OpenNotes is a nationwide movement encouraging clinicians to share clinical notes and visit summaries with their patients. The formal initiative was introduced in 2010 and three health systems underwent a trial run of the initiative: Beth Israel Deaconess Medical Center in Boston; Geisinger Health System in Danville, Pa.; and Harborview Medical Center in Seattle.

Three years later, a Portland, Ore.-based organization called We Can Do Better, which advocates for the triple aim, held a conference and discussed OpenNotes with attending health systems. The organization presented a study in Annals of Internal Medicine that outlined the success the initial three health systems had with their OpenNotes projects, and the attendees signed on.

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