4 health organizations to pilot OurNotes initiative | Brian Patty comments on patient participation in clinical note creation | CMIO: Lack of health data standardization is main obstacle to interoperability
A pilot program for OurNotes, an initiative targeting patient-provider collaboration in writing clinical notes and care plans within a shared EHR, will begin in the spring at Beth Israel Deaconess Medical Center, the University of Colorado, the University of Washington and Dartmouth-Hitchcock Medical Center. Beth Israel, which uses its own EHR system, will aid in organizing and standardizing efforts with the other sites, which use Epic systems, said Dr. Matthew Germak of Beth Israel.
Brian Patty comments on patient participation in clinical note creation
(Brian Patty, VP and CMIO, Rush University Medical Center)
Patient engagement and physician burnout are two hot topics right now, and the OurNotes project aims to address them both. Building on the success of the OpenNotes project, where providers share their notes with patients through their patient portals, OurNotes intends to move from the passive review of a document produced by providers to the active participation of the patient in constructing that note. The patient, by becoming an active participant in the creation of their medical record, is enticed to become a more active and engaged participant in their care. The provider, by reviewing and accepting patient documentation into their note, has a better understanding of their patient and has a decreased documentation burden.
The overall hypothesis of OurNotes is that "co-produced, fully transparent medical records can improve the quality of care and maintain, or even decrease, the cost of care," with the belief that "co-production of records could improve patients' and clinicians' experiences with care and perhaps improve health care value." Building on the concept and practice of care team documentation, where multiple members of the care team contribute to the final documentation of the visit, OurNotes adds the patient to the care team with the hopes of increasing patient engagement, improving transparency, further decreasing the documentation burden on providers and ultimately improving patient outcomes.
Having used previsit questionnaires that feed visit documentation and notes at our institution for over a year now, we have seen high adoption from our providers and patients. I fully expect as we expand the use of this functionality, we will begin to see an impact on engagement and outcomes.
Inadequate standardization of health data is the primary barrier to achieving interoperability as federal policies have made information blocking less prevalent, said Bryan Batson, chief medical information officer at Mississippi-based Hattiesburg Clinic. More health care leaders should call for stricter standardization to better manage increasing volumes of data, Batson said.
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