Progress in using the electronic health record to improve primary care

Improvement science has been transformed by the electronic health record (EHR) making it to share data for patient and population benefit across primary and secondary care , with further linkage to public health, social services, and national registries. data analysis is an enabling technology for systems of improvement, promoting change in professionals and social change and innovation in organisations for and citizen benefit. The ability to learn from every patient contact and provide organisational responses to population needs has been termed a learning health . The development of IT enabled learning health systems is a journey on which health have only recently begun. report describes the impact trajectory over three decades of the Clinical Effectiveness (CEG), a quality improvement (QI) organisation serving a population of 2 million in east . The core aims include delivering improvements to primary care disease management reducing health inequalities. Commissioning support, public health and research linkage further derivatives enabled from the curated EHR. CEG has built capacity for real-time of services from all inner east London GP practices, with support for QI helping to transform service delivery across the primary/secondary interface. clinical performance of these localities now rank top in national and some international metrics. CEG also supports new initiatives to deliver an integrated EHR platform all primary, secondary and other health and social data sources to provide both direct care and data for secondary uses. This agenda is aligned with national strategy in the England Forward View and the Wachter Report both of which highlight the synergistic from aligning improved data uses, quality improvement and health data science.