LAUSR

Key Points Question Is there an association between measures of electronic health record (EHR) use and ambulatory quality performance among primary care physicians? Findings In this cross-sectional study of 291 primary care physicians, there were significant associations between multiple electronic health record time measures and panel-level achievement of hemoglobin A1c control, hypertension control, and breast cancer–screening targets. For example, each additional 15 minutes of daily time spent on EHR messaging was associated with 2.3% greater panel-wide hemoglobin A1c level control, 1.7% greater hypertension control, and 1.3% higher breast cancer screening rates. Meaning The findings of this study suggest that increased electronic health record time may represent a level of thoroughness or communication that enhances quality outcomes.