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Editor's Correspondence
May 23, 2011

Electronic Health Records, the PINNACLE Registry, and Quality Care—Reply

Author Affiliations

Author Affiliations: Stanford Prevention Research Center, Stanford University, Stanford, California.

Arch Intern Med. 2011;171(10):941-954. doi:10.1001/archinternmed.2011.190

In reply

In our recently published study,1 using nationally representative outpatient visit data, we found no association between clinical decision support-enabled EHR use and quality of care. We acknowledge several of the limitations that Mohan and Hersh point out. Specifically, we agree that having more complete and recent information on clinical practices, patient outcomes, and EHRs would be valuable. Unfortunately, national-level data fully addressing these concerns are not available. We continue to believe that our analysis of a quarter-million patient visits contributes to understanding the relationship between EHRs and ambulatory care quality.

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