Advancing evidence-based care for diabetes: lessons from the Veterans Health Administration |
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Authors: | Kupersmith Joel Francis Joseph Kerr Eve Krein Sarah Pogach Leonard Kolodner Robert M Perlin Jonathan B |
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Affiliation: | Department of Veterans Affairs, Washington, DC, USA. Joel.Kupersmith@va.gov |
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Abstract: | 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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