1. at ……
4.7.16 1

2. About OpenNotes
A national movement with more than 12 million patients with access to their clinician notes
Includes thousands of doctors, nurses, therapists, trainees, physician assistants, case managers, and other care givers sharing notes
Began with a three-institution study in 2010, involving 105 primary care physicians and 20,000 of their patients.
----- Meeting Notes (9/23/15 14:09) -----
INVITED
ONE YEAR
NOW LOOK!!!!

3. About the OpenNotes Study
1-year Demonstration Project summer 2010 – summer 2011 (and still ongoing)
Patients invited to view their PCPs’ signed notes via secure portals (only notes signed during the project – not retroactive)
Each patient notified automatically via secure message when a note was signed, and later reminded to review note(s) before next visit
Patients and doctors completed surveys before and after, and we collected administrative data (portal clicks, volume)
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PATIENTS
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ONE DIAGNOSIS AND SIX PATIENTS IN 10 MINUTES!
SHOW YOU THE IMPACT OF FULLY TRANSPARENT NOTES INCLUDING THE DOC
MR A DIAGNOSIS? TREATMENT?
----- Meeting Notes (9/23/15 14:38) -----
TELL THE STORY. 40 YRS MR A
CIGS BEER
FAMILY
WONT WRITE DOWN UNLESS YOU THINK....

4. About the OpenNotes Study
Three Principal Questions
Would OpenNotes help patients become more engaged in their care?
Would OpenNotes be the straw that breaks the doctor’s back?
After 1 year, would patients and doctors want to continue?
----- Meeting Notes (9/22/15 12:18) -----
PATIENTS
----- Meeting Notes (9/23/15 14:09) -----
ONE DIAGNOSIS AND SIX PATIENTS IN 10 MINUTES!
SHOW YOU THE IMPACT OF FULLY TRANSPARENT NOTES INCLUDING THE DOC
MR A DIAGNOSIS? TREATMENT?
----- Meeting Notes (9/23/15 14:38) -----
TELL THE STORY. 40 YRS MR A
CIGS BEER
FAMILY
WONT WRITE DOWN UNLESS YOU THINK....

5. About the OpenNotes Study
Three out of four patients reported
taking better care of themselves
understanding their health and medical conditions better
feeling more in control of their health and health care
being better prepared for visits
doing better with taking their medications as prescribed
----- Meeting Notes (9/22/15 12:18) -----
PATIENTS
----- Meeting Notes (9/23/15 14:09) -----
ONE DIAGNOSIS AND SIX PATIENTS IN 10 MINUTES!
SHOW YOU THE IMPACT OF FULLY TRANSPARENT NOTES INCLUDING THE DOC
MR A DIAGNOSIS? TREATMENT?
----- Meeting Notes (9/23/15 14:38) -----
TELL THE STORY. 40 YRS MR A
CIGS BEER
FAMILY
WONT WRITE DOWN UNLESS YOU THINK....

6. The Bottom Line for Patients
They want to read, understand, and be educated about their notes
99% of patients want to read their medical notes online
4 out of 5 patients say that the availability of OpenNotes would impact their choice of provider
OpenNotes does not change the confidential relationship between the patient and provider, but about 40% of patients share notes with family, caregivers/care partners, and others involved in their care 6

7. What did we learn from the clinicians?
About 50% expected a change to workflow, but those concerns did not bear out. There was minimal impact on workflow with only 3% reporting longer visits or more questions.
Patients were rarely worried or confused by notes.
Clinicians reported little change in the way they wrote notes, and those who did, remarked the changes were minor and doable, such as using less jargon and spelling out abbreviations and acronyms.
3 out of 4 doctors said they would like their patients to see notes online, and at the end of the trial, not one doctor asked to stop sharing notes
Clini
4.7.16

8. The Power of Open Notes “Nothing About Me Without Me”
Sept. 28, 2011
The Power of Open Notes “Nothing About Me Without Me”
A new medicine
that brings benefits …
and risks
A catalyst for change…
and not only
in ambulatory care
An opportunity to
Partner with patients
And improve safety
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POETS STORYTELLERS THEATRE ARTIST DOC SOCIAL SCIENTISTS
ENGAGEMENT COMMUNICATION SHARING ALL THROUGH FULL TRANSPARENCY
CARL: TRUST
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CARL CARL CARL
WHAT IT MEANS ON THE WESTCOAST TO CARL
Delbanco, Berwick, et al., Health Expectations, 2011
(c) 2011 ePatientDave.com

9. Factor: Patient Safety
Don’t forget to save the videos into the same folder as the PowerPoint file to play the presentation!
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ANOTHER SET OF EYES
REPORTING TOOL
CANDICE
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CANDICE CANDICE

10. Factor: Medication Adherence
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70 % 5 FOLD
TONY
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TONY TONY TONY

11. Factor: Caregivers ----- Meeting Notes (9/23/15 14:09) -----
YOUR FATHER....
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MARY MARY MARY

12. Factor: Caregivers ----- Meeting Notes (9/23/15 14:09) -----
YOUR FATHER....
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MARY MARY MARY

13. Factor: Mobile Users ----- Meeting Notes (9/23/15 14:09) -----
YOUR FATHER....
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MARY MARY MARY

14. Factor: Mental Health ----- Meeting Notes (9/23/15 14:09) -----
FREUD JAMA
NOTES BECOMING PART OF THE THERAPY
VIRGINIA MASON, BIDMC, U WASH,

15. ----- Meeting Notes (9/23/15 14:09) -----
INVITED
ONE YEAR
NOW LOOK!!!!

16. About OpenNotes
Supported by major combined grant from four leading foundations
“…a remarkably simple way to substantially improve health care by fueling transparency and communication…a ‘must-have’ for tool for everyone…” Media Statement, December 15, 2015
----- Meeting Notes (9/23/15 14:09) -----
INVITED
ONE YEAR
NOW LOOK!!!!