Advancing evidence-based care for diabetes: lessons from the Veterans Health Administration

Health Aff (Millwood). 2007 Mar-Apr;26(2):w156-68. doi: 10.1377/hlthaff.26.2.w156. Epub 2007 Jan 26.


The Veterans Health Administration (VHA) is a unique laboratory for using the electronic health record (EHR) to transform health care and accelerate discovery. This is particularly evident in the care of veterans with diabetes, who constitute a quarter of those served by the VHA. Although EHRs have enabled rapid learning, additional factors were necessary, including the lead participation of clinician-investigators, accountability through performance measurement, a delivery system focused on population health, and favorable economic externalities. "Off-the-shelf" technology is unlikely to generate similar benefits if these attributes are not in place.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2 / therapy*
  • Evidence-Based Medicine*
  • Female
  • Health Care Reform
  • Humans
  • Male
  • Medical Records Systems, Computerized / statistics & numerical data*
  • Patient-Centered Care
  • Policy Making
  • Quality Assurance, Health Care*
  • Quality Indicators, Health Care
  • Social Welfare
  • Technology
  • United States
  • United States Department of Veterans Affairs*