This study evaluated a web-based, view-only electronic health record (EHR) system implemented to support information sharing across organizational boundaries and disparate clinical information systems. The system was implemented in 2009. This study was completed in 2013 to evaluate adoption, user satisfaction and impact to patient care. The majority of users agreed the system improves information sharing and continuity of care. System use has increased significantly each year, with the majority of users satisfied with the information available. Unfortunately, system security access issues have hindered adoption and reduced user satisfaction. Users also reported low workflow integration and having to use multiple systems as concerns.