Jesse C. Crosson|Pamela Ohman?Strickland|Katharina Hähn|Barbara DiCicco?Bloom|Eric K. Shaw|A. John Orzano|Benjamin F. Crabtree
Electronic Medical Records and Diabetes Quality of Care: Results From a Sample of Family Medicine Practices
Rutgers, The State University of New Jersey|Johnson University|Johnson University|Johnson University|Johnson University|Johnson University|Johnson University|Cancer Institute of Florida|Johnson University|Cancer Institute of Florida
care patients diabetes requires management complex clinical information may improved use electronic medical record emr however actual relationship emr usage diabetes care quality primary care settings well understood assessed relationship emr usage diabetes care quality sample family medicine practiceswe conducted crosssectional analyses baseline data 50 practices participating practice improvement study april 2003 december 2004 chart auditors reviewed random sample medical records patients diabetes practice adherence guidelines diabetes processes care treatment achievement intermediate outcomes practice leaders provided medical record system information conducted multivariate analyses relationship emr usage diabetes care adjusting potential practice patientlevel confounders practicelevel clusteringdiabetes care quality practices showed room improvement however adjustment patient care 37 practices using emr likely meet guidelines process odds ratio 225 95 confidence interval ci 142357 treatment 167 95 ci 107260 intermediate outcomes 268 95 ci 149482 13 practices using emrthe use emr primary care practices insufficient insuring highquality diabetes care efforts expand emr use focus improving technology also developing methods implementing integrating technology practice reality