Using EHR content to prevent breast and ovarian cancer

Breast and ovarian cancer risk-factor information stored in the electronic health record is fragmented across many locations: notes written by many authors over many years, test and imaging study requisitions and reports, and scanned and linked documents from other facilities where the patient has received care. Our question is how we can find and use this information identify women who meet criteria for referral for further genetic risk evaluation who have not yet been referred.

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OpenNotes: Improving Health through a Culture of Transparency

The goal of this project is to better understand the effects of permitting patients to view their notes both on their health outcomes and on the care team, including note authors. We also are piloting methods for patients to contribute to their notes, called OurNotes. Dr. Payne is the UW principal investigator for this large, multi-center effort based at Boston Beth Israel.

Recently Concluded Projects

Inpatient progress notes on Medicine: Analysis of current practice and development and piloting of a plan to improve them

With co-investigators at Harborview and UW Medical Center, we are studying the length, composition, and amount of content that persists from the prior days’ note, and utilization of notes by other members of the care team. Informed by this and by focus groups of note users, creators, and clinical leaders, we are are piloting new ways to create hospital progress notes.