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Electronic health records (EHRs) have proliferated across the U.S. over the past decade. While EHRs have enabled caregivers to make well-informed treatment decisions more quickly and more safely, they do not solve the challenges of one critical area of care: clinical communication and collaboration. This eBrief explores six reasons why healthcare organizations need a complementary system to the EHR that enables messaging and collaboration among all members of the care team to support the real-world communication needs of physicians, nurses, and the organization overall.