Kaiser Permanente has announced that all of its 8.7 million enrollees in nine states and the District of Columbia have access to an outpatient electronic health record Kaiser says is the world's largest privately funded EHR. All of Kaiser's 13,000 physicians nationwide now have electronic access to patients' medical records in the system's 421 medical offices and clinics, said Kaiser officials. Kaiser's overall costs for the EHR installation are approximately $4 billion, including $1 billion for maintenance.