Electronic health records (EHRs) and collaborative healthcare delivery are two innovations implemented to meet the triple aim: improved patient satisfaction, better population outcomes, and more efficient service delivery. Both represent significant changes in how healthcare is provided. With any significant innovation there will be unanticipated results, both positive and negative. With two significant innovations, we should expect unintended consequences from the interaction of the EHR with Patient Centered Medical Homes. The EHR, then, has the potential to be a facilitator or a barrier for increased collaboration. Thus far, the literature on this topic is scant. In this dissertation we had three aims: 1) provide qualitative data to increase our understanding of the interaction between these two changes, 2) develop a tool to measure collaborative behaviors, and 3) analyze the association between the EHR as a communication channel and changes in collaboration behaviors between clinicians.