our patients are offered a "clinical summary", includes the A&P of the note but leaves out exam and HPI. I can still hide stuff that I want only other physicians to see which is nice. Forces me to get the note done while they're in the office or we mail them a copy.
Have only had a couple patients ask to have something changed. Overall doesn't affect me much.
I rotated with a pmr physician who would always say "I am going to say this and this in my note. Does that seem right?" I always thought that was brilliant.
Isn't it a meaningful use requirement to allow pts full access to the notes? At the VA, for the past year, pts have full access to their notes electronically.