Which clinical note types will be released to patient’s myBeaumontChart?
Patients can continue to ask for a full copy of their medical record through HIM, as they’ve always done. The following list is not all inclusive, as there are ongoing discussions:
For those note types being released with Open Notes, has Beaumont been meeting the threshold of note release required to meet the 21st Century Cures Act requirement?
No, only 60% of inpatient notes and 54% of ambulatory notes have been released. With the 21st Century Rule, all notes that are included in scope must be released immediately to the patient.
What if releasing the results and/or notes might cause the patient anxiety or distress?
Feedback from ONC and HIPAA specifically states that Electronic Health Information (EHI) cannot be denied to the patient’s individual access because of general concerns regarding psychological or emotional harm. The only exception allowed is if
the release of EHI would cause danger to the patient’s life or physical safety.
What if releasing the results and/or notes would cause danger to a patient’s life or physical safety?
Results: A question will be available for those sensitive orders [diagnostic imagining, surgical pathology and cytology] that will allow you to delay.
Notes: Notes are set to release by default. If you, as a clinician, think that it will cause danger to a patient’s life or physical safety, you may unselect the option to release. You will be required
to document with the specific reason as to why you think this would cause danger to a patient’s life or physical safety and must be prepared to defend your decision.
What if I feel threatened that there is a danger to me, as a clinician, if I release the note to the patients myBeaumontchart?
If it is felt that there is danger to your own safety by releasing a note, please make a report with either Beaumont security or the police and document accordingly in the note utilizing the smartphrase: BH REASONS NOT TO SHARE NOTE
‘This note was not shared with the patient because access to information in the note is reasonably likely to endanger the life of physical safety of a Beaumont Workforce member or another person. A report to Beaumont Security or the police
has been made.’
As of October 20th, only the following will display a full last name within the patient’s myBeaumontChart. All other roles will display first name and first initial of the last name. Note: There are not any changes to name display with the release of the full legal medical record by the HIM department.