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Improving Patient Care through Respectful Medical Record Language

Award Number: R01MD017048
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 01/01/2022
PERIOD OF PERFORMANCE END DATE: 11/30/2026

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Improving Patient Care through Respectful Medical Record Language - ABSTRACT Respect for all patients as persons is a core principle of ethical clinical practice, which is embodied in the ways clinicians communicate about patients. Although medical records are an integral method of communicating about patients, few studies have evaluated patient records as a means of communicating attitudes of respect or disrespect from one clinician to another. Our own preliminary work has found that language used in medical records has a direct influence on subsequent clinicians who read the notes, both in terms of their attitudes towards the patient and their medication prescribing behavior. This is an important and overlooked pathway by which attitudes can be passed from one clinician to another and affect the quality of care patients receive. Our overarching goal is to improve respect for patients and thereby enhance the quality of patient care. The specific aims of this proposal are: (1) to define and develop a taxonomy of language in medical records using qualitative analyses with input from clinicians and patients across 5 different medical specialty areas, (2) to measure the use of different types of language in medical records using natural language processing (NLP) that can efficiently detect and quantify positive and negative language in electronic patient records, and then (3) to increase respect in healthcare environments using proven implementation science (IS) strategies (stakeholder engagement, education, audit and feedback, and champions) to motivate and enable health system change. Every encounter with a patient is documented in the medical record. Because language may have a powerful role in influencing subsequent clinician attitudes and behavior, attention to the language used in medical records could have a large impact on the promotion of respect for all patients.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $609,109 )
2026	2026	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	000	5	12/7/2025	NON-COMPETING CONTINUATION	$609,109
														Subtotal = $609,109

Issue Date FY: 2025 ( Subtotal = $816,934 )
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	004	4	5/27/2025	NON-COMPETING CONTINUATION	$0
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	003	4	3/28/2025	SUPPLEMENT FOR EXPANSION	$0
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	005	4	8/25/2025	NON-COMPETING CONTINUATION	$68,195
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	001	4	11/28/2024	NON-COMPETING CONTINUATION	$613,758
2025	2025	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	002	4	11/29/2024	SUPPLEMENT FOR EXPANSION	$134,981
2025	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	000	3	11/1/2024	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $816,934

Issue Date FY: 2024 ( Subtotal = $711,918 )
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	003	3	9/20/2024	SUPPLEMENT FOR EXPANSION	$44,485
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	001	3	5/24/2024	NON-COMPETING CONTINUATION	$48,167
2024	2024	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	000	3	12/19/2023	NON-COMPETING CONTINUATION	$619,266
2024	2023	THE JOHNS HOPKINS UNIVERSITY	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	002	2	8/26/2024	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $711,918

Issue Date FY: 2023 ( Subtotal = $1,010,989 )
2023	2023	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	000	2	11/4/2022	NON-COMPETING CONTINUATION	$615,940
2023	2023	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	002	2	9/20/2023	SUPPLEMENT FOR EXPANSION	$326,612
2023	2023	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	001	2	2/16/2023	NON-COMPETING CONTINUATION	$68,437
														Subtotal = $1,010,989

Issue Date FY: 2022 ( Subtotal = $692,315 )
2022	2022	JOHNS HOPKINS UNIVERSITY, THE	3400 N CHARLES ST	BALTIMORE	MD	21218	BALTIMORE CITY	USA	Minority Health and Health Disparities Research	000	1	12/9/2021	NEW	$692,315
														Subtotal = $692,315

Grand Total All Awards = $3,841,265

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Improving Patient Care through Respectful Medical Record Language

Award Number: R01MD017048

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 01/01/2022

PERIOD OF PERFORMANCE END DATE: 11/30/2026

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