Mount Sinai Health System was awarded an OpenNotes (ON) implementation grant from New York State Health Foundation to create a Spanish-Language ON Navigator Program surrounding our enterprise ON rollout in spring 2018. Our program comprised: 1) a patient-facing Spanish-English navigator, who helped Spanish-language preferred patients sign up for and navigate MyChart, understand why engaging with their health information is important, find their office visit ON notes, and if desired verbally translated their notes, and 2) a navigator who trained staff/clinicians about ON, and encouraged them to discuss ON and the navigator program with patients. 517 patients were navigated, which passed our goal of 500, and 222 staff/clinicians were navigated, almost three times the initial goal. Three rounds of IRB-approved program evaluation showed that patients loved this program, and because of it, even those with truly limited English felt empowered to use MyChart and their notes. Staff/clinicians did not spread the word to patients as hoped, but their awareness of ON increased, and most strongly supported the ON navigator program.

Learning Objective: Participants will learn detailed information about how to create a successful program to sign-up Spanish-langauge preferred patients for MyChart and navigate them through MyChart and OpenNotes, which OpenNotes founders at Beth Israel Deaconess Medical Center-Harvard have called ground-breaking, and which could be implemented for other language-preference patient groups.


Catherine Craven (Presenter)
Mount Sinai Health System

Lina Jandorf, Icahn School of Medicine at Mount Sinai
Cristina Villagra, Icahn School of Medicine at Mount Sinai
Zeida Quintero-Canetti, Icahn School of Medicine at Mount Sinai
Joseph Kannry, Mount Sinai Health System
Bruce Darrow, Mount Sinai Health System

Presentation Materials: