On Thursday, July 1, 2021, updates were made to the release of inpatient and pediatric notes. Inpatient notes are now released to MyChart 24 hours following signing. Despite this update, the following notes will continue to not be shared:
- notes written on patients between 12 and 17 years old;
- notes written by behavioral health providers; and
- notes written on behavioral health units.
This change is being made to ensure HMH is in compliance with the 21st Century Cures Act of 2016.
Pediatric OpenNotes Updates
The OpenNotes settings for pediatric patients changed on Thursday, July 1, 2021. The default status of pediatric notes changed from not being visible in MyChart to shared notes being visible (see table below). If there is risk of harm from release of health information, clinicians are able to opt out of release and designate the reason. Some important items to note:
- For patients younger than aged 12, notes are shared and viewable by their proxy in MyChart. All notes written July 1, 2021 and onward that have been shared will be visible to the proxy.
- For patients between the ages of 12-17, no notes are visible on MyChart to either the patient or their proxy (see table below). Please note that once the patient turns 18, all notes written July 1, 2021 and onward that have been shared will be visible to the patient.
- The Problem List is released unless the clinician selects “do not share with patient.”
- These MyChart rules are network-wide and apply to both pediatrics and non-pediatric physicians (i.e. family medicine).
New confidential note types are now available. We encourage the use of these note templates. If you need to document additional information, add it to the note but be mindful of how that specific note is shared.
The new templates are:
On March 31, 2021, Hackensack Meridian Health (HMH) went “live” with OpenNotes, providing patients with free access to their visit notes through MyChart.
OpenNotes is a national initiative to make provider notes available to patients through MyChart. OpenNotes applies to notes written by anyone who contributes to the patient’s chart, including HMH and Hackensack Meridian Health Partners providers. If the note is available in Epic, it will be available to the patient.
This resource page provides you with helpful information and resources related to OpenNotes.
Why Did We Launch OpenNotes
- It’s the right thing to do for our patients. 99% of patients felt the same or better about their doctor after reading notes. Up to 87% of patients say it helps them feel more in control of their care and 85% of patients would select a provider based on their use of OpenNotes.
- We become competitive with other local, regional and national health care providers who offer notes through MyChart.
- High performing organizations already are meeting this standard.
- It provides access. Providing patients unrestricted electronic access to specified contents of their record upon their request is now required under the 21st Century Cures Act of 2016.
How OpenNotes Benefits You and Your Patients *
More than 50 million patients already have access to OpenNotes at 50 health systems across the U.S., including our competitors.
Patients now have access to notes from all providers, including:
- Advanced practice providers
- Medical assistants
- New England Journal of Medicine
- Delbanco, Journal of Medical Internet Research 2012
- Bell, BMJ Quality & Safety 2017
- DesRoches, JAMA Netw Open 2020
- Sigall, JAMA Netw Open 2020
- Leveille, JGIM 2020
- Walker, BMJ, 2015
- Salmi et al., Open Notes in Oncology: Patient versus Oncology Clinician Views, Cancer Cell (2020)