Electronic Health Records

Clinical Update

How to Write an Open Note

Topics: Computers in Psychiatric Practice | Confidentiality | EHR | Electronic Health Records | electronic use | Engagement | HIPAA | Patient relationship | Privacy | retention

“A physician should at all times deal honestly and openly with patients.” —AMA Code of Medical Ethics Beginning April 4, 2021, the Department of Health and Human Services (DHHS) instituted a new policy stating that all clinical notes must be open to patients for their review in a timely fashion. Since that announcement, I have heard physician

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