Document Type


Publication Date


Focus Area

Medical Practice Transformation



The 21st Century Cures Act federally mandated the release of progress notes, laboratory test results, and radiology/pathology reports to the patient’s electronic health record (EHR) portal. This study investigates patient perspectives on shared notes and addresses provider concerns about patient uptake due to potential factors like worry, confusion, and distress at the University of Vermont Medical Center.

Materials and Methods:

An electronic cross-sectional survey was designed and distributed to 7,240 eligible patients, adults who logged into MyChart on Epic and had an outpatient/telemedical visit at either the Colchester Family Medicine and South Burlington Primary Care locations in Vermont within one year prior to the study.


The survey response rate was 4.6%. Of the respondents, 90% agreed that the use of shared notes is a good idea, 76% found accessing notes easy, and 2% felt more worried about their health because of shared notes. 89%, 85%, and 82% of respondents found visit notes important for understanding their health, remembering their care plan, and feeling in control of their care, respectively.


Based on this survey, provider concerns about patient stress may be overstated, as patients appear to benefit from shared notes through increased engagement with their health, communication with providers, and adherence to care plans.


Poster was selected as the winning poster in the Student Research / QI category at the Vermont ACP Annual Scientific Meeting on October 14, 2022.

Poster presented at the April 2023 American College of Physicians (ACP) conference in San Diego, CA.

Research presented at 2023 STFM Conference on Practice &Quality Improvement by Jared Stone, MS3 and Alicia Jacobs, MD FAAFP.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

21st Century Cures Act_ Patient Perceptions on Open Info Sharing Stone-Jacobs Presentation.pdf (480 kB)
Presented at STFM Conference on Practice & Quality Improvement