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Dennis OConnor

Empowering patients and reducing inequities: is there potential in sharing clinical not... - 0 views

qualitysafety.bmj.com/...bmjqs-2019-010490.full

medical-records open-notes patient-experience sharing agency

shared by Dennis OConnor on 11 Jun 20 - No Cached
  • engages them actively in their care, improves their sense of control over their health and enhances safety.
  • older, less educated, non-white or whose first language is not English report even greater benefits than do their counterparts
  • we suggest that open notes may, over time, prove important in the care of patients who are at risk of experiencing healthcare disparities.
  • ...16 more annotations...
  • in the USA, the likelihood of receiving an access code to activate health portals is significantly lower for minorities, the uninsured, non-English speakers and older patients.11
  • Research suggests that negative implicit biases can affect the quality of health interactions and are associated with fewer signals of support and empathy towards patients representing some disadvantaged demographic groups, including racial and ethnic minorities, low-income, less educated and older patients.1
  • Open notes might be viewed as extending the visit, potentially thereby elongating and strengthening patient–physician interactions before and after the pressures of the clinical encounter.
  • investigators found that patients who were non-white or less educated reported more benefits than their counterparts:
  • Although some health organisations provide portals in a range of languages, clinical notes are typically offered in one language only.
  • access to open notes appears to help some patients who speak another primary language by allowing them, or a care partner, to read and recall information.
  • 77% (357/462) reported reading their notes as extremely important for remembering their care plan,
  • It is estimated that, on average, patients do not recall about half of the health information communicated during visits, with this figure likely higher among those with lower levels of health literacy.2
  • health literacy is now recognised as a driver of health disparities.
  • By offering patients access to records that document what was discussed during visits, open notes may provide a novel forum for augmenting health literacy among some patients.
  • As one patient noted: “I like my summaries because I can go back and revisit them”.1
  • in a large study of patients who read notes, 38% (8588/22 753) reported sharing them with others, predominantly family members
  • Limitations
  • Open notes are becoming increasingly common, and preliminary data suggest they may hold particular benefits for vulnerable patient populations
  • Second, as preliminary evidence suggests, it is possible that open notes may increase trust between patients and clinicians, reduce transmission of bias and increase patient engagement, especially among vulnerable patient populations
  • co-creation of medical notes holds promise and is currently under investigation
Dennis OConnor

Open Notes: Feel More in Control - 1 views

www.opennotes.org/notes-you

EHR medical-records open-notes patient-experience agency

shared by Dennis OConnor on 10 Jun 20 - No Cached
  • Dennis OConnor on 10 Jun 20
     
    "Feel More in Control OpenNotes isn't a product. It's a movement that makes health care more open and transparent by encouraging doctors and other professionals to share their visit notes. Reading your notes can help you manage your health care. Ask your doctor for them!"
Dennis OConnor

Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory C... - 0 views

jamanetwork.com/...2766834

EHR medical-records open-notes

shared by Dennis OConnor on 10 Jun 20 - No Cached
  • Dennis OConnor on 10 Jun 20
     
    Recommended by Tyler Orion: Conclusions and Relevance In this study, patients who read ambulatory notes online perceived mistakes, a substantial proportion of which they found to be serious. Older and sicker patients were twice as likely to report a serious error compared with younger and healthier patients, indicating important safety and quality implications. Sharing notes with patients may help engage them to improve record accuracy and health care safety together with practitioners. Meaning  As health information transparency increases, patients may perceive important errors in their visit notes, and inviting them to report mistakes that they believe are very serious may be associated with improved record accuracy and patient engagement in safety."
Dennis OConnor

xAPI + LRS: Everything You Need to Know in 2020 - 0 views

www.devlinpeck.com/xapi-lrs

Articulate

shared by Dennis OConnor on 20 Jul 20 - No Cached
  • Dennis OConnor on 20 Jul 20
     
    Just a note to the data nerds in our group. This is the system I am using as I set up our Instructional Design Department. It is an open source way to insure our learning content will grow into the big vision of Project Apollo and PHE>
Dennis OConnor

Federal Rules mandating open notes - 0 views

www.opennotes.org/mation-blocking-and-open-notes

data medical-records EHR

shared by Dennis OConnor on 30 Oct 20 - No Cached
  • Dennis OConnor on 30 Oct 20
     
    The program rule on Interoperability, Information Blocking, and ONC Health IT Certification, which implements the 21st Century Cures Act passed in 2016, requires patients be provided access to all the health information in their electronic medical records without charge by their healthcare provider beginning April 5, 2021
Dennis OConnor

OpenNotes - Patients and clinicians on the same page - 1 views

www.opennotes.org

EHR medical-records open-notes patient-experience agency

shared by Dennis OConnor on 10 Jun 20 - No Cached
  • Dennis OConnor on 10 Jun 20
     
    "OpenNotes is the international movement that's making health care more transparent. It urges doctors, nurses, therapists, and others to invite patients to read the notes they write to describe a visit."
Dennis OConnor

How to Correct Mistakes in Your Medical Records - 0 views

www.verywellhealth.com/-medical-record-errors-2615506

EHR medical-records patient-experience open-notes empowerment

shared by Dennis OConnor on 11 Jun 20 - No Cached
  • Dennis OConnor on 11 Jun 20
     
    "Types of errors can include: Some typographical spelling errors may or may not require correction. For example, if mesenteric is incorrectly spelled "mesentiric," you might not go through the trouble of having it corrected because there won't be any impact on your health or medical care. Errors in the spelling of your name do require correction because this can prevent your records from being shared properly among different providers, and it can affect payment for services. If your phone number or address is incorrect or outdated, you'll want to make sure it gets corrected immediately. Failure to do so will result in the wrong information being copied into future medical records or an inability for your medical team to contact you if needed. Any inaccurate information about your symptoms, diagnosis, or treatment should be corrected. For example, if your record says that you have temporal tumor instead of a testicular tumor, this is completely different and requires correction. If the record says your appointment was at 2 pm, but you never saw the doctor until 3:30 pm, that may not have any bearing on your future health or billing information needs, and it isn't worth correcting."
Dennis OConnor

11 HIPAA and Medical Records Privacy Myths for Patients - 0 views

www.verywellhealth.com/-records-privacy-myths-2615514

EHR medical-records patient-experience open-notes empowerment HIPAA

shared by Dennis OConnor on 11 Jun 20 - No Cached
  • You can be an empowered patient or advocate by knowing the basics of HIPAA and having the confidence to request records from providers. Here are some myths about HIPAA and how they affect you, the patient.
  • Myth: HIPAA Prevents Sharing of Information With Family Members
  • Myth: Only Patients or Caregivers May Get Copies of Health Records
  • ...9 more annotations...
  • Myth: Employers Are Payers and Can Gain Access to an Employee's Records
  • Myth: HIPAA Laws Prevent Doctors From Exchanging Email With Their Patients
  • Myth: Providers Are Required by Law to Provide All Medical Records to You
  • Myth: Patients Denied Access to Their Records May Sue to Get Copies
  • Myth: HIPAA Laws Cover Privacy and Security for All Medical Records
  • Myth: Providers Are Required to Correct Any Errors Found in Patient Records
  • Myth: Your Health and Medical Records Cannot Affect Your Credit Records
  • Myth: Medical Information Cannot Be Legally Sold or Used for Marketing
  • Myth: HIPAA Can Be Used as an Excuse
  • Dennis OConnor on 11 Jun 20
     
    "You can be an empowered patient or advocate by knowing the basics of HIPAA and having the confidence to request records from providers. Here are some myths about HIPAA and how they affect you, the patient."
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