Steve Conti, MBA, RRT, AE-C, Director of Disease Management, Seton Family of Hospitals, Austin, TX, shares experiences using shared community health records to identify asthma patients at risk and to coordinate financial, medical, and school resources to improve health outcomes. The focus of this discussion is on the role of shared electronic health records to coordinate care and facilitate case management of chronic asthma. System design, system interfacing, health outcomes and financial metrics are also addressed.