• Ilana Graetz, Mary Reed, Thomas Rundall, Jim Bellows, Richard Brand, and John Hsu.
• Center for Health Policy Studies, Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, USA.
• AMIA Annu Symp Proc. 2009 Jan 1;2009:208-12.

ObjectiveTo examine the association between use of electronic health records (EHR) and care coordination.Study DesignTwo surveys, in 2005 and again in 2006, of primary care clinicians working in a prepaid integrated delivery system during the staggered implementation of an EHR system. Using multivariate logistic regression to adjust for clinician characteristics, we examined the association between EHR use and clinicians' perceptions of three dimensions of care coordination: timely access to complete information; treatment goal agreement; and role/responsibility agreement.ResultsCompared to clinicians without EHR, clinicians with 6+ months of EHR use more frequently reported timely access to complete information, and being in agreement on treatment goals with other involved clinicians. There was no significant association between EHR use and being in agreement on roles and responsibilities with other clinicians.ConclusionsEHR use is associated with aspects of care coordination involving information transfer and communication of treatment goals.

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