Virginia health systems MyChart: supporting patient care and research

Bala Mulloth and Michael D. Williams


Can university health systems tap into benefits of health technologies in a responsible manner to better manage patients and improve their outcomes using patient-empowered tools? With the adoption of Epic as their only electronic health record system beginning in 2011, the University of Virginia (UVA) medical centre’s Epic integration process has undergone multiple evaluations with the purpose of optimizing their healthcare delivery system. This chapter focuses on how a patient engagement capability of Epic known as MyChart helped UVA support patient care and research. The methodology employed is qualitative in nature and draws on evidence based on interpretative interviews as well as direct and indirect observations. Utilizing the four core principles viz. anticipation, reflexivity, inclusivity and responsiveness of the RRI framework, we offer our analysis and lessons learned. We also present the challenges to realize the full potential of such an EHR platform along with our concluding thoughts.

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