Medical care
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Randomized Controlled Trial
The intended and unintended consequences of quality improvement interventions for small practices in a community-based electronic health record implementation project.
Despite the rapid rise in the implementation of electronic health records (EHR), commensurate improvements in health care quality have not been consistently observed. ⋯ Technical assistance and financial incentives-alongside EHR implementation-can improve quality of care. Financial incentives for quality may not result in similar improvements for incentivized and unincentivized measures.