Avinash Murugan, Holly Gooding, Jordan Greenbaum, Jeanne Boudreaux, Reena Blanco, Arin Swerlick, Cary Sauer, Steven Liu, Amina Bhatia, Alexis Carter, Meredith M Burris, Lauren Becker, Lashandra Abney, Sharon O'Brien, Shane Webb, Melissa Popkin, Herb Williams, Desiree Jennings, Evan W Orenstein
BACKGROUND: The 21st Century Cures Act has accelerated adoption of OpenNotes, providing new opportunities for patient and family engagement in their care. However, these regulations present new challenges, particularly for pediatric health systems aiming to improve information sharing while minimizing risks associated with adolescent confidentiality and safety. OBJECTIVE: Describe lessons learned preparing for OpenNotes across a pediatric health system during a 4-month trial period (referred to as "Learning Mode") in which clinical notes were not shared by default but decision support was present describing the upcoming change and physicians could request feedback on complex cases from a multidisciplinary team...
January 2022: Applied Clinical Informatics