Health Affairs

Health Affairs, 26, no. 2 (2007): w156-w168 (Published online 26 January 2007) doi: 10.1377/hlthaff.26.2.w156 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Advancing Evidence-Based Care For Diabetes: Lessons From The Veterans Health Administration

Joel Kupersmith, Joseph Francis, Eve Kerr, Sarah Krein, Leonard Pogach, Robert M. Kolodner and Jonathan B. Perlin

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.

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