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Background  Adoption of electronic health record ( EHR ) systems has increased significantly across the nation. Whether  EHR  use has translated into improved quality of care and outcomes in heart failure ( HF ) is not well studied.    Methods and Results  We examined participants from the Get With The Guidelines— HF  registry who were admitted with  HF  in 2008 (N=21 222), using various degrees of  EHR  implementation (no  EHR , partial  EHR , and full  EHR ). We performed multivariable logistic regression to determine the relation between  EHR  status and several in‐hospital quality metrics and outcomes. In a substudy of Medicare participants (N=8421), we assessed the relation between  EHR  status and rates of 30‐day mortality, readmission, and a composite outcome. In the cohort, the mean age was 71±15 years, 49% were women, and 64% were white. The mean ejection fraction was 39±17%. Participants were admitted to hospitals with no  EHR  (N=1484), partial  EHR  (N=13 473), and full  EHR  (N=6265). There was no association between  EHR  status and several quality metrics (aside from β blocker at discharge) or in‐hospital outcomes on multivariable adjusted logistic regression ( P >0.05 for all comparisons). In the Medicare cohort, there was no association between  EHR  status and 30‐day mortality, readmission, or the combined outcome.    Conclusions  In a large registry of hospitalized patients with HF, there was no association between degrees of  EHR  implementation and several quality metrics and 30‐day postdischarge death or readmission. Our results suggest that  EHR  may not be sufficient to improve  HF  quality or related outcomes.

Association of Electronic Health Record Use With Quality of Care and Outcomes in Heart Failure: An Analysis of Get With The Guidelines—Heart Failure