Jeffrey A. Linder, MD, MPH

There are concerns that retail clinics provide inferior quality of care. The authors found no difference in quality among retail clinics, physician offices, and emergency departments.

Using EHR clinical decision support is associated with improved quality of care. Most primary care practices are missing at least 1 "meaningful use" clinical decision support module.

A payer-sponsored pay-for-performance incentive for smoking status documentation prompted implementation of a systemwide electronic reminder and improved documentation among all healthcare system patients.

Physician use of EHRs with CDS is associated with increased blood pressure control and lower mean systolic blood pressure across US primary care visits.

A trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.

An electronic health record–based feedback program, the Acute Respiratory Infection Quality Dashboard, did not lead to an overall change in antibiotic prescribing in primary care.

Nationwide data on hospital emergency department visits reveal little evidence of unintended adverse consequences associated with publicly reporting hospitals’ antibiotic timing in pneumonia.