The use of electronic health records continues to increase while engaging patients to use patient portals is becoming more common. This editorial discusses OpenNotes, an experiment where patients were allowed to access their primary care providers’ electronic notes via patient portals.
The results of the year-long experiment show that OpenNotes may become the new norm as the use of patient portals increases along with the use of electronic health records. Still, there remain some unanswered questions. Will providers change their language or tone in their messages knowing that patients can view them? Will there be an increase in provider office time and documentation? Will patients’ attitudes about their care be affected?
- Providers and patients from the three centers involved in the study voiced positive outcomes and the attitudes of patients who accessed their notes were largely positive.
As patients continue using online health information for themselves, it is important for primary care providers to notice this shift and embrace the concept. Open access to provider notes may not be beneficial for all patient populations. As the use of online medical information increases, it is important to understand how a feature like OpenNotes can help improve patient care.
OpenNotes, 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.
Read what people are saying about the study...
...In The Wall Street Journal: "Access to doctors' notes aids patients' treatment"
...On CNN's The Chart blog: "Study: Doctors should share notes with you"
...On Reuters.com: "Patients like reading their doctors' notes: study"
...On ConsumerReports.org: "Patient access to their doctor's notes leads to better care, study finds"
...On The Boston Globle's White Coat Notes blog: "Beth Israel Deaconess study: Letting patients read doctors’ visit notes has positive impact"
Executive Nurse Fellow Jerry Mansfield explains why the University Hospital and the Richard M. Ross Heart Hospital do not have a BSN-only hi...
The What's Next Health series features leading thinkers and visionaries. Stanford social scientist & innovator BJ Fogg discusses his model f...
We create new opportunities for better health by investing in health where it starts—in our homes, schools, and jobs.
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...
America is not getting good value for its health care dollar. These resources explore issues of cost and value of health care.
Patrick M. Krueger recently co-authored a study that examines the characteristics and mortality risks of nondrinker subgroups to explain why...
Helping us understand what’s driving high health care costs is why we need more transparency in the prices, costs and quality of health care...
MTV executives are attempting to mollify nurses and nursing allies who are outraged over a salacious new “reality” television show about a g...
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
Team members, grantees, and guests discuss breakthrough ideas that will allow us to move toward solving challenges in health care.
Behavioral economists compete in an Innovation Tournament, devising “nudges” to help make people healthier.