{"id":18076,"date":"2015-12-17T11:31:02","date_gmt":"2015-12-17T16:31:02","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=18076"},"modified":"2015-12-17T18:50:23","modified_gmt":"2015-12-17T23:50:23","slug":"50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2015\/12\/50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership.html","title":{"rendered":"50 million more patients to get OpenNotes! Huge win for empowered partnership!"},"content":{"rendered":"<p><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2014\/05\/Screen-Shot-2014-05-01-at-8.46.43-PM.png\" rel=\"attachment wp-att-16229\" data-rel=\"lightbox-image-0\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-16229 alignleft\" style=\"padding-bottom: 10px; padding-right: 15px;\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2014\/05\/Screen-Shot-2014-05-01-at-8.46.43-PM.png\" alt=\"open-notes logo\" width=\"277\" height=\"101\" \/><\/a>Big news: a multi-foundation $10 million grant will spread OpenNotes access to <strong>fifty million more patients!<\/strong> Nearly 20% of America will have full access to their providers&#8217; visit notes, so they can review them from anywhere!<\/p>\n<div id=\"attachment_6155\" style=\"width: 319px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.youtube.com\/watch?v=pyossoHFDJg\" target=\"_blank\" rel=\"attachment wp-att-6155\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6155\" class=\"wp-image-6155 \" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2010\/06\/seinfeld-elaine-EHR-300x245.jpg\" alt=\"seinfeld-elaine-EHR\" width=\"309\" height=\"253\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2010\/06\/seinfeld-elaine-EHR-300x245.jpg 300w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2010\/06\/seinfeld-elaine-EHR-600x490.jpg 600w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2010\/06\/seinfeld-elaine-EHR.jpg 679w\" sizes=\"auto, (max-width: 309px) 100vw, 309px\" \/><\/a><p id=\"caption-attachment-6155\" class=\"wp-caption-text\">Click to play the original 1996 Seinfeld segment on YouTube (3:43)<\/p><\/div>\n<p>Regular readers know we&#8217;ve always been loud fans of the OpenNotes project. Initially funded by Robert Wood Johnson Foundation &#8211; who also funded &#8220;Doc Tom&#8221; Ferguson&#8217;s white paper, the basis for our Society &#8211; the project established that when patients can\u00a0<em>see everything the provider wrote<\/em>, good things happen (and the sky doesn&#8217;t fall).<\/p>\n<p>For real-world examples, at bottom of this post see the &#8220;must read&#8221; set of stories we posted last year.\u00a0It&#8217;s an expression of one of my own aphorisms: &#8220;People perform better when they&#8217;re informed better,&#8221; in direct contrast to the famous Seinfeld episode where Elaine tries to look in her chart and sees she&#8217;s been marked &#8220;difficult.&#8221;:-)<\/p>\n<p>At bottom of this post is the history of the project via our many blog posts here. Here&#8217;s the <a href=\"http:\/\/opennotes.org\" target=\"_blank\">OpenNotes website<\/a> with many resources, here&#8217;s <a href=\"http:\/\/twitter.com\/myopennotes\" target=\"_blank\">MyOpenNotes<\/a> on Twitter, here&#8217;s the\u00a0<a href=\"http:\/\/www.opennotes.org\/foundations-unite-to-support-access-to-clinical-notes-for-50-million-patients-nationwide\/\" target=\"_blank\">official press release<\/a>, and here&#8217;s the email I got on Monday:<\/p>\n<p><!--more--><\/p>\n<blockquote><p>We are thrilled to announce that the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, the Peterson Center on Healthcare, and the Cambia Health Foundation today jointly announced funding to help spread access to clinical notes to patients nationwide.<\/p>\n<p>The results of the OpenNotes study involving 100 primary care doctors at BIDMC, Geisinger Health System in Pennsylvania, and Harborview Medical Center in Seattle, and 20,000 of their patients, were published three years ago in the Annals of Internal Medicine. We learned that inviting patients to read their notes not only helped them become more knowledgeable about their medical conditions and care, but also enhanced the clinician and patient relationship. Evidence is beginning to show that this kind of engagement has implications for improving the quality and costs of care, and that having a second set of eyes on the record may be an important way to improve patient safety.<\/p>\n<p>In just a few years, OpenNotes has become a movement that has spread well beyond primary care to more than 5 million Americans. The joint gift of $10 million will support the OpenNotes team\u2019s capacity to assist providers with adoption, to reach a wide range of consumers, and to evaluate the impact of the effort on quality and costs.<\/p><\/blockquote>\n<p>Thanks so much to RWJ, Moore, Peterson and Cambria for supporting data liberation and better care!<\/p>\n<h2><em>The history of OpenNotes as recorded here<\/em><\/h2>\n<div id=\"attachment_18079\" style=\"width: 382px\" class=\"wp-caption alignright\"><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15.jpg\" data-rel=\"lightbox-image-1\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-18079\" class=\"wp-image-18079\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15-300x232.jpg\" alt=\"OpenNotes Adoption Map October 2015\" width=\"372\" height=\"288\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15-300x232.jpg 300w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15-768x593.jpg 768w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15-1024x791.jpg 1024w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/12\/opennotes_map_10.13.15-800x618.jpg 800w\" sizes=\"auto, (max-width: 372px) 100vw, 372px\" \/><\/a><p id=\"caption-attachment-18079\" class=\"wp-caption-text\">OpenNotes adoption map as of mid-October, 2015, BEFORE this announcement (click to enlarge)<\/p><\/div>\n<p>Our Society for Participatory Medicine has always felt that full access to the medical record will be a key enabler of the best participatory relationships between providers and the patients and families they serve. As SPM co-founder and co-chair Dr. Danny Sands often says, &#8220;How can patients participate if they can&#8217;t see what I see??&#8221;<\/p>\n<p>So it&#8217;s no surprise that we&#8217;ve covered it a lot, and reviewing this today, I realized that our five+ years of posts provide\u00a0a great context for this week&#8217;s announcement.<\/p>\n<ul>\n<li>06\/12\/10:\u00a0<a title=\"Permanent Link to \u201cOpenNotes\u201d project begins: what happens when patients can see the physician\u2019s visit notes?\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/06\/open-notes-2.html\" rel=\"bookmark\">\u201cOpenNotes\u201d project begins: what happens when patients can see the physician\u2019s visit notes?<\/a><\/li>\n<li>06\/30\/10:\u00a0<a title=\"Permanent Link to Hm: Because of viewing my visit notes, I did something better.\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/06\/hm-because-of-viewing-my-visit-notes-i-did-something-better.html\" rel=\"bookmark\">Hm: Because of viewing my visit notes, I did something better.<\/a><\/li>\n<li>07\/15\/10:\u00a0<a title=\"Permanent Link to OpenNotes background information: WIHI webcast and Ted Eytan post\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/06\/opennotes-background-information-wihi-webcast-and-ted-eytan-post.html\" rel=\"bookmark\">OpenNotes background information: WIHI webcast and Ted Eytan post<\/a><\/li>\n<li>07\/20\/10:\u00a0<a title=\"Permanent Link to Initial OpenNotes report: project description and baseline attitude survey\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/07\/initial-opennotes-report-project-description-and-baseline-attitude-survey.html\" rel=\"bookmark\">Initial OpenNotes report: project description and baseline attitude survey<\/a><\/li>\n<li>08\/08\/10:\u00a0<a title=\"Permanent Link to Reflections after a specialist visit *without* OpenNotes\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/08\/reflections-after-a-specialist-visit-without-opennotes.html\" rel=\"bookmark\">Reflections after a specialist visit *without* OpenNotes<\/a><\/li>\n<li>08\/17\/10:\u00a0<a title=\"Permanent Link to Should Patients Read Doctor\u2019s Notes? Wrong Question.\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2010\/08\/should-patients-read-doctor%e2%80%99s-notes-wrong-question.html\" rel=\"bookmark\">Should Patients Read Doctor\u2019s Notes? Wrong Question.<\/a><\/li>\n<li>11\/07\/11:\u00a0<a title=\"Permanent Link to A glimpse of OpenNotes findings: \u201cPatients are overwhelmingly interested\u201d\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2011\/11\/a-glimpse-of-opennotes-findings-patients-are-overwhelmingly-interested.html\" rel=\"bookmark\">A glimpse of OpenNotes findings: \u201cPatients are overwhelmingly interested\u201d<\/a><\/li>\n<li>01\/18\/12:\u00a0<a title=\"Permanent Link to OpenNotes helps me prep for a visit\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2012\/01\/opennotes-helps-me-prep-for-a-visit.html\" rel=\"bookmark\">OpenNotes helps me prep for a visit<\/a><\/li>\n<li>10\/01\/12:\u00a0<a title=\"Permanent Link to OpenNotes: The results are in. GREAT news for patient engagement.\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2012\/10\/opennotes-the-results-are-in-great-news-for-patient-engagement.html\" rel=\"bookmark\">OpenNotes: The results are in. GREAT news for patient engagement.<\/a><\/li>\n<li>01\/21\/13:\u00a0<a title=\"Permanent Link to 1 Million VA Patients Can Now Access Their Complete Health Record\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2013\/01\/1-million-va-patients-can-now-access-their-complete-health-record.html\" rel=\"bookmark\">1 Million VA Patients Can Now Access Their Complete Health Record<\/a><\/li>\n<li>09\/04\/13:\u00a0<a title=\"Permanent Link to The OpenNotes project goes wide: a million patients and families enabled by information!\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2013\/09\/opennotes-is-going-wide-a-million-patients-and-families-empowered-and-enabled.html\" rel=\"bookmark\">The OpenNotes project goes wide: a million patients and families enabled by information!<\/a><\/li>\n<li>09\/06\/13:\u00a0<a title=\"Permanent Link to Beth Israel Deaconess FAQ for their patients reading OpenNotes\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2013\/09\/my-hospitals-faq-for-patients-reading-opennotes.html\" rel=\"bookmark\">Beth Israel Deaconess FAQ for their patients reading OpenNotes<\/a><\/li>\n<li>05\/01\/14:\u00a0<a title=\"Permanent Link to OpenNotes &amp; Transparency: Ongoing conversation\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2014\/05\/open-notes.html\" rel=\"bookmark\">OpenNotes &amp; Transparency: Ongoing conversation<\/a><\/li>\n<li>08\/01\/14:\u00a0<a title=\"Permanent Link to OpenNotes in the news: Now 3 million patients \u2013 and mental health, too\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2014\/08\/opennotes-in-the-news-now-3-million-patients.html\" rel=\"bookmark\">OpenNotes in the news: Now 3 million patients \u2013 and mental health, too<\/a><\/li>\n<li>01\/23\/15:\u00a0<a title=\"Permanent Link to From OpenNotes to OurNotes: New project heads toward *real* participatory medicine\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/01\/from-opennotes-to-ournotes-new-project-heads-toward-real-participatory-medicine.html\" rel=\"bookmark\">From OpenNotes to OurNotes: New project heads toward *real* participatory medicine<\/a><\/li>\n<li>02\/15\/15:\u00a0<a title=\"Permanent Link to OpenNotes in the BMJ: the message goes global, adoption is international\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/02\/opennotes-in-the-bmj-the-message-goes-global-adoption-is-international.html\" rel=\"bookmark\">OpenNotes in the BMJ: the message goes global, adoption is international<\/a><\/li>\n<\/ul>\n<h3><em><br \/>\nRelated posts, not about OpenNotes per se:<\/em><\/h3>\n<p><strong><em>Must read!<\/em><\/strong>\u00a09\/5\/14:\u00a0<a title=\"Permanent Link to Request: true stories of where patient engagement in the chart made a difference\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2014\/09\/request-true-stories-of-where-patient-engagement-in-the-chart-made-a-difference.html\" rel=\"bookmark\">True stories of where patient engagement in the chart made a difference<\/a><\/p>\n<p>6\/10\/14:\u00a0<a title=\"Permanent Link to Wall Street Journal on patient access: \u201cHealth-Care Providers Want Patients to Read Medical Records, Spot Errors\u201d\" href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2014\/06\/wall-street-journal-on-patient-access-health-care-providers-want-patients-to-read-medical-records-spot-errors.html\" rel=\"bookmark\">Wall Street Journal on patient access: \u201cHealth-Care Providers Want Patients to Read Medical Records, Spot Errors\u201d<\/a><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Big news: a multi-foundation $10 million grant will spread OpenNotes access to fifty million more patients! Nearly 20% of America will have full access to their providers&#8217; visit notes, so [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[21,367,5,59,7],"tags":[1994,2032,7764,127,6628,55,153,5319],"coauthors":[],"class_list":["post-18076","post","type-post","status-publish","format-standard","hentry","category-e-ptsresources","category-medical-records","category-ptdoc-co-care","category-policy-issues","category-positive-patterns","tag-bidmc","tag-bmj","tag-cambia-health-foundation","tag-care","tag-internal-medicine","tag-patients","tag-quality","tag-seattle"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>50 million more patients to get OpenNotes! Huge win for empowered partnership! - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2015\/12\/50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"50 million more patients to get OpenNotes! Huge win for empowered partnership! - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"Big news: a multi-foundation $10 million grant will spread OpenNotes access to fifty million more patients! Nearly 20% of America will have full access to their providers&#8217; visit notes, so [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/participatorymedicine.org\/epatients\/2015\/12\/50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership.html\" \/>\n<meta property=\"og:site_name\" content=\"SPM Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/participatorymedicine\" \/>\n<meta property=\"article:published_time\" content=\"2015-12-17T16:31:02+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-12-17T23:50:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2014\/05\/Screen-Shot-2014-05-01-at-8.46.43-PM.png\" \/>\n\t<meta property=\"og:image:width\" content=\"266\" \/>\n\t<meta property=\"og:image:height\" content=\"97\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"e-Patient Dave\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@s4pm\" \/>\n<meta name=\"twitter:site\" content=\"@s4pm\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"e-Patient Dave\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2015\\\/12\\\/50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership.html#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2015\\\/12\\\/50-million-more-patients-to-get-opennotes-huge-win-for-empowered-partnership.html\"},\"author\":{\"name\":\"e-Patient Dave\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/#\\\/schema\\\/person\\\/964cf120da8ac17067b46802eb561e5d\"},\"headline\":\"50 million more patients to get OpenNotes! 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