OpenNotes – A Gold Mine of Community Organizing

Transparent communication in healthcare. Connection, trust, control. Research to practice. Change management. Community organizing. Liz Salmi tells her story about OpenNotes.

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Episode Notes
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Contents with Time-Stamped Headings
to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript)

Introducing Liz Salmi 00:59. 1

From brain tumor to OpenNotes 04:12. 2

Moving mountains - from dissemination to implementation 05:52. 2

Change management champions 10:40. 3

Community organizing – handwashing to OpenNotes 12:43. 4

Unintended consequences of OpenNotes 16:51. 5

SOAP notes, digital notes for patients. What’s next? 19:30. 5

OpenNotes highlights errors. Fixing errors. 25:46. 7

OpenNotes and mental health/substance use records 31:07. 8

The kitchen sink of OpenNotes 33:38. 8

Reflection 38:45. 10

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Credits
Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger

Photo by Miguel A. Amutio on Unsplash

Photo by Manny Becerra on Unsplash

Photo by Halacious on Unsplash

Sponsored by Abridge

Thanks to these fine people who inspired me for this episode: Geri Lynn Baumblatt, Penney Cowan, Freddie White-Johnson, Morgan Gleason, Mike

Mittelman, Alexis Snyder, Teresa Wright-Johnson, Mary Anne Sterling, Casey Quinlan
Links
OpenNotes

PCORI ethos model of patients and care partners involved

The “OurNotes” research project: https://www.opennotes.org/ournotes-health-professionals/

This work is by Dr. Sigall Bell. She's our leader in patient safety work and OpenNotes
Impacts of a web-based educational program for veterans who read their mental health notes online
Early results: OurNotes & telemedicine during COVID: https://catalyst.nejm.org/doi/pdf/10.1056/CAT.20.0154 <-- Links to open access PDF
 OPEN ACCESS: Bell SK, Delbanco T, Elmore JG, et al. Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes. JAMA Netw Open. 2020;3(6):e205867. doi:10.1001/jamanetworkopen.2020.5867 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2766834
https://www.opennotes.org/ournotes-patients/
Larry Weed's 1971 Internal Medicine Grand Rounds
Open Notes Mental health
Impacts of a web-based course on mental health clinicians' attitudes and communication behaviors related to use of opennotes” Psychiatric Services Jun 2019
Journal of General Internal Medicine: Most patients understand visit notes, many have ideas for making notes more meaningful for patients

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About the Show
Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this.

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