Table 1.

Summary of RE-AIM framework [6] for Evaluation of OpenNotes

Domain	Methods	Outcomes
Reach	Administrative data re: PCP characteristics and panel information; Portal use data; Surveys of patients/PCPs	PCP and patient demographics PCP workload, sessions, visits PCP portal statistics: number patients on portal, number of OpenNotes Patient portal statistics: registered users, logons
Effectiveness	PCP pre- and post- intervention survey, interviews Patient pre- and post- intervention survey PCP/patient portal data	PCP and patient preferences about continuation of OpenNotes PCP reported burden from OpenNotes Patient measures: Perceptions of Benefits/Risks of OpenNotes, ACES Quality of patient-doctor relationship subscale, Perceived Efficacy in Patient-Physician Interactions (PEPPI) short form questionnaire, PCP portal and telephone messages Patient portal: number of notes viewed
Adoption	System level data PCP practice data	Description of systems, PCP practices, proportions using OpenNotes PCP panel size, registered portal users
Implementation	Process data, PCP surveys and interviews, non-respondent surveys	PCP expectations, burden, barriers to participation; detailed descriptions of PCP experiences, comments, recommendations
Maintenance	PCP/system responses	Decision to continue or discontinue OpenNotes