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OVER HEARD IN THE DOCTOR’S LOUNGE
By Dr. David E. Marcinko MBA CMP™
In an OpenNotes study, researchers examined the impact on patients and doctors when patients were allowed access to their doctors’ notes via a secure Internet portal.
Through the use of surveys, patients’ benefits, concerns, and behaviors, as well as physicians workload, were measured.
The Study
Beth Israel Deaconess Medical Center (BIDMC) in Boston, Geisinger Health System (GHS) in Pennsylvania, and Harborview Medical Center (HMC) in Seattle were selected for this quasi-experimental year-long study.
The study included 105 physicians and 13,564 of their patients. Patients were notified when their notes were available, but whether or not to open the note was at their own discretion. The authors analyzed both pre- and post-intervention surveys from the physicians who completed the study; 99 physicians submitted both pre- and post-intervention surveys. Of the patients who viewed at least one note, 41 percent completed post-intervention surveys.
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Almost 99 percent of patients at BIDMC, GHS, and HMC wanted to have continued access to their visit notes at the completion of the study; no physician elected to end this practice.
Assessment
Although a limited geographic area was represented, the positive feedback and clinically relevant benefits demonstrate the potential for a widespread adoption of OpenNotes.
Moreover, it may be a powerful tool in helping improve the lives of patients.
Citation: Inviting Patients to Read Their Doctors’ Notes: Author(s): Delbanco, T; Walker, J; Bell, SK and Darrer, JD et al: American College of Physicians, Annals of Internal Medicine, October 2012
Open Notes, a grantee of the Robert Wood Johnson Foundation, was developed to demonstrate and evaluate the impact on both patients and clinicians of fully sharing (through an electronic patient portal) all encounter notes between patients and their primary care providers.
Conclusion
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Filed under: iMBA, Inc., Practice Management | Tagged: Altered Medical Records, Bell, Darrer, Delbanco, JD, medical records, OpenNotes, Patients to Read Doctors' Notes, SK |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Patients Can Read Your Clinical Notes Starting November 2
Starting November 2, all patients in the United States will have immediate access to clinical notes and thus will be able to read their doctors’ writings, as well as test results and reports from pathology and imaging.The 21st Century Cures Act mandates that patients have fast, electronic access to the following types of notes: consultations, discharge summaries, history, physical examination findings, imaging narratives, laboratory and pathology report narratives, and procedure and progress notes.
An outstanding concern about open notes is that it will cause more work for healthcare professionals. Traditionally, doctors have written notes using medical lexicon, including a lot of abbreviations and jargon for efficiency’s sake. Now that patients will read the notes, will clinicians have to spell out things in lay terms, alter their writing so as not to offend, and generally do more work? William Harvey, MD, chief medical information officer, Tufts Medical Center, Boston, acknowledged that that may be the case.
Source: Nick Mulcahy, MDedge [10/22/20] via Dr. Richard Rettig
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