A study of adult diabetes care in the greater Cleveland region shows significantly better adherence to quality of care standards, and resulting better patient outcomes, among providers using electronic health records.

Between July 2009 and June 2010, 50.9 percent of patients at provider sites with an EHR received care that met four standards for quality, compared with 6.6 percent of patients at sites using paper records, according to the study, published August 31 in the New England Journal of Medicine. The care standards were measurement of glycated hemoglobin, kidney management, eye examination and pneumococcal vaccination.

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