OBJECTIVE: To assess the impact of electronic health record (EHR) implementation on primary care @entity6 care. DATA SOURCES: Charts were abstracted semi-annually for 14,051 @entity6 @entity1 seen in 34 primary care practices in a large, fee-for-service network from January 1, 2005 to December 31, 2010. The study sample was limited to @entity1 aged 40 years or older. STUDY DESIGN: A naturalistic experiment in which GE Centricity Physician Office-EMR 2005 was rolled out over a staggered 3-year schedule. DATA COLLECTION: Chart audits were conducted using the AMA/Physician Consortium Adult @entity6 Measure set. The primary outcome was the HealthPartners' "optimal care" measure: HbA1c  <= 8 percent; LDL @entity165 < 100 mg/dl; blood pressure < 130/80 mmHg; not smoking; and documented @entity117 use in @entity1 >=  40 years of age. PRINCIPAL FINDINGS: After adjusting for @entity1 age, sex, and insulin use, @entity1 exposed to the EHR were significantly more likely to receive "optimal care" when compared with unexposed @entity1 (p < .001), with an estimated difference of 9.20 percent (95% CI: 6.08, 12.33) in the final year between exposed @entity1 and @entity1 never exposed. Components of the optimal care bundle showing positive improvement after adjustment were systolic blood pressure <80 mmHg, diastolic blood pressure <130 mmHg, @entity117 prescription, and smoking cessation. Among @entity1 exposed to EHR, all process and outcome measures except HbA1c and lipid control showed significant improvement. CONCLUSION: Implementation of a commercially available EHR in primary care practice may improve @entity6 care and clinical outcomes.

The effectiveness of implementing an electronic health record on XXXX care and outcomes.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity165 :: ('MESH:D002784', 'Chemical') :: ['cholesterol'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes']
