Alejandro Amill-Rosario, MPH

Health systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.

Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.

The authors discuss health information technology in the context of health systems, the potential harm of electronic health record vendor consolidation, and overcoming barriers in providers’ experience.