A Patient-Centered Approach to Writing Ambulatory Visit Notes in the Cures Act Era
Barbara D. Lam, David Dupee, Macda Gerard, Sigall K. Bell
Abstract
The 21st Century Cures Act Final Rule mandated that all U.S. patients have electronic access to clinical notes in 2021,[1] encoding the cultural shift toward health information transparency into law. This landmark policy change, along with similar efforts around the world,[2] [3] [4] [5] [6] provides an opportunity to reflect on the purpose of clinical notes and their impact on both clinicians and patients. Clinical informaticists and medical educators are key leaders in supporting current and future clinicians in this new health care environment.
Topics & Concepts
Transparency (behavior)Health careMedicineAlternative medicinePublic relationsFamily medicineMedical educationPolitical scienceLawPathologyElectronic Health Records SystemsHealthcare Systems and TechnologyDigital Imaging in Medicine