Joe Boyce, MD, CIO and CMIO, Heartland Health. Heartland/Mosaic has been sharing patient notes, labs and secure messaging for over three years. Since Oct 2013 their clinics have taken the next logical step – working with patients via a secure web portal to provide the capability for patients to document their goals for a visit, update their medications, problems, allergies, procedure lists, add to their family history, or review and update missing quality measures. The benefits include improvements in documentation, costs, copy/paste abuse, quality of care, and many other side benefits. Intake histories are quicker, notes are better, and patients are happier. Validation, trust, and communications issues will be addressed.