The 21st Century Cures Act and Emergency Medicine – Part 1: Digitally Sharing Notes and Results - 20/12/21
, Bruce Darrow, MD, PhD b, c, Mahima Vijayaraghavan, MD, MBA b, d, Donald W. Rucker, MD, MS eAbstract |
Among the provisions of the 21st Century Cures Act is the mandate for digital sharing of clinician notes and test results through the patient portal of the clinician’s electronic health record system. Although there is considerable evidence of the benefit to clinic patients from open notes and minimal apparent additional burden to primary care clinicians, emergency department (ED) note sharing has not been studied. With easier access to notes and results, ED patients may have an enhanced understanding of their visit, findings, and clinician’s medical decisionmaking, which may improve adherence to recommendations. Patients may also seek clarifications and request edits to their notes. EDs can develop workflows to address patient concerns without placing new undue burden on clinicians, helping to realize the benefits of sharing notes and test results digitally.
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| Editor’s Note: This article is part of a series that describes the many ways that the Department of Health and Human Services interacts with the emergency care system. The Department of Health and Human Services includes many divisions that are well known to the health care world, including the Centers for Medicare & Medicaid Services, the Health Resources and Services Administration, the National Institutes of Health, and the Agency for Healthcare Research and Quality. The goal of the series is to increase the visibility of federal emergency care–related activities within the emergency care community. |
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| Supervising editor: Brendan G. Carr, MD, MS. Specific detailed information about possible conflict of interest for individual editors is available at editors. |
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| Authorship: All authors attest to meeting the four ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. |
Vol 79 - N° 1
P. 7-12 - janvier 2022 Retour au numéro
Article précédent
- Group Practice Size Consolidation in Emergency Medicine
- Jordan R. Pollock, Jacob S. Hogan, Arjun K. Venkatesh, Benjamin J. Sandefur, Jeffery A. Weyand, Maya T. Harrington, Anna M. Pisac, Rachel A. Lindor
- The 21st Century Cures Act and Emergency Medicine – Part 2: Facilitating Interoperability
- Mahima Vijayaraghavan, Nicholas Genes, Bruce J. Darrow, Donald W. Rucker
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