decisionhealth Newsletters, Part B News - 2022 Issue 2 (February)
Take care when you share clinical notes with patients, implement 5 tips
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Article Overview
This article explains how recent interoperability and information-blocking rule changes affect the sharing of clinical notes and other electronic health information with patients. It is aimed at physicians, qualified health care professionals, clinical staff, and administrative teams that handle documentation and patient record requests. The article covers broad best practices for note content, language, items that may need separate handling, exception awareness, and fee-related workflow considerations.
Why This Topic Matters
Health care organizations need to align documentation and release workflows with current patient-access expectations while reducing the risk of confusion, privacy problems, and noncompliance. The article helps teams think through operational and communication practices for patient-facing note sharing.
Article Sections
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Recent rule changes and patient access to clinical notes
Introduces the rule changes affecting patient access to electronic health information and why clinical notes may be requested more often. Sets the context for the guidance that follows.
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Five tips for sharing clinical notes
Outlines practical topics for clinicians and staff to consider when preparing notes for patient access. Covers documentation practices, note content, language choices, and situations where separate handling may be appropriate.
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Warn administrative staff about fees
Addresses administrative workflow considerations related to delivering electronic information to patients. Focuses on the article’s general discussion of fee handling for purely electronic access.
What You Will Learn
- How recent interoperability-related changes affect patient access to clinical notes
- What documentation practices may need review before notes are shared
- Why note content and language matter in patient-facing records
- Which kinds of information may require separate handling or exception review
- What administrative teams should know about fees tied to electronic delivery of patient information
Who Should Read This
- Physicians
- Qualified health care professionals
- Clinical staff
- Administrative staff
- Practice managers
- Health information management staff
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