{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:45:59Z","timestamp":1761561959704},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The longitudinal effects of electronic health records (EHRs) on ambulatory quality are not clear. It is not known whether adoption and meaningful use of EHRs result in a brief period of quality improvement that then plateaus, or whether with ongoing use quality improvement continues. We studied health care quality at six sites of a Federally Qualified Health Center in New York State over 3 years (2008\u20132010) for 25\u2009290 unique patients. Patients were twice as likely to receive recommended care on a set of 12 quality measures (11 of which are included in Stage 1 Meaningful Use) 3 years post-EHR implementation, compared to 1-year post-implementation (odds ratio 1.97; 95% confidence interval, 1.91\u20132.03). The magnitude of absolute improvement ranged from 5% to 20% per measure. EHRs were associated with continuing improvement in health care quality for at least 3 years post-implementation in the safety-net setting of a Federally Qualified Health Center.<\/jats:p>","DOI":"10.1093\/jamia\/ocu049","type":"journal-article","created":{"date-parts":[[2015,3,10]],"date-time":"2015-03-10T01:52:20Z","timestamp":1425952340000},"page":"453-458","source":"Crossref","is-referenced-by-count":19,"title":["Electronic health records and health care quality over time in a federally qualified health center"],"prefix":"10.1093","volume":"22","author":[{"given":"Lisa M.","family":"Kern","sequence":"first","affiliation":[{"name":"Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College, New York, USA"}]},{"given":"Alison M.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, USA"}]},{"given":"Michelle","family":"Pichardo","sequence":"additional","affiliation":[{"name":"Institute for Family Health, New York, NY, USA"}]},{"given":"Rainu","family":"Kaushal","sequence":"additional","affiliation":[{"name":"Center for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, USA"},{"name":"Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College, New York, USA"},{"name":"Department of Pediatrics, Weill Cornell Medical College, New York, USA"},{"name":"New York-Presbyterian Hospital, New York, USA"}]}],"member":"286","published-online":{"date-parts":[[2015,3,8]]},"reference":[{"issue":"111","key":"2020110613023309900_ocu049-B1","first-page":"1","article-title":"Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001","author":"Hsiao","year":"2012","journal-title":"NCHS Data Brief"},{"issue":"4","key":"2020110613023309900_ocu049-B2","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s11606-012-2237-8","article-title":"Electronic health records and ambulatory quality of care","volume":"28","author":"Kern","year":"2013","journal-title":"J Gen Intern Med."},{"issue":"4","key":"2020110613023309900_ocu049-B3","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1197\/jamia.M3128","article-title":"The relationship between electronic health record use and quality of care over time","volume":"16","author":"Zhou","year":"2009","journal-title":"J Am Med Inform 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