Patient Access to Care Notes

January 26, 2018    |   By: Eunice Halverson, MA, CPPS

Heads up!  Copying and pasting in your electronic health record (EHR) might make your documentation process easier, but it can result in big issues downstream as other care providers take action based on inaccurate information.  AHRQ recently published an article by Dr. Shannon Dean from the University of Wisconsin School of Medicine which outlines the concerns and some potential “fixes”.  I like the following:  “The OpenNotes initiative—which allows patients to read their clinicians’ notes—represents another real opportunity for heightening provider awareness of the need for documentation accuracy, as patients will now also be able to hold us accountable for quality documentation.”  What do you think – would allowing patients access to the care notes lead to more accurate documentation?

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