Case | HBS Case Collection | March 2017 (Revised March 2017)


by Jeffrey Rayport and Annelena Lobb


In 2017, executives at OpenNotes, a national movement to improve the relationship between doctors and patients by sharing doctors’ visit notes about patients with patients, were considering options in efforts to achieve scale. The movement hoped to reach 50 million patients by 2020. One opportunity was building an OpenNotes app for smartphones, in which patients could access their visit notes on their phones through an app compatible with Apple CareKit. But OpenNotes had other options, including partnerships with consumer groups and insurers. In addition, they would always have a role in encouraging doctors and institutions to share notes more readily. What was the best way to scale OpenNotes? Was it the app route, or some other way to pursue the group’s ambitions?

Keywords: health care and treatment; Health Care and Treatment; Technology Adoption; Growth and Development Strategy; Technology Industry; Health Industry; United States;


Rayport, Jeffrey, and Annelena Lobb. "OpenNotes." Harvard Business School Case 817-080, March 2017. (Revised March 2017.)