A provider-interactive medical record system can favorably influence costs and quality of medical care.

The Geriatric Record and Multidisciplinary Planning System (GRAMPS) is a provider-interactive computerized medical record system designed to support outpatient geriatric practice in Department of Veterans Affairs (DVA) clinics. In a controlled prospective study, physician use of the system was demonstrated to be associated with a reduction of the costs, and improvement in the quality and outcomes of patient care. The system was well-accepted by users, and provided a practical approach to physician data-entry. The system's text-handling and narrative generation capabilities support an extensive clinical content domain, contributing to overall performance. These features will be described in detail.

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