OpenNotes
OpenNotes is an international movement dedicated to making health care more open and transparent by encouraging doctors, nurses, therapists, and other health care professionals to share visit notes with patients, facilitating patients' legal right to access to their own medical record.[1]
Background
Co-founded by Tom Delbanco and Jan Walker of Harvard Medical School and Beth Israel Deaconess Medical Center[2][3] OpenNotes began as a demonstration project involving 105 primary care doctors at Beth Israel Deaconess Medical Center in Boston, Geisinger Health in rural Pennsylvania, and Harborview Medical Center, a safety net hospital in Seattle. 20,000 patients were invited to read their notes on each health system's online patient portal.[4] The overwelmingly positive results of the study funded by the Robert Wood Johnson Foundation[5] were published in 2012 in the Annals of Internal Medicine. Researchers reported that at the year's end, 99% of patients surveyed wanted to continue accessing their notes, 85% said open notes helped them feel more in control of their care, 70% of patients taking medications reported better adherence, and 85% of patients said the availability of open notes would affect their future choice of doctor. Doctors reported little change to workflow, and none chose to discontinue participation.[4]
Participating organizations
National
Northeast
Midwest
Southwest
Pacific Northwest
- Harborview Medical Center[4]
- Kaiser Permanente Northwest[6][7]
- Legacy Health[6][7]
- The Vancouver Clinic[6][7]
- Oregon Health & Science University[6][7]
- Providence Medical Group Oregon[6][7]
- The Portland Clinic[6][7]
- Portland Veterans Affairs Medical Center[6][7]
- Salem Health[6][7]
- Oregon Community Health Information Network[6][7]
References
- ↑ Versel, Neil (Feb 4, 2014). "OpenNotes Helps Keep Patients Informed and Engaged". U.S. News & World Report. Retrieved 25 August 2014.
- ↑ "Tom Delbanco, MD". OpenNotes. Retrieved 11 March 2016.
- ↑ "Jan Walker, RN, MBA". OpenNotes. Retrieved 11 March 2016.
- 1 2 3 4 5 6 7 8 Walker, Jan; Darer, Jonathan D.; Elmore, Joann G.; Delbanco, Tom (2014). "The Road toward Fully Transparent Medical Records". New England Journal of Medicine. 370 (1): 6–8. ISSN 0028-4793. PMID 24304001. doi:10.1056/NEJMp1310132.
- ↑ Robert Wood Johnson Foundation (2014). "OpenNotes - Robert Wood Johnson Foundation". rwjf.org. Retrieved 25 August 2014.
- 1 2 3 4 5 6 7 8 9 Harshman, Marissa (April 8, 2014). "Patients to soon have easier access to their doctors' notes". The Columbian. Retrieved 25 August 2014.
- 1 2 3 4 5 6 7 8 9 Miliard, Mike (April 11, 2014). "Kaiser, others open notes to patients". healthcareitnews.com. Retrieved 25 August 2014.