Vol. #15, No. 6
Welcome to the September edition of Tips & Topics (TNT) and to all the new subscribers and our longtime readers.
David Mee-Lee M.D.
The article was titled: “Sharing Clinical Notes With Patients Improves Treatment Effectiveness”
- Improved communication between patients and clinicians
- Greater patient engagement and adherence with care plans
- Improvement in the quality of care.
- 15 mental health clinicians, including psychiatrists, a nurse practitioner, and social workers participated in the study.
- They offered 568 of their patients immediate access to clinical notes through the hospital online patient portal over a 20-month period.
- 30%, or 117, of the study patients read their notes.
- 52 patients completed an exit survey about their experience with OpenNotes.
- Better remember their care plans
- Adhere to their medication regimens
- Make the most of clinical appointments.
- OpenNotes did not significantly increase their workload.
- OpenNotes did not lead to complications in the treatment relationship.
- These positive results may have been a function of patient selection for the study, which excluded many with psychotic illnesses and severe personality disorders.
- “While it is a mistake to over-interpret the results of this pilot study, the results do suggest that offering select patients easy access to psychiatry notes is not “toxic.”
- May improve treatment in an outpatient setting in an academic medical center.
- It is hoped that the results will spur more interest and research in OpenNotes for psychiatry.”
- Who should know their treatment plan best?
- Who should know clearly what they are working on, to get what they want out of treatment?
- Who should have input and a significant say in what goes into their Progress Notes?
If you go to the Tips & Topics Archives at www.tipsntopics.com, you can see previous editions on aspects of treatment planning:
- Is just noting that the person attended group.
- While it sounds like it is documenting progress, it is not clear what insights are being gained, what feelings are better understood, and what specific treatment strategies are to be continued.
- It meets the letter of the law in doing a Progress Note, but doesn’t note what progress is being made on what issue.
- She said that for her, both terms were acceptable, but she preferred “black” because it has positive connotations linked to the civil rights movement of black power, Martin Luther King, and the fight for equality.
- “African American” was more familiar and perhaps acceptable to younger people more removed from the history of the civil rights movement.
- “Colored” was definitely a dated word with strong negative emotions and connotations harking back to the time when there were separate drinking fountains, toilets, seating on the bus etc.
- Some black Americans object to “African American” because “I’m from the USA, not Africa.”
Until next time
I’m glad you could join us this month. See you in late October.