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. 2015 Mar;22(2):380-9.
doi: 10.1136/amiajnl-2014-003144. Epub 2014 Oct 28.

VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes

Kim M Nazi  1 , Carolyn L Turvey  2 , Dawn M Klein  2 , Timothy P Hogan  3 , Susan S Woods  4
Affiliations

VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes

Kim M Nazi et al. J Am Med Inform Assoc. 2015 Mar.

Abstract

Objective: To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal.

Methods: A web-based survey of VA patient portal users from June 22 to September 15, 2013.

Results: 33.5% of respondents knew that clinical notes could be viewed, and nearly one in four (23.5%) said that they had viewed their notes at least once. The majority of VA Notes users agreed that accessing their notes will help them to do a better job of taking medications as prescribed (80.1%) and be better prepared for clinic visits (88.6%). Nine out of 10 users agreed that use of visit notes will help them understand their conditions better (91.8%), and better remember the plan for their care (91.9%). In contrast, 87% disagreed that VA Notes will make them worry more, and 88.4% disagreed that access to VA Notes will be more confusing than helpful. Users who had either contacted their provider or healthcare team (11.9%) or planned to (13.5%) primarily wanted to learn more about a health issue, medication, or test results (53.7%).

Conclusions: Initial assessment of the patient experience within the first 9 months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.

Keywords: Open Notes; access; communication; eHealth; patient portal; veteran.

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Conflict of interest statement

None.

Figures

Figure 1:
Figure 1:
VA Notes user perspectives, N = 6861.
Figure 2:
Figure 2:
VA Notes users’ overall satisfaction with access to VA Notes, N = 6861.
See this image and copyright information in PMC

References

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