THE RATE AT WHICH ELECTRONIC HEALTH RECORDS (EHRs) ARE being adopted in the United States appears to be increasing rapidly (Xierali et al. 2013). Of course, adoption is not an end in itself. Instead, the goal of increasing the use of EHRs is to improve quality, safety, and efficiency, and the goal of meaningful use is to improve the likelihood that EHRs will achieve these ends. EHRs should also play a major role in supporting quality measurement, including measurement for accountability (e.g., public reporting, accreditation, or pay-for-performance) and of the improvement itself (Chassin et al. 2010). In addition, many of these improvements require clinical decision support (CDS).
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