Jan Walker, RN, MBA, Assistant Professor of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School and Co-Director, OpenNotes, and Melissa K. Anselmo, National Program Director, OpenNotes, Beth Israel Deaconess Medical Center. OpenNotes, is now in over 40 health systems and reaches more than 5 million patients across the US. Jan and Melissa discuss trends in implementing shared visit notes and provide a current overview of the national OpenNotes movement. They also share early insights on the impact of OpenNotes on topics such as mental health, medical education, and patient safety.