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 there is danger to your own safety by releasing a note, please make a report with either Beaumont security or the police. Proceed to deselect the “Share w/ Patient” button and select the reason for not sharing the note because of “danger to Beaumont Workforce member” from the popup that appears.
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.
How to not share notes to myChart
21st Century Cures Act Notes Sharing Popup
As part of the 21st Century Cures Act, Beaumont must ensure we are not knowingly interfering with the access, exchange or use of electronic health information.
To accomplish this goal:
- Sensitive encounters and notes will be made available to patients through myBeaumontChart, effective May 4, 2021.
- Sensitive encounters and notes will remain hidden in oneChart and not viewable by other oneChart users unless there are providers specified as proxy providers for the encounter.
- Patients who have granted someone proxy have the capability to limit their access in the event the patient does not want to share sensitive notes with friends/family.
21st Century Cures Act Information Blocking Rule: Sensitive encounters and notes
myBeaumontChart Proxy Settings
As a reminder:
- There will not be any change to clinical information shared when the parent has Teen-Limited Proxy Access.
- Notes may only be unshared if they meet the exception.