Health Information Technologies and Processes

Open Notes and HIM Operations

  • 1.  Open Notes and HIM Operations

    Posted 01-09-2020 17:05

    Of those who have implemented "open notes" or clinical note sharing to the patient portal at your organization, what was the impact to HIM operations? Did you see a reduction in the volume of patient requests for records? A reduction in patient walk-up requests? An increase in the number of amendment requests?



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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 2.  RE: Open Notes and HIM Operations

    Posted 01-22-2020 07:39
    I would be interested in this as well.

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    Kristen Schepisi Dilg
    Him Manager
    University of Rochester
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  • 3.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 11:35
    We have implemented Open Notes at Allina Health for our clinics visits (couple years now) and for certain Hospital notes within the last year. Our HIM Department is consolidated for the health system and we have not see much of any impact to our work. We haven't seen a decrease in our patient requests like we thought we might. Our Privacy office has indicated they seem to get more questions from patients about what they are seeing, but have not seen an increase in Amendment requests. In being fully transparent, we haven't advertised Open Notes to patients the way we probably could have. I would imagine that with better marketing and communication to patients, we would have seen a decrease in the amount of requests coming to us.

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    Nyssa Fuhreck, MA, RHIA
    Manager, eHIM Disclosure Management (ROI)
    Allina Health, Minneapolis MN
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  • 4.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 11:38
    We've been full open notes - and open labs, pathology and radiology - for a number of years now.  It hasn't impacted ROI at all (or at least not in any obvious way) and has had zero impact on amendment requests (which was the big fear of other people).

    I think most people have this fear that the sky will fall if we suddenly give every one open and free access to their health data...a concept that always seemed silly to me.

    It's just the right thing to do.

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    Seth Katz
    Associate Chief Information Officer
    Truman Medical Center
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  • 5.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 11:51
    Thank you for sharing! I was/am hopeful Open Notes would decrease administrative burden for HIM. Do you think patients just don't know their information is available? As a consumer, I would much rather access my health information electronically as opposed to submitting a request and waiting for my records to be delivered.

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 6.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 11:45
    Thank you for sharing your experience! Is your HIM department involved in management of the portal (i.e. provisioning access, release to portal, etc.)?

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 7.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 12:32
    At my organization, HIM owns and manages the portal.

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    Seth Katz
    Associate Chief Information Officer
    Truman Medical Center
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  • 8.  RE: Open Notes and HIM Operations

    Posted 01-24-2020 12:44
    We do not manage MyChart in HIM at Allina Health; however, we are very close partners with the technical team that owns the application. We have given our ROI Staff the ability to set up patients with a MyChart Account using Instant Activation. We also have Questionnaires built for ROI Authorizations that patients can fill out in their account and get sent to the ROI Team to process. The ROI Staff also have the ability to release the requested records back to the patient through MyChart. All of these have been huge in terms of patient and staff satisfiers.

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    Nyssa Fuhreck, MA, RHIA
    Manager, eHIM Disclosure Management (ROI)
    Allina Health
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