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

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

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.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Data Collection
  • Electronic Health Records / statistics & numerical data*
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Patient Access to Records*
  • United States
  • United States Department of Veterans Affairs
  • Veterans*