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Staggered EHR implementation across outpatient clinics in an integrated delivery system, Kaiser Permanente Northern California, between 2005 and 2008 created an opportunity for studying changes associated with EHR use. Mary Reed, Dr.P.H., of Kaiser Permanente Northern California, Oakland, and colleagues examined the association between EHR implementation and emergency department (ED) visits, hospitalizations, and office visits among patients with diabetes between 2004 and 2009, seen at 45 facilities in 17 medical centers. The study included all 169,711 patients in the health plan's clinical diabetes registry at the beginning of the study period.
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