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Health Aff (Millwood). 2007 Mar-Apr;26(2):w156-68. Epub 2007 Jan 26.

Advancing evidence-based care for diabetes: lessons from the Veterans Health Administration.

Author information

1
Department of Veterans Affairs, Washington, DC, USA. Joel.Kupersmith@va.gov

Abstract

The Veterans Health Administration (VHA) is a unique laboratory for using the electronic health record (EHR) to transform health care and accelerate discovery. This is particularly evident in the care of veterans with diabetes, who constitute a quarter of those served by the VHA. Although EHRs have enabled rapid learning, additional factors were necessary, including the lead participation of clinician-investigators, accountability through performance measurement, a delivery system focused on population health, and favorable economic externalities. "Off-the-shelf" technology is unlikely to generate similar benefits if these attributes are not in place.

PMID:
17259199
DOI:
10.1377/hlthaff.26.2.w156
[Indexed for MEDLINE]
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