TY - JOUR AU - R. Fernandopulle AU - N. Patel A1 - AB - The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems. BT - Health affairs (Project Hope) C5 - HIT & Telehealth; Healthcare Policy; Medical Home CP - 4 CY - United States DO - 10.1377/hlthaff.2010.0065 IS - 4 JF - Health affairs (Project Hope) N2 - The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems. PP - United States PY - 2010 SN - 1544-5208; 0278-2715 SP - 622 EP - 628 EP - T1 - How the electronic health record did not measure up to the demands of our medical home practice T2 - Health affairs (Project Hope) TI - How the electronic health record did not measure up to the demands of our medical home practice U1 - HIT & Telehealth; Healthcare Policy; Medical Home U2 - 20368591 U3 - 10.1377/hlthaff.2010.0065 VL - 29 VO - 1544-5208; 0278-2715 Y1 - 2010 ER -