We are using more paper than ever, but it is going home with the patient as we print copies of labs, pages of instructions and the summary of todays visit as we move toward greater transparency in a medical home model. Dave Connett brought it to my attention that there are different laws, (Federal) regarding different charts. I was ignorant that all Pediatric charts must be kept 18 years and medical records of any patient with any potential industrial exposure for silicosis or asbestoses (and others) must be kept 30 years. Yikes!