OBJECTIVES: To make eHealth technology more efficient, particularly for the quality and safety of care, the French Ministry of Health (DGOS) launched the national “Hopital numérique 2012-2017” program, a strategic development plan for the modernization of health information technology. The aim of this study was to assess the impact of the development of electronic health records (EHR) on the accreditation results of French hospitals performed by the HAS (French National Authority for Health). METHODS: This retrospective study included all of the acute care hospitals accredited between October 2012 and April 2014. Three national databases were used: national accreditation database, oSIS (observatoire des systèmes d’information de santé-2012), and IPAQSS (indicateurs pour l’amélioration de la qualité et la sécurité des soins-2012). National data were provided by the DGOS and HAS, together with methodological support. We developed an ordered Logit model, where the polytomous dependent variable was ordered according to the following descriptions: full accreditation, recommendation, reservation, or delay in the accreditation decision. The independent variables were the proportion of EHR used (full, partial, or no EHR); type of hospital (teaching, private non-profit, for-profit, or other public hospital); accuracy of the care, with versus without home care hospitalization; and geographic region. RESULTS: The study included 679 hospitals; 21% had full accreditation, 45% recommendation, 25% reservation, and 9% a delay in accreditation. We found that the higher the number of full EHR used, the better the accreditation decision (p<0.001). We also observed that the higher the number of partial EHR used, the better the accreditation decision (p=0.002). Finally, the accreditation decision was also better for for-profit hospitals (p<0.001), private non-profit hospitals (p=0.005), and in the southeast of France (p=0.02). CONCLUSIONS: Our findings suggest that the development of EHR in acute care hospitals is associated with a higher performance in accreditation decisions in France.