As the pandemic continues, the financial strain has put 40% of ACOs at risk of closing. As the transition to value-based care continues, provider’s financial survival will increasingly depend on improving quality measures and preventing avoidable patient harm. However, despite their claims, EHRs are not the answer to reducing patients’ risk of harm. Their predictive risk scores and clinical decision support alerts are insensitive, and typically only flag patients with obvious risk, for whom little can be done to change their outcome. These systems also don’t help clinicians understand what interventions will prevent adverse patient outcomes.