Kim M. Nazi|Carolyn Turvey|Dawn Klein|Timothy P. Hogan|Susan Woods
VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes
United States Department of Veterans Affairs|Veterans Health Administration|Iowa City VA Health Care System|University of Iowa|Iowa City VA Health Care System|University of Iowa|Edith Nourse Rogers Memorial Veterans Hospital|Quality Enhancement Research Initiative|University of Massachusetts Chan Medical School|Togus VA Medical Center|MaineHealth|Oregon Health & Science University
explore experience early patient adopters accessed clinical notes online using blue button feature healthevet portala webbased survey va patient portal users june 22 september 15 2013335 respondents knew clinical notes could viewed nearly one four 235 said viewed notes least majority va notes users agreed accessing notes help better job taking medications prescribed 801 better prepared clinic visits 886 nine 10 users agreed use visit notes help understand conditions better 918 better remember plan care 919 contrast 87 disagreed va notes make worry 884 disagreed access va notes confusing helpful users either contacted provider healthcare team 119 planned 135 primarily wanted learn health issue medication test results 537initial assessment patient experience within first 9 months availability provides evidence patients value benefit online access clinical notes findings congruent opennotes study findings broader scale additional outreach education needed enhance patient awareness healthcare professionals author notes keeping mind opportunity patient access presents enhanced communication