Open Notes: New Federal Rules Promoting Open and Transparent Communication – ScienceDirect

“While health systems and clinicians are increasingly aware of new federal rules1 that mandate offering patients access to the notes clinicians write in electronic health records (open notes), for many, and certainly for patients and their families, they come as a surprise. Taking effect April 5, 2021, the rules enact the bipartisan 21st Century Cures Act and aim to increase interoperability and ensure greater transparency in health care. Many health professionals support these goals but are anxious about how their practice and clinician-patient relationships may be affected. Stimulated in part by the OpenNotes movement,2 considerable anecdotal and research evidence is accumulating from the more than 250 health systems3 already sharing clinical notes with 55 million Americans registered on their electronic patient portals. More than 100 papers have been published dissecting the effects on care of this fundamental change in practice.2 What is being learned?”