New York Health Foundation

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Funding Area: Empowering Health Care Consumers

Jericho Road Community Health Center (Jericho Road Ministries)

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Jericho Road Community Health Center a grant to participate in this initiative.

Jericho is a federally qualified health center in Buffalo that provides comprehensive primary care, specialty care, and health-related support services to approximately 24,000 patients annually across 5 primary care clinics, a safety-net dental clinic, and a pharmacy. Under this grant, Jericho continued to implement and improve the use of shared notes within its system and participated in a technical assistance and peer-learning network. With a focus on improving note-sharing with its patient population, including refugees, it engaged community health workers to lead patient education, outreach, and navigation efforts and install kiosks for patients to access notes on-site. Jericho also upgraded its patient portal and website to facilitate easier note-sharing.

See a full list of grantees participating in this initiative.

Anthony L. Jordan Health Center

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Anthony L. Jordan Health Center a grant to participate in this initiative.

Jordan Health is a federally qualified health center in the Greater Rochester area that provides comprehensive services—including primary care, obstetrics/gynecology, behavioral health, dental health, and medication-assisted treatment—to approximately 38,000 patients annually across 9 sites. Under this grant, Jordan Health will continue to implement and improve the use of shared notes within its system and participate in a technical assistance and peer-learning network. Jordan Health will enhance the sharing and usability of notes through provider training, notes audit, and notes translation. It will also engage a patient advocate to lead patient education, outreach, and navigation efforts to increase use of shared notes and install kiosks for patients to access notes on-site. It will seek patient feedback on these patient engagement and provider training efforts.

See a full list of grantees participating in this initiative.

Advantage Care Health Centers (Advantage Care Diagnostic and Treatment Center)

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Advantage Care Health Centers a grant to participate in this initiative.

Advantage Care is a federally qualified health center in Nassau County that provides primary care, specialty care, and health-related support services to approximately 2,500 patients annually through 2 community health centers and the Fay J. Lindner Center for Autism and Developmental Disabilities. Under this grant, Advantage Care continued to implement and improve the use of shared notes within its system and participated in a technical assistance and peer-learning network. With a focus on improving note-sharing with its patient population, which includes children, adolescents, and adults with intellectual or developmental disabilities, Advantage Care enhanced the sharing and usability of notes through provider training, notes audit, and notes translation. It also conducted patient education, outreach, and navigation to support use of shared notes and sought patient feedback.

See a full list of grantees participating in this initiative.

Mosaic Health

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Mosaic Health a grant to participate in this initiative.

Mosaic Health is a federally qualified health center that serves Western New York, Central New York, the Finger Lakes, and Mohawk Valley; it offers comprehensive primary, dental, and behavioral health care to approximately 103,000 patients across 16 primary care clinics, 3 dental clinics, and 5 school-based health centers. Under this grant, Mosaic will continue to implement and improve the use of shared notes within its system and participate in a technical assistance and peer-learning network. Mosaic will enhance the sharing and usability of notes through provider training, with an emphasis on writing patient-friendly notes. With a focus on improving note-sharing with its patient population, including refugees and rural residents, it will create patient education materials in multiple languages, conduct outreach and navigation, and install kiosks for patients to access notes on-site. It will also seek patient feedback on these patient engagement and provider training efforts.

See a full list of grantees participating in this initiative.

Parker Jewish Institute for Health Care and Rehabilitation

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Parker Jewish Institute for Health Care and Rehabilitation a grant to participate in this initiative.

Parker Jewish Institute is a health care and rehabilitation center and skilled nursing facility for older adults providing inpatient programs, community health services, and medical house call services across New York City and Long Island. Under this grant, Parker Jewish Institute continued to implement and improve the use of shared notes within its system, particularly its medical house call program, and participated in a technical assistance and peer-learning network. It enhanced the sharing and usability of notes through provider and patient education, with a focus on improving note-sharing for its patient population of homebound older adults. It also upgraded its patient portal to facilitate easier note-sharing and sought patient feedback.

See a full list of grantees participating in this initiative.

Saratoga Community Health Center (Saratoga Care)

Shared visit notes, often referred to as open notes, are an important way to help consumers become active participants in their own care.

When patients have access to their own visit notes written by health care providers, they better remember and act on information discussed during visits, improve communication with their health care team, and better manage their health. The 21st Century Cures Act, a recent federal mandate, requires health care providers to make clinical notes available to patients electronically and at no charge. However, the level of compliance and, most importantly, the proactive use of open notes to improve care vary among health systems. In 2022, NYHealth issued a Request for Proposals (RFP), “From Good to Great: Improving Access to and Use of Patient Visit Notes in Non-Hospital Systems,” to support non-hospital systems across New York State in sharing open notes in compliance with recent federal rules and using open notes to more meaningfully engage patients. In 2023, NYHealth awarded Saratoga Community Health Center (Saratoga CHC) a grant to participate in this initiative.

Saratoga CHC is part of a hospital-affiliated, multi-specialty physician practice, Saratoga Hospital Medical Group in Saratoga Springs and the Capital Region. It provides primary care and dental services to approximately 7,000 patients annually. It is the only community health center in the region, providing care regardless of patients’ insurance status or ability to pay. Under this grant, Saratoga CHC will continue to implement and improve the use of shared notes within its system and participate in a technical assistance and peer-learning network. Saratoga CHC will conduct patient education, outreach, and navigation to increase use of shared notes and install kiosks for patients to access notes on-site. It will also seek patient feedback, develop patient-centered note-sharing workflows, and upgrade its patient portal to integrate medical and dental patient visit notes.

See a full list of grantees participating in this initiative.

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