As health care reform initiatives advance, technology continues to play an increasing role in the delivery of medicine. Today, 80 percent of hospitals and more than 50 percent of individual physicians utilize electronic healthcare records (EHRs) to expedite the exchange of information amongst providers and reduce the likelihood of duplication and error. Providers are also using EHRs to improve communication with their patients. Clinics and hospitals in Seattle, Boston, and rural Pennsylvania participated in an experiment with a program known as OpenNotes, which allowed them to send electronic notes to patients. Throughout the course of the year-long study, 105 doctors shared notes with nearly 19,000 patients in order to achieve transparency, establish trust, and improve the quality of care. At least 80 percent of patients opened at least one of their notes, and reported feeling more confident and knowledgeable about their own health and care. Physicians were equally satisfied with the service, as 99 percent of those involved in the study opted to incorporate OpenNotes into their care delivery following the trial period. The success of this technology holds considerable promise for the opportunity to improve patient satisfaction while simultaneously increasing the efficiency of care.