Comparing Healthcare Visit Recording and Open Notes to Improve Chronic iLlness Care Experience in Older Adults

This study is comparing two tools — recording healthcare visits and accessing written medical notes (called "open notes") — to see if these approaches help older adults with multiple chronic conditions better understand and manage their health. The study includes both patients and their informal caregivers. **You may be eligible if (as a patient)...** - You are 65 or older - You have at least two chronic conditions (such as diabetes, high blood pressure, arthritis, COPD, depression, heart disease, or dementia) - You have had at least two clinic visits in the past 12 months - You have internet access and a working email address - You can communicate in English or Spanish **You may NOT be eligible (as a patient) if...** - You have schizophrenia, active substance use disorders, or uncorrected hearing/vision problems - You live in a skilled nursing home or are in hospice - You have significant cognitive impairment - You have never recorded a clinic visit for personal use before (participants must not have done so in the past 6 months) Caregivers of eligible patients may also participate if they are 18 or older, speak English or Spanish, and have internet access. Talk to your doctor to see if this trial is right for you.