Boston-based OpenNotes has announced grants totaling $10 million over three years from four foundations to provide up to fifty million patients with access to their clinical notes.
The grants from the Peterson Center on Healthcare and the Cambia Health, Gordon and Betty Moore, and Robert Wood Johnson foundations will support the initiative's efforts to assist providers with adoption of the OpenNotes platform and evaluate the platform's impact on health outcomes and costs. Established in 2010 with funding from RWJF and others, OpenNotes is based at Harvard Medical School and Beth Israel Deaconess Medical Center.
In a year-long study involving patients affiliated with BIDMC, Harborview Medical Center, and the Geisinger Health System, OpenNotes examined the impact of its concept and found that patients who read their notes reported feeling more in control of their care and having better recall, knowledge, and understanding of their medical conditions. At the end of the study, 99 percent of patients wanted the practice to continue, while every participating doctor chose to keep his or her notes open.
"Our research shows increasingly that patients can benefit greatly from reading the notes taken during a medical visit. They tell us they feel more in control of their care and are more likely to follow up on recommendations," said Jan Walker, co-founder of OpenNotes and assistant professor of medicine at HMS and BIDMC. "This has enormous implications for improving the quality and costs of care. Moreover, we're learning that having a second set of eyes on the record may be an important way to improve patient safety."