Volume 47 | Number 4 | August 2012

Abstract List

Jeph Herrin Ph.D., Briget Graca J.D., M.S., David Nicewander M.S., Cliff Fullerton M.D., Phil Aponte M.D., Greg Stanek M.S., Terianne Cowling B.A., Ashley Collinsworth M.P.H., Neil S. Fleming, David J. Ballard


To assess the impact of electronic health record () implementation on primary care diabetes care.

Data Sources

Charts were abstracted semi‐annually for 14,051 diabetes patients seen in 34 primary care practices in a large, fee‐for‐service network from anuary 1, 2005 to ecember 31, 2010. The study sample was limited to patients aged 40 years or older.

Study Design

A naturalistic experiment in which was rolled out over a staggered 3‐year schedule.

Data Collection

Chart audits were conducted using the /hysician onsortium dult iabetes easure set. The primary outcome was the ealthartners’ “optimal care” measure:  ≤ 8 percent; cholesterol < 100 mg/dl; blood pressure < 130/80 mmHg; not smoking; and documented aspirin use in patients ≥40 years of age.

Principal Findings

After adjusting for patient age, sex, and insulin use, patients exposed to the were significantly more likely to receive “optimal care” when compared with unexposed patients ( < .001), with an estimated difference of 9.20 percent (95% : 6.08, 12.33) in the final year between exposed patients and patients never exposed. Components of the optimal care bundle showing positive improvement after adjustment were systolic blood pressure <80 mmHg, diastolic blood pressure <130 mmHg, aspirin prescription, and smoking cessation. Among patients exposed to , all process and outcome measures except and lipid control showed significant improvement.


Implementation of a commercially available in primary care practice may improve diabetes care and clinical outcomes.