Please help answer these questions in depth.

1. How can patient compliance with portal registration be increased?

2. What can be the value-added components of a patient portal beyond the existing components present in most portals such as:

billing pay

access to medical records

or refill prescription

. . As a final step along the patient journey at the Fort Myers Medical Group practice, patients are asked whether they have been enrolled in the patient portal. This question has been posed to patients on exit for several years since the practice first converted to an electronic medical record and provided greater operability in their portal. In addition to a more attractive and user-friendly, front-facing initial site from the early generation of the portal, the page allows several features for patients such as: Access to medical records Scheduling of appointments with their primary care physician Viewing of lab results with a layperson explanation provided along with the clinical results Ability to make payment Access to children medical records Links to important health resources and a video library of health information Over the several years, many of the patients indicate that they have not received access, although the staff on examination of their records has found that almost seventy percent have been given a number to access the portal in the past. The remaining patients have not received a number, indicating that thry either did not want access to the portal in the past or that the individual is a new patient to the medical group As a member of the marketing team, you have been tasked with this issue to increase the engagement of patient use of the portal However, to some extent within the medical group, there is not uniform agreement whether this is time well spent. A recent post by the Association of Health Care Journalists was actually entitled "Why are patient portals such duds," and in the posting, it noted the conun drum given that most people do go online for health information but that half of all people who were offered access to their medical record in 2017 never went online to view this information through a patient portal. Some members of your own management team question whether there is any value in putting effort into this endeavor given that the Ft. Myers group has a great billing and collections department so it serves little value to have a "pay your bill button" on the portal. If the only issue is for a patient to view their own infor mation and they don't seem to care, why put the effort in to have them register? At the same management meeting, another member of the marketing team who had recently graduated from the University of Florida M.B.A program, spoke passionately about the need to capture as many patients into the portal as possible. When pressed on the issue, the person said it would be a great barrier to exit. "I think this portal is like Microsoft but better," she said. "It is a positive value propo- sition. If we can put things on this portal that patients really want and need but is also easily accessible, we are providing a great value proposition. Perhaps access through the portal to an after-hours nurse rather than trying to reach them through a call center. I am not sure what, but let's be creative. If we offer something of value in our program like Amazon, why will they switch ?" Other heads around the table nodded, but not everyone was so sure After a pause of about five minutes, the CEO tumed to you and said, "We have invested in the EHR because it was mandated. We have a portal. Now let's turn it into a strategic advantage. First, I want a plan that provides the components of value. Then I want to understand how we drive for engagement to get people to actually log onto the portal when they are given numbers. Finally, I want you to have a way to get the clinicians to drive home the use to their patients. I know that Kaiser Health System has driven portal utilization to 45% We have to be able to do better than the 20% we have achieved so far