This article reviews the potential for increased involvement of long-term post-acute care (LTPAC) providers in accountable care organizations (ACOs) facilitated by health information exchange (HIE). As ACOs aim to offer coordinated, high-quality care while managing costs, visibility of patient data is critical to inform decision making and manage outcomes across the entire spectrum of care.
While the adoption of electronic health record (EHR) systems promises a number of substantial benefits, including better care and decreased healthcare costs, serious unintended consequences from the implementation of these systems have emerged. Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality of care. These unintended consequences also may increase fraud and abuse and can have serious legal implications. This literature review examines the impact of unintended consequences of the use of EHR systems on the quality of care and proposed solutions to address EHR-related errors.