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TRANSPARENCY: Should you let patients read their notes?

Advantages and disadvantages of allowing patients to read the notes that physicians and other providers write about their office visits and hospital care are explored in this short Modern Healthcare article.  The movement towards greater transparency of care is explored further on the website OpenNotes.  Here are some of the providers that are exploring this concept.

Who is doing this?

  • Geisinger Health System (Danville, PA)
  • Beth Israel Deaconess Medical Center (Boston)
  • Sutter Medical Foundation (Sacramento, CA)
  • MUSC Health (Charleston, SC)
  • Harborview Medical Center (Seattle)
  • Mayo Clinic
  • Kaiser Permanente Northwest
  • Department of Veterans Affairs
  • UCHealth (Denver)

Sources:  Livingston, S. (2017, Jan. 2). Growing number of doctors allowing patients to read their notes. Modern Healthcare, 47(1), 14-15.  Click here for publisher’s website: http://www.modernhealthcare.com/article/20161231/MAGAZINE/312319982; and, OpenNoteswww.opennotes.org   Posted by AHA Resource Center (312) 422-2050, rc@aha.org

HIT: What do we need to bring genomics into daily practice?

In order to make use of the so-called “omic” data (genomic, epigenomic, proteomic, and metabolomic) practical in daily clinical practice, physicians need an appropriate information system.  The authors argue that the nature and storage size requirements of the new clinical data will require a next generation of electronic health record (EHR) systems.  While that is being developed, they argue that specialized “omic ancillary systems” would be a promising interim measure.  These information systems would be similar to picture archiving and communication system (PACS) in the imaging department; and, like PACS, would interface with the EHR.

Fun fact!  At one academic medical center, the file size averages 375 kB/patient for the EHR. 

Source: Starren, J., Williams, M.S., and Bottinger, E.P.  Crossing the omic chasm: a time for omic ancillary systems.  JAMA, Mar. 14, 2013 (online first).  Click here for full text: http://jama.jamanetwork.com/data/Journals/JAMA/0/jama.2013.1579.pdf  Posted by AHA Resource Center (312) 422.2050, rc@aha.org

 

Where are office-based physicians and hospitals on electronic health record adoption?

NOTE: Apr. 25, 2012 update available.

Half of all office-based physicians in the US have partially or  fully adopted electronic medical/health records, according to recent survey data from the National Center for Health Statistics. A quarter of the physicians had a basic system in place, while 10% of all office-based physicians met the criteria for a fully functioning system [a subset of the basic system].

Another study published by Health Affairs reported that 12% of hospitals had adopted basic or comprehensive electronic health records, based on a 2009 EHR adoption survey conducted by the American Hospital Association.  About 2% of hospitals at the time would have met the federal ‘meaningful use’ criteria.  Results from a 2010 hospital EHR adoption survey will become available from AHA this spring.

The  hospital EHR adoption survey databases are available for purchase from AHA. Custom files and data analyses from the surveys may also be available. For further information, contact the AHA Resource Center at 1-312-422-2050 or rc@aha.org.

Sources:

Hsiao CH and others. Electronic medical record/electronic health record systems of office-based physicians: United States, 2009 and preliminary 2010 state estimates. NCHS Health E-States [National Center for Health Statistics], Dec. 2010. http://www.cdc.gov/nchs/data/hestat/emr_ehr_09/emr_ehr_09.htm

Jha AK and others. A progress report on electronic health records in U.S. hospitals. Health Affairs, 29(10): 1951-1957,  Aug. 26, 2010 [published online]. http://content.healthaffairs.org/content/29/10/1951.abstract

American Hospital Association. Hospital EHR adoption database. Chicago: Health Forum, 2010. http://www.ahadata.com/ahadata/html/EHRdatabase.html.